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Perceptions of quality of care during birth at private Chiranjeevi facilities in Gujarat: lessons for Universal Health Coverage by Iyer, Veena ;Mavalankar, Dileep ;Tolhurst, Rachel ;De Costa, Ayesha is a Medicine article available to read on EtoBox.

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## Abstract The Indian national health policy encourages partnerships with private providers as a means to achieve universal health coverage. One of these was the __Chiranjeevi Yojana__ (CY), a partnership since 2006 with private obstetricians to increase access to institutional births in the state of Gujarat. More than a million births have occurred under this programme. We studied women’s perceptions of quality of care in the private CY facilities, conducting 30 narrative interviews between June 2012 and April 2013 with mothers who had birthed in 10 CY facilities within the last month. The commonly agreed upon characteristics of a “good (sari) delivery” were: giving birth vaginally, to a male child, with the shortest period of pain, and preferably free of charge. But all this mattered only after the primary outcome of being “saved” was satisfied. Women ensured this by choosing a competent provider, a “good doctor”. They wanted a quick delivery by manipulating “heat” (intensifying contractions) through oxytocics. There were instances of inadequate clinical care for serious morbidities although the few women who experienced poor quality of care still expressed satisfaction with the

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Author

Iyer, Veena ;Mavalankar, Dileep ;Tolhurst, Rachel ;De Costa, Ayesha

Publisher

Informa UK Limited

Published

2020

Language

EN

Field

Medicine (Health Sciences)