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	The effects of voucher scheme on knowledge, attitude, and practice of maternal, neonatal, and child health services among pregnant women in Lao People’s Democratic Republic

	The effects of voucher scheme on knowledge, attitude, and practice of maternal, neonatal, and child health services among pregnant women in Lao People’s Democratic Republic

	2014년

	voucher, Lao PDR, access to health services, MNCH

	Jongho Heo; Vanphanom Sychareun; Juhwan Oh

	Public Health Joint Doctoral Program, San Diego St

	oh328@snu.ac.kr

	To provide better access to maternal, newborn, and child health (MNCH) services by lowering physical and financial barriers, the Lao People’s Democratic Republic implemented voucher scheme in pilot districts in May 2013 as a supplementary component of the already launched Integrated Package of MNCH Services since March 2011. We examined whether the voucher scheme implementation brought about changes in knowledge, attitude, and practice of MNCH services among pregnant women in Heuamuang and Vienthong district, Huaphan province. Based on pre- and post-voucher implementation survey, we constructed a dataset consisted of all mothers whose baby was born within 12 months at the baseline survey (N=137) and women who were pregnant at the baseline and became mothers within 12 months at the follow-up survey (N=74). Our results from regression analyses show that ANC visits were not significantly associated with the voucher scheme implementation after controlling for women’s socio-demographic characteristics, even though they were more likely to have enhanced knowledge and favorable attitude on the voucher scheme after the implementation. They were also more likely to have more knowledge and favorable attitude on delivery and postnatal care (PNC), but not on ANC after the implementation. Women exposed to the voucher scheme were less likely to recognize transportation problems as an existing barrier to MNCH services in HCs and perceive lower opportunity costs for a roundtrip to a HC. Further study is needed to examine the effects of the voucher scheme on delivery and PNC services in health facilities.



	20-4-5_final.pdf