Project Overview
The Utkrisht Development Impact Bond aims to improve the quality of care in private health facilities in Rajasthan and thereby improve health outcomes, including maternal and neonatal mortality.
Mathematica works with implementation partners, investors, and outcome funders to verify whether private health facilities in Rajasthan, India meet maternal and neonatal health care quality standards. Mathematica’s assessment of the quality of care in these facilities determines whether payments are sent from outcome funders to investors in the bond.
- MSD for Mothers
- USAID
- UBS Optimus Foundation
- Palladium
- Hindustan Latex Family Planning Promotion Trust (HLFPPT)
- Population Services International (PSI)
MSD for Mothers


The DIB model could make possible 400 private health facilities’ ability to improve quality in Rajasthan India. This could improve access to quality health care for hundreds of thousands of pregnant women and save over 10,000 lives in five years.
Evidence & Insights From This Project

Maternal Health Care Quality Improvement in Rajasthan, India
This endline report on the Utkrisht Development Impact Bond (DIB) includes a series of standalone briefs on: Overview of the DIB, Insights on lives saved, Insights on costs of meeting maternal health quality standards, Insights on the evolution of verification for a development impact bond.
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