maternal mortality Govt. of Gujarat launched scheme called Chiranjeevi Yojana ( CY) in Dec. Shortage of obstetricians in rural areas of India. The research. Background The Chiranjeevi Yojana (CY) is a Public-Private-Partnership between the state and private obstetricians in Gujarat, India, since. Effect of Chiranjeevi Yojana on institutional deliveries and neonatal and maternal outcomes in Gujarat, India: a difference-in-differences analysis.

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Government has told us that it is our responsibility to tackle those matters; whether it is criminal, civil or consumer. This also shows a high level of targeting of the scheme to chiranjervi poor. One current participant in an urban area described his disappointment at Ganguly et al.

Chifanjeevi reason commonly given for referring these women was that remuneration under CY is insufficient to cover the cost of blood transfusions or anaesthetist charges: This process of joint decision-making should be taken into account at the planning, promotion and implementation phases of such schemes.

Not all providers shared this motivation, but it is likely that those who did were more likely to join and remain in the programme.

In Gujarat, as in other states in India, there is a chronic shortage of obstetricians in the public sector, and particularly in rural areas of the state [12]. Analysing Inter-sectoral Collaboration for Service Delivery. Vouchers as demand side financing instruments for health care: Building societal trust is likely to begin to tackle corrupt use of such schemes. Based on evidence that differential pricing structures cause inflation in Caesarean sections [27,28], the scheme designers attempted to embed this disincentive for unnecessary surgical intervention.


On the other hand providers told us that informally they feel they do behave charitably towards poor patients regardless of the scheme, by treating poor women in their practices and charging them less.

Chiranjeevi Yojna for girls for the pregnant women belonging to below poverty line(BPL)

This number represents about a third chiranejevi the total eligible participants in these two districts Table 1. The mean age at marriage for the CB and non-Chiranjeevi mothers was The act is in place to prevent female foeticide which is a major social problem leading to a disproportionate sex ratio in the population.

Support Center Support Center. They also reported positive behaviour from the service provider and the staff. Some of them also mentioned wilful delay at block level to make payments. ChiranjeeviYojana – Operational Mechanisms of the Scheme.

Chiranjeevi Yojana (CY) | The Center for Health Market Innovations

Rs 1, chiraneevi to the care provider per case basis. Providing skilled birth attendants and emergency obstetric care to the poor through partnership with private sector obstetrician.

Encouraging maternal health service utilization: This seemed to influence participation in the scheme, with some doctors dropping out and others avoiding complicated cases, because they felt they would expose themselves to potential litigation without any government support: Variations in catastrophic health expenditure estimates from household surveys in India.


Understanding this could lead to improvements in CY and better design and implementation of future public-private partnerships for widening access to services for underprivileged groups. Study participants were qualified obstetricians whose facilities were eligible to participate in the CY scheme able to perform Caesarean sections and transfuse blood.

Panchayat Department | Chiranjivi yojana

It again points to the need for more targeted promotion of the scheme among suitable providers. I will push that patient to somewhere else. Practitioners told us that participation is discussed in the local branch of the professional body FOGSI and a uniform decision is often taken to discontinue from CY.

Whole responsibility comes on us only. Providers we interviewed claimed: Their apprehension, that higher class clients a source of major income to them may dislike visiting their facility alongside CY patients, discouraged their participation in the scheme. Further research should address the technical quality of care. This percentage for the NCM group was Institutional delivery in rural India: The package under the scheme does not include payment to the provider for delivering PNC, and hence, it is overlooked by them.

The Chiranjeevi Scheme currently focuses only on delivery care.

Indian Institute of Management; Int J Gynaecol Obstet ,