project and number of project beneficiaries are core indicators. The denominator and numerator for each indicator have been clearly specified to ensure that definitions do not change over time. Baseline data are available and targets have been set for all indicators. The project team intends to conduct an impact evaluation of the project and plans to seek funding for the exercise internally within the Bank. Annex 2: Detailed Project Description Uganda: Uganda Reproductive Health Voucher Project The project comprises two components. These are: (1) Package of safe delivery services to poor pregnant women, and (2) Capacity Building and Project Management. The proposed activities under each component are presented below. Component One - Package of Safe Delivery Services to Poor Pregnant Women The objective of the component is to provide 132,400 pregnant (GPOBA US$9.5 million). women access to a defined package of safe delivery services from contracted private and public providers. The package of services consists of: four antenatal visits, safe delivery, one postnatal visit, treatment and management of selected pregnancy-related medical conditions and complications (including caesarian sections), and emergency transport. The package also includes services for EMTCT as part of antenatal care. Voucher scheme. The component will be implemented through a voucher scheme administered by a Voucher Management Agency (VMA). The VMA is responsible for managing the overall scheme including the contracting of selected service providers and training of community distributors to distribute vouchers to eligible clients in the targeted communities. The voucher entitles pregnant women to access a defined package of safe delivery services from contracted service providers. Upon providing the specified services, the service providers submit claims together with the appropriate voucher coupons to the VMA for settlement on the basis of the negotiated rates. Advantages of voucher schemes. A recent review of existing voucher programs demonstrated their potential to increase utilization of health services among beneficiary populations. Vouchers were found to assist with targeting services to vulnerable population groups; providing consumer choice and facilitating greater transparency in the service delivery process while ensuring the services meet the specified standards and for which the participating service providers receive commensurate financial rewards. Service Provider Selection Criteria. The scheme will use both public and private service providers licensed to practice by the relevant medical councils. The selection of service providers will be guided by the following principles: Location in the areas mapped under the project; Expression of interest to provide safe delivery services;
project and number of project beneficiaries are core indicators. The denominator and numerator for each indicator have been clearly specified to ensure that definitions do not change over time. Baseline data are available and targets have been set for all indicators. The project team intends to conduct an impact evaluation of the project and plans to seek funding for the exercise internally within the Bank. Annex 2: Detailed Project Description Uganda: Uganda Reproductive Health Voucher Project The project comprises two components. These are: (1) Package of safe delivery services to poor pregnant women, and (2) Capacity Building and Project Management. The proposed activities under each component are presented below. Component One - Package of Safe Delivery Services to Poor Pregnant Women (GPOBA US$9.5 million). The objective of the component is to provide 132,400 pregnant women access to a defined package of safe delivery services from contracted private and public providers. The package of services consists of: four antenatal visits, safe delivery, one postnatal visit, treatment and management of selected pregnancy-related medical conditions and complications (including caesarian sections), and emergency transport. The package also includes services for EMTCT as part of antenatal care. Voucher scheme. The component will be implemented through a voucher scheme administered by a Voucher Management Agency (VMA). The VMA is responsible for managing the overall scheme including the contracting of selected service providers and training of community distributors to distribute vouchers to eligible clients in the targeted communities. The voucher entitles pregnant women to access a defined package of safe delivery services from contracted service providers. Upon providing the specified services, the service providers submit claims together with the appropriate voucher coupons to the VMA for settlement on the basis of the negotiated rates. Advantages of voucher schemes. A recent review of existing voucher programs demonstrated their potential to increase utilization of health services among beneficiary populations. Vouchers were found to assist with targeting services to vulnerable population groups; providing consumer choice and facilitating greater transparency in the service delivery process while ensuring the services meet the specified standards and for which the participating service providers receive commensurate financial rewards. Service Provider Selection Criteria. The scheme will use both public and private service providers licensed to practice by the relevant medical councils. The selection of service providers will be guided by the following principles: Location in the areas mapped under the project; Expression of interest to provide safe delivery services;
842950PAD0P1440ucherPADFinal0Oct03.docx