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Avoiding lock-in of unsustainable lifestyles at early age while giving birth to enthusiastic young change agents in families and among peers for sustainable lifestyles are likely to be the most cost-effective supply side intervention in the long run.
This paper estimates the incremental costs of a demand and supply side intervention aimed at increasing access to maternal health care services.
We did not include related health sector costs, such as the costs of increased care-seeking that may result from a combined 'pull' of the supply side intervention (FI) and 'push' of the demand side intervention (CI).
It is in this context that our research partnership between the Institute of Global Health, University College London, and MIRA Nepal is testing the effectiveness of a demand and supply side intervention.
To investigate how to address constraints to accessing essential and quality maternal health services, a demand and supply side intervention was designed and piloted in two districts in Eastern Uganda in 2010 2011.
Upon offering the service (transport and MHC), service provider's submitted vouchers to the study team (coordinator) and upon verification, the coordinator effected their reimbursement.Figure 1, is a schematic presentation of the management and administrative structure of the voucher scheme that was part of the implemented demand and supply side intervention.
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We find that demand side interventions alone are less effective than using only supply side interventions or a combination of both; the single most effective intervention is implementing a patient reminder system to reduce the number of no-show patients; and that all interventions studied are subject to significant diminishing returns.
Future research should focus on both demand and supply side interventions, alone and in combination.
Such supply side interventions may represent a new direction in both tobacco and alcohol control.
The significant inequalities suggest that at-risk groups need additional targeting by demand and supply side interventions.
Attempts to maintain or increase vaccination coverage almost all focus on supply side interventions: improving availability and delivery of vaccines.
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