Although the reform of medical insurance extended coverage, increased options, and promoted opportunity equity, the actual effect of medical insurance on health outcomes through intervention in healthcare utilization is still unclear.
ANCHUL is a quasi-experimental implementation research project aimed at assessing the effectiveness of a complex intervention in improving utilization of maternal and child health services in urban poor settlements of Delhi.
The increased number of CSBAs, in addition to the integrated approach of the intervention, showed improvements in utilization of skilled provider care by mothers.
Exploring the potential of community-based interventions in increasing the utilization of obstetric care, the study aimed at developing, testing and assessing a community-based safe motherhood intervention in Mtwara rural District of Tanzania.
Corresponding to these answers, the participants suggested improved briefing, faster drug documentation and the need for more time to adapt to the interventions in order to improve utilization (item U9).
Utilization analyses used Student's t tests to compare differences in utilization between intervention and usual-care groups, including differences at baseline and follow-up, and in the changes from baseline to follow-up.
In addition, the study neither allows for the investigation of additional explanations for nonadherence nor analyzes expected change in utilization stemming from interventions.
Because savings are purported to be associated with changes in treatment utilization, we calculated absolute differences in utilization after the implementation of decision support interventions and projected a potential impact on utilization rates per 100 patients exposed.
Although programs (e.g., screening, gatekeeper training) have been developed to reduce these barriers, leverage facilitators, and encourage service use, further research is needed to empirically test the effectiveness of these interventions in increasing rates of service utilization.
The comparison of these indicators between the intervention and control arms will determine the effectiveness of the interventions in terms of enhanced service utilization and reduced mortality.
