MATIND research project | Global Health Interventions and Evaluation
Demand-side programs for maternal health services in India
MATIND is a European Union (EU) funded FP7 project. The main objective is to evaluate two innovative maternal health demand side financing programs in India. India contributes 20% of global maternal deaths, and has one of the highest maternal mortality ratios in the world. Furthermore 26% of the Indian population is living below poverty line.
The Indian government runs two large programs aimed at reducing maternal mortality by promoting institutional delivery among women living below the poverty line; one of which is a cash transfer while the other is a voucher-like program. Janani Suraksha Yojana (Safe motherhood program or JSY) in Madhya Pradesh province utilizes a cash transfer paid to women who deliver in public sector institutions. Chiranjeevi Yojana (Long life program or CY) functions in the context of an existing strong private obstetric care sector in Gujarat province; it is a voucher based system where private obstetricians are reimbursed by the government for deliveries performed for women living below the poverty line.
The intended outcome of both programs is to promote institutional delivery among poor women, thus reducing maternal mortality, through different demand side alternatives. There is a lack of reports on the effect of these efforts and therefore a need to evaluate the financing programs for maternal health. The field is fairly new and recent scientific literature proposes a more robust evaluation. The MATIND project addresses the evidence gap with respect to the impact of these interventions.