Author(s)

Kranti Suresh Vora^1*, Kristi Sidney Annerstedt², Dileep V. Mavalankar¹, Nishith B. Dholakia³, Sandul Yasobant¹, Shahin Saiyed¹, Ashish Upadhyay¹, Ayesha De Costa²

¹Indian Institute of Public Health, Gandhinagar, India.
²Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
³Department of Health & Family Welfare, Government of Gujarat, Gandhinagar, India.

Background: About 60% of institutional births occur in the private sector in Gujarat due to limited availability of obstetricians in the government. Chiranjeevi Yojana (CY), a voucher-like program initiated in 2007, accredits private obstetricians who are reimbursed by the state government to provide free delivery care to eligible women i.e. below poverty line and tribal. One million women have delivered under the CY program yet there are no large community based studies of the program. Methodology of a prospective community study is described here. Methods/Designs: A prospective cohort study was done in 142 villages across 3 districts in Gujarat between July, 2013 and November, 2014. A detailed survey was done by trained researchers to ascertain maternal healthcare information including antenatal, intra-partum and post-partum care, place of delivery, birth outcomes, out of pocket expenses etc. Results: 54,955 households were surveyed. 73% of all households had poverty documentation. 4274 mothers who delivered in the study period were included. Discussion: This paper is description of the methodology of a large community based survey and household and individual level characteristics. The survey was nested in a larger project to evaluate the CY program in the state of Gujarat.

India, Demand Side Financing, Maternal Morality, Chiranjeevi Yojana, Community Based Survey

Vora, K. , Annerstedt, K. , Mavalankar, D. , Dholakia, N. , Yasobant, S. , Saiyed, S. , Upadhyay, A. and De Costa, A. (2016) Community Based Survey Methodology for Maternal Healthcare Utilization: Gujarat, India. Health, 8, 1542-1553. doi: 10.4236/health.2016.814152.