Monitoring Expenditure and Outcomes To Improve Health Services For Urban Poor Women In Bangalore
With the support of IBP, Participation Governance Research Group (PGRG) initiated a study on the "Monitoring Expenditure and Outcomes To Improve Health Services For Urban Poor Women In Bangalore"
The domain of this two-year intervention comprises monitoring quality of service delivery andexpenditure and outcomes in five selected Maternity Homes, out of the 23 managed and operatedby the Bruhat Bengaluru Mahanagara Palike (BBMP or the Greater Bangalore City Corporation).The services include antenatal care, postnatal care, immunization and family welfare services –permanent and temporary.
The study aimed to assess the above services by budget analysis in three maternity homes (one ineach health zone) in Bangalore. Complementing this is the use of Community Score Cards (CSCs), tounderstand existing services and standards of qualitative aspects of service delivery. To establish abaseline of the quality of maternal health services in these maternity homes a Citizen Report Cardsurvey was done taking 12 of the 23 maternity homes in Bangalore.
Phase 1 of the IBP project has been completed successfully. The key outcomes being
- the formation of Maternity Home Monitoring Committees at the three maternity homes;
- Consent from the maternity home staff to work with the MHMCs in improving the maternity home services
- Advocating for better budgetary allocations for Madilu schemes through the MHMCs
- Strengthening the MHMC for better and sustained advocacy and monitoring of maternity home services
- Replicate the phase 1 exercise to few other maternity homes in Bangalore