ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

Articles by C A K YesudianSubscribe to C A K Yesudian

Demand Side Financing for Reproductive and Child Health Services in India

Currently, reproductive and child health services in India are tax financed and provided through supply side financing mechanisms. Some of the limitations of supply side financing are the inability to target the poor, lack of user choice, and the absence of linkages between provider payments and performance. Hence, there is a need to develop innovative financing mechanisms, which are able to target scarce resources at those who cannot afford to pay. One option is demand side financing. Demand side subsidies are not only better at targeting subsidies to the poor, but by linking subsidies with output, also provide the right incentives for efficiency. This paper discusses the concept of demand side financing and recommends piloting of a competitive voucher scheme as a mechanism for RCH services in India.

Pattern of Utilisation of Health Services

There are a number of misconceptions about the utilisation patterns of health care among the poor. This has led to the formulation of inappropriate urban health services especially targeting the poor. A survey of utilisation patterns of health services among the poor in two areas in Mumbai provides some insights which may be useful for policy formulation.

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