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Utilization and management of maternal and child health funds in rural Nepal

Morrison, J; Thapa, R; Sen, A; Neupane, R; Borghi, J; Tumbahangphe, KM; Osrin, D; ... Costello, A; + view all (2010) Utilization and management of maternal and child health funds in rural Nepal. COMMUNITY DEV J , 45 (1) 75 - 89. 10.1093/cdj/bsn029.

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Abstract

Maternal and neonatal mortality rates are highest in the poorest countries, and financial barriers impede access to health care. Community loan funds can increase access to cash in rural areas, thereby reducing delays in care seeking. As part of a participatory intervention in rural Nepal, community women's groups initiated and managed local funds. We explore the factors affecting utilization and management of these funds and the role of the funds in the success of the women's group intervention. We conducted a qualitative study using focus group discussions, group interviews and unstructured observations. Funds may increase access to care for members of trusted 'insider' families adjudged as able to repay loans. Sustainability and sufficiency of funds was a concern but funds increased women's independence and enabled timely care seeking. Conversely, the perceived necessity to contribute may have deterred poorer women. While funds were integral to group success and increased women's autonomy, they may not be the most effective way of supporting the poorest, as the risk pool is too small to allow for repayment default.

Type: Article
Title: Utilization and management of maternal and child health funds in rural Nepal
DOI: 10.1093/cdj/bsn029
Keywords: COMMUNITY LOAN FUNDS, OBSTETRIC EMERGENCIES, NEWBORN BABIES, CARE, MORTALITY, TRANSPORT, SERVICES, NIGERIA, BANGLADESH, AFRICA
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
URI: http://discovery.ucl.ac.uk/id/eprint/152834
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