Availability alone may not be sufficient, unless it is supported by a policy of greater subsidization of health facilities through special schemes for maternal health care.
As India was known for its range of small and large-scale DSF schemes for maternal health, and previous experience indicated that much Indian research and evaluation is to be found outside of the standard bibliographic databases [ 23], supplementary searches examined India-specific websites and journal catalogues.
A much larger, nationwide social insurance scheme to provide for maternal and child health care in Bolivia increased ANC coverage and skilled attendance at birth by 50% in public facilities [ 22].
The findings from the synthesis of evidence on short-term cash payments and vouchers for maternity services, and on CCTs with maternal health conditionalities, suggest seven key messages for future directions for schemes employing DSF for maternal health.
As a result we may have missed the impact of broader insurance schemes as an effective strategy for increasing demand for maternal care.
Under Mao's rigid scheme for annihilating culture, his maternal grandparents were packed off to a re-education program, and his paternal grandfather, prominent in theater and film, was sent away to the distant countryside, where he died alone, his own son not permitted to attend his funeral.
Some studies noted lost opportunities for DSF schemes to contribute to wider conditions necessary for maternal health, such as strengthening women's status.
The providers were united in their opinion that rather than making government health staff and facilities accountable for maternal health services, the CY scheme 'tends to pass on this responsibility to the private sector'.
Studies examining the change in availability of vital maternal health services such as CEmOC after implementation of such innovative schemes are important to enrich an evidence base for maternal mortality reduction and health systems research.
The voucher scheme, which is designed as a health centre-based HEF for maternal services, improves financial access for poor women to maternal care, including delivery, at the health centre.
