Monitoring Expenditure and Outcomes To Improve Health Services For Urban Poor Women In Bangalore
With the support of International Budget Partnership (IBP), Participation Governance Research Group (PGRG) initiated a study on "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 one 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
PGRG has finished the second phase of the project with an objective to build on the outcomes of the phase one by
- 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
The report based on this study "Improving Governance the participatory way: A Pilot Study of maternal health services for urban poor in Bangalore" can be found here.
