In a bid to contribute to the Health Sector Development Plan (HSDP) 2016-2020, UHMG prioritizes the maternal voucher scheme. The scheme under the Social Marketing Activity (SMA) is a demand-side driven subsidy which allows targeted populations to access services. It is a relatively new strategy in addressing unique barriers to accessing quality health services among targeted populations.
The voucher increases utilization of services by: removing financial barrier, creating a counselling opportunity during distribution which can influence a health seeking behavior and creating an individual’s self-efficacy to access services they have hitherto self-excluded themselves from. The voucher scheme covers the whole maternal & child health (MCH) comprehensive package ranging from 1st to 4th Antenatal Care (ANC), delivery, Postnatal Care (PNC), postpartum family planning and referrals for complicated cases. The scheme implementation follows a process of facility assessment and accreditation to ensure suitability to provide safe antenatal and delivery services.
The clients are assessed using the poverty grading tool to identify suitable clients who are underprivileged. The Voucher Management Agency sells vouchers to distributors (Good Life Promoters) who target clients and refer them to service providers. The voucher service providers offer services to all clients who present vouchers seeking for services and then they are reimbursed expenses incurred while offering services based on the agreed pricing.
Vouchers are sold to the voucher distributors at Ugx2,500/= while these distributors sell to clients at Ugx4,000/=, earn a commission of Ugx1,500/=. This kind of voucher distribution approach was adapted from the on-going voucher schemes in the country which gave vouchers for free. Since implementation 2,752 vouchers have been sold, and 6,355 pregnant mothers have attended at least one ANC visit, 175 PNC visits, 637 deliveries (normal and assisted deliveries) and 212 referrals for further management. In addition, 201 health workers and 86 Good Life Promoters (GLPs) have been trained.