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Ruwan Ratnayake, epidemiologist and technical advisor, International Rescue Committee IRCC), New York, USA, @RuwanEPI Ruwan advises and works on outbreak control, surveillance, research and evaluation in fragile settings.
In this article, we look at the use of vouchers for enabling access to safe delivery services in fragile settings, using the Yemen Reproductive Health (RH) Voucher Programme as our case study.
While all voucher programmes adhere to the same basic structure set out in Fig. 1, this structure is easily adapted to local contexts, as well as to fast-changing realities on the grounds that are particularly common in fragile settings.
Vouchers are one financing mechanism available to meet these needs, and we would advocate that programme implementers in fragile settings consider vouchers as an effective means to continue to provide safe motherhood services to clients.
UNFPA has also used vouchers to enable access to health services in fragile settings, establishing a reproductive health voucher programme inside Syria in March 2011 to allow women free access to a range of safe motherhood services, including emergency obstetric care (Ballan 2015).
Thirdly, innovative and tailored solutions should be incentivized to respond to the challenges in fragile settings.
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Some studies have found using lay people to deliver CBT to SGBV survivors in extremely fragile settings to be effective in alleviating mental health symptoms (20– 20).
An estimated 500 women die every day in pregnancy or childbirth in humanitarian and fragile settings.
It focuses on reaching everyone, in particular the poor and vulnerable, many of whom live in humanitarian and fragile settings.
Thea Anderson, senior advisor for financial inclusion, Mercy Corps, Washington, DC @mercycorps Thea designs and leads commercial initiatives for financial inclusion using market systems approach in complex and fragile settings.
The renewed Global Strategy for Women's, Children's, and Adolescent's Health launched in September 2015, identifies fragile settings as one of its nine priorities, and calls on all humanitarian and development actors to work better together and increase their efforts to build health and resilience among the women, children, and adolescents living in volatile circumstances.
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