Maternal Health Care Quality and Outcomes Under the Utkrisht Impact Bond: Midline Findings and Insights

Maternal Health Care Quality and Outcomes Under the Utkrisht Impact Bond: Midline Findings and Insights

Published: Oct 12, 2020
Publisher: Mathematica
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Associated Project

Independent Assessor for the Utkrisht Development Impact Bond in India

Time frame: 2017-2021

Prepared for:

MSD for Mothers

Authors
Key Findings
  • Quality improvement represents a journey that a point-in-time verification design might not capture.
  • Outcome payments under the Utkrisht DIB exceed implementation costs for facilities that have met quality improvement standards.
  • At the midpoint of the Utkrisht DIB, it is too soon to tell whether improved quality at participating SHCOs has led to meaningful improvements in key health status outcomes.
  • Verifying DIB outcomes requires that the outcomes triggering repayments are clearly defined, appropriately measured, and agreed upon by all parties.

This midline report on quality and health outcomes from the Utkrisht Development Impact Bond (DIB) includes a series of standalone chapters to enable readers to choose the specific aspect of the DIB to learn about. The report provides an overview of the DIB at midline and discusses achievement of quality standards and costs of meeting quality standards among private facilities in India. It also explores where investments might be best leveraged to achieve quality improvement at these facilities. Finally, the report delves into practical lessons learned from verification of a DIB.

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