Table 3

Key design features
Key features Characteristics
1. Benefit package
Safe motherhood (SM)
Management of labour and complications ✓ Delivery- vacuum extraction and caesarean care
✓ Emergency obstetric care; manage all stages of labour
✓ Refer for emergency obstetric care services
✓ Management of postpartum hemorrhage, eclampsia but not abortion related issues
✓ Management of retained placenta, prolonged labour/obstructed, ruptured uterus.
✓ Four ANC visits
Post natal care ✓ Within six hours of delivery examination of clients for danger signs
✓ Referral for postpartum hemorrhage, third degree tear
✓ Newborn care and referral for sick new born
✓ Post operative care for Caesarean section
✓ Review mother and counsel on infant feeding practices
✓ Contraception and PMTCT services
Long term Family planning methods ✓ Long-term contraception methods but at present underutilized- implants, IUCD, male and female voluntary surgical contraception
Gender based violence ✓ Medical examination and treatment and management of injuries
✓ Hospitalization and accommodation
✓ Laboratory testing and X-rays including (HIV/AIDS, High Vaginal Swab, Hepatitis, Pregnancy, Syphilis, Urinalysis, Haemogram, Liver Function
✓ Access to pregnancy prevention medication & antiretroviral drugs
✓ Professional counselling
2. Quality Assurance
Infrastructure and basic services ✓ Facilities with basic equipment and infrastructure and staff according to the level of care
✓ Provision of basic emergency and comprehensive obstetric care
Monitoring quality ✓ Documentation of treatment given including filling in the partograph, patient file notes and register
✓ Documentation to facilitate reimbursements and claims
✓ Analysis of claims data regularly every three months
3. Selection of facilities and accreditation process
Selection of providers ✓ Mapping of facilities in selected districts based on level of care and service given (basic and comprehensive obstetric care) and licensed service providers
✓ Selection made by an assessor using set criteria
Contracting providers and distributors ✓ Contractual agreements with selected VSPs and distributors
4. Marketing and distribution
Distribution process ✓ Two mechanisms used; direct approach distribution where vouchers are sold to clients in their homes; use of specific locations- where clients will go to specific points to access the vouchers such as preferred fixed selling points such as pharmacies.
Marketing strategy ✓ Designed to use local media, radio shows, vans buses, fliers and posters and marketed as VOCHA brand
5. Claims and reimbursement process
Claims processing ✓ Time line pegged at a month from presenting claim with proper documentation
Reimbursement ✓ Reimbursement fee set based on a market analysis of what different facilities charged and negotiated
6. Management system ✓ System of managing program with clearly defined roles

Abuya et al.

Abuya et al. BMC Public Health 2012 12:540   doi:10.1186/1471-2458-12-540

Open Data