Dasgupt Jashodhara, Sandhya Y K, Lobis Samantha, Verma Pravesh, Schaaf Marta
Senior Advisor of SAHAYOG, India.
Researcher at SAHAYOG, India.
Health Hum Rights. 2015 Dec 10;17(2):135-47.
My Health, My Voice is a human rights-based project that pilots the use of technology to monitor and display online data regarding informal payments for maternal health care in two districts of Uttar Pradesh, India. SAHAYOG, an organization based in Uttar Pradesh, partnered with a grassroots women's forum to inform women about their entitlements, to publicize the project, and to implement a toll-free hotline where women could report health providers' demands for informal payments. Between January 2012 and May 2013, the hotline recorded 873 reports of informal payment demands. Monitoring and evaluation revealed that the project enhanced women's knowledge of their entitlements, as well as their confidence to claim their rights. Anecdotal evidence suggests that health providers' demands for informal payments were reduced in response to the project, although hospital and district officials did not regularly consult the data. The use of technology accorded greater legitimacy among governmental stakeholders. Future research should examine the sustainability of changes, as well as the mechanisms driving health sector responsiveness.
“我的健康，我的声音”是一个基于人权的项目，该项目在印度北方邦的两个地区试点使用技术来监测和展示有关孕产妇保健方面非正规付费的在线数据。总部位于北方邦的组织SAHAYOG与一个基层妇女论坛合作，向妇女宣传她们应享有的权利，宣传该项目，并设立了一条免费热线，妇女可以通过该热线举报医疗服务提供者索要非正规付费的行为。在2012年1月至2013年5月期间，该热线记录了873起索要非正规付费的举报。监测和评估显示，该项目提高了妇女对自身应享权利的认识，以及她们主张自身权利的信心。轶事证据表明，尽管医院和地区官员没有定期查阅这些数据，但由于该项目，医疗服务提供者索要非正规付费的情况有所减少。技术的使用在政府利益相关者中获得了更高的合法性。未来的研究应考察变化的可持续性，以及推动卫生部门做出响应的机制。
