Reproductive HealthVouchers
Improving Women’s Access to Emergency RH Services in the ViolenceAffected Areas in Syria
IAWG Global Meeting
25-27 February 2015
Dead Sea
Fatima Sufferings
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Overview: Humanitarian Needs and Response
Overview: Humanitarian Needs and Response
Demand
Supply
Access?
Quality?
-Affected people 12.2 million
-3 million women ofreproductive age
-7.6 million InternallyDisplaced People (IDP)
-488,000 pregnant women
-300,000 families needsPSS/PFA
-34,000 of GBV survivors
-Information and awarenessraising
-RH /GBV services via staticand outreach mobile clinics
-Basic services/shelters
-Implementing partners
-UNFPA CO in the region
-28 mobile teams
-350,000 women receivedRH/EMOC
-118,000 families /womenreceived with PSS/PFA services
-140,000 dignity kits
-960 relief workers andvolunteers were trained onPSS/PFA
-18,000 RH vouchers
-RH equipment and supplies (RHkits)
-Needs assessment ofaffected people???
-Most vulnerablegroups?
-Cross line/borderoperation
-Targeting easy toreach people/ places
-Resources ???
-Monitoring
-Visibility
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Humanitarian ResponseStrategies
Improve Access
to RH and PSS
STRATEGY 1:
Maintaining the institutionalframework for social services,especially health
STRATEGY 3:Partnership
STRATEGY 5: OutreachPrograms ( Hubs andMobile teams- RHvouchers)
STRATEGY 4:
Evidence based response
STRATEGY 2: CapacityBuilding ( RHCS andTraining)
Security conditions
“Militarization” of Health care
One health system Vs. Multiple health systems
Economic barriers
Disrupted/ destroyed health facility
Gender considerations
Social norms ( home based delivery Vs. facility baseddelivery)
Challenges hinderingAccess to RH Services
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RH Vouchers
RH Vouchers
Security barriers
Tool/ mechanism
Quality services
Free of charge services
Cost barriers
RH Voucher Document
Advocacy of RH Vouchers
Selection of Implementing Partners
Capacity building
Piloting the RH voucher
Demand Based Finance Mechanism
Monitoring
Components ofImplementation Strategy
Partners of RH Vouchers
MOH
High Relief Committee
Local NGOs
Mobile Teams
18- Private Hospitals
4- MoH- MoHE Hospitals
SpecialAward onPartnerships
Evidence Based Revision andDevelopment of the RH voucher System
18,000 women received services through vouchers
Increase in the use of anti-post natal care , andinstitutional delivery
RH Vouchers allowed women to choose providers
Improved equitable access to RH services
Better staff and women satisfaction
Less turn over of RH professionals
Key Results
Targeting of population most in need of the RHvouchers
Controlling the overbilling and unnecessaryprocedures,
Persistent security barriers and difficulties inaccessing health facilities
Difficulty to monitor private sector hospitals
Confusion that the vouchers are designed only fordelivery
Resources
Challenges
The RH voucher program reduced the delays to RHservices at the community and institution services
The RH voucher acted as a catalyst for improvementsof quality of maternity care in both public and privatesectors health facilities,
Importance of entering into partnership with localand international
Third party monitoring of the RH voucher is key forsystem improvement and accountability.
Lessons Learnt
Thank You
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