Vouchers for Health: Increasing Utilization of Facility-based Family Planning and Safe Motherhood Services in Kenya

Ben Bellows, Matthew Hamilton, and Francis Kundu

This case study describes a Kenyan demand- and supply- side pay-for performance (P4P) scheme that uses vouchers as a means to reduce maternal and child mortality. Subsidized vouchers are targeted to poor women, enabling increased access to a range of safe motherhood and family planning services. Accredited public and private health service providers are reimbursed for voucher-supported services provided. Findings show that uptake of safe motherhood vouchers was very successful; however uptake of family planning vouchers proved more complex. This case study provides an example of a Government-led program to increase service utilization and offers lessons for countries considering implementing similar voucher-driven schemes.

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