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Achieving a Balanced Maternal Quality of Care Ecosystem Across India
- Grantees’ efforts to promote coordination and alignment between stakeholders in the health care ecosystem have led to important MHQoC gains. The successes have included the development and adoption of care delivery standards, decreased corruption at many levels of the system, the creation of a cadre of appropriately trained providers, availability of needed physical resources at facilities, and ultimately, positive maternal health outcomes.
- In most cases, the interactions reported by grantees are not only between two stakeholders: multiple parties interact to contribute to improving the ecosystem.
- Remaining gaps in the ecosystem include reforming health system financing, developing and implementing actionable information systems, and creating functional referral systems. These types of gaps will require far-reaching policy changes and major efforts to standardize the infrastructure, which could be beyond the reach of any one grant effort in a limited amount of time.
More than two decades ago, the John D. and Catherine T. MacArthur Foundation launched its Population and Reproductive Health program to help address gaps in India’s health care systems. After making significant progress in the field, particularly in the areas of maternal health and rights, the Foundation prepares to exit this program in India. Results from the Foundation’s last round of funding provide key insights into the health care ecosystem in India through the lens of maternal health quality of care—describing the current conditions and where the Foundation's strategy has identified opportunities for strengthening the current system.