The Swedish National Audit Office, Stockholm, 102 33, Sweden.
Blekinge Institute of Technology, Karlskrona, 371 41, Sweden.
Reprod Health. 2024 Jun 7;21(1):82. doi: 10.1186/s12978-024-01812-2.
This study assesses the impact of a voucher project that targeted vulnerable and poor pregnant women in Uganda. Highly subsidised vouchers gave access to a package of safe delivery services consisting of four antenatal visits, safe delivery, one postnatal visit, the treatment and management of selected pregnancy-related medical conditions and complications, and emergency transport. Vouchers were sold during the project's operational period from 2016 to 2019. This study covers 8 out of 25 project-benefiting districts in Uganda and a total of 1,881 pregnancies, including both beneficiary and non-beneficiary mothers. Using a matching design, the results show a positive effect on the survival of new-born babies. The difference in the survival rate between the control group and the treatment group is 5.4% points, indicating that the voucher project reduced infant mortality by more than 65 per cent.
本研究评估了乌干达一项针对弱势和贫困孕妇的代金券项目的影响。高补贴的代金券使人们能够获得一整套安全分娩服务，其中包括四次产前检查、安全分娩、一次产后检查、治疗和管理选定的与妊娠相关的医疗状况和并发症，以及紧急交通。代金券在项目运营期间（2016 年至 2019 年）出售。本研究涵盖乌干达 25 个受益地区中的 8 个地区，共有 1881 例妊娠，包括受益母亲和非受益母亲。使用匹配设计，结果显示对新生儿存活率有积极影响。对照组和治疗组的存活率差异为 5.4%，表明代金券项目使婴儿死亡率降低了 65%以上。
