IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v34y2019i1pe131-e141.html
   My bibliography  Save this article

Conditional cash transfer policies in maternal health service utilization in Nepal: Analysis of safe delivery incentive program (Aama Surakshya Karyakram) using Kingdon's multiple streams framework

Author

Listed:
  • Geha Nath Khanal

Abstract

Various factors limit access to and utilization of health services even when provided at subsidized cost. This results in poor utilization of services that contributes to further economic impoverishment and health care disparity. Many countries are experimenting with various approaches to tackle the poor utilization of health care services including demand‐side financing policy. This paper explains the policymaking process during the formulation of safe delivery incentive program, a conditional cash transfer program in Nepal using Kindgon's multiple streams framework. Analysis of earlier policies and programs around safe motherhood concludes that high transportation cost was a major cause for poor utilization of institutional obstetric care, despite being provided at free of cost. Health was recognized as fundamental constitutional right in 2007. This assured societal support and political commitments for protecting health constitutionally. Furthermore, there was commitment from external development partners (EDPs) for investment in maternal health. Together, these problem, policy, and politics opened Kingdon's “windows of opportunity” for formulation of conditional cash transfer policy. This paper presents evolution of Aama Surakshya Karyakram and uses Kingdon's multiple streams framework to explain how problem, policy, and politics streams converged together to allow this program to be introduced in Nepal.

Suggested Citation

  • Geha Nath Khanal, 2019. "Conditional cash transfer policies in maternal health service utilization in Nepal: Analysis of safe delivery incentive program (Aama Surakshya Karyakram) using Kingdon's multiple streams framework," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 131-141, January.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e131-e141
    DOI: 10.1002/hpm.2691
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.2691
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hpm.2691?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7097, eSocialSciences.
    2. Ensor, Tim & Clapham, Susan & Prasai, Devi Prasad, 2009. "What drives health policy formulation: Insights from the Nepal maternity incentive scheme?," Health Policy, Elsevier, vol. 90(2-3), pages 247-253, May.
    3. AfDB AfDB, . "Annual Report 2012," Annual Report, African Development Bank, number 461.
    4. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7222, eSocialSciences.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. José Antonio Rodríguez Martín & Juan Dios Jiménez Aguilera & José Antonio Salinas Fernández & José María Martín Martín, 2016. "Millennium Development Goals 4 and 5: Progress in the Least Developed Countries of Asia," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 129(2), pages 489-504, November.
    2. Caroline Jennings Saul & Heiko Gebauer, 2018. "Digital Transformation as an Enabler for Advanced Services in the Sanitation Sector," Sustainability, MDPI, vol. 10(3), pages 1-18, March.
    3. Subramaniam, Mega & Pang, Natalie & Morehouse, Shandra & Asgarali-Hoffman, S. Nisa, 2020. "Examining vulnerability in youth digital information practices scholarship: What are we missing or exhausting?," Children and Youth Services Review, Elsevier, vol. 116(C).
    4. Bruno F. Sunguya & Yue Ge & Linda B. Mlunde & Rose Mpembeni & Germana H. Leyna & Krishna C. Poudel & Niyati Parekh & Jiayan Huang, 2022. "Targeted and Population-Wide Interventions Are Needed to Address the Persistent Burden of Anemia among Women of Reproductive Age in Tanzania," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    5. Yong‐Shik Lee, 2020. "New general theory of economic development: Innovative growth and distribution," Review of Development Economics, Wiley Blackwell, vol. 24(2), pages 402-423, May.
    6. Leena Eklund Karlsson & Anne Leena Ikonen & Kothar Mohammed Alqahtani & Pernille Tanggaard Andersen & Subash Thapa, 2020. "Health Equity Lens Embedded in the Public Health Policies of Saudi Arabia: A Qualitative Document Analysis," SAGE Open, , vol. 10(4), pages 21582440209, October.
    7. Valensisi, Giovanni & Gauci, Adrian, 2013. "Graduated without passing? The employment dimension and LDCs' prospects under the Istanbul Programme of Action," MPRA Paper 86966, University Library of Munich, Germany.
    8. Yue-Hui Yu & Man-Man Peng, 2022. "Development and Poverty Dynamics in Severe Mental Illness: A Modified Capability Approach in the Chinese Context," IJERPH, MDPI, vol. 19(4), pages 1-13, February.
    9. Lisa F. Clark, 2018. "Policy conflicts in global food assistance strategies: balancing local procurement and harmonization," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 10(1), pages 211-222, February.
    10. Simon Meunier & Dale T. Manning & Loic Queval & Judith A. Cherni & Philippe Dessante & Daniel Zimmerle, 2019. "Determinants of the marginal willingness to pay for improved domestic water and irrigation in partially electrified Rwandan villages," Post-Print hal-02179229, HAL.
    11. Jussi T. S. Heikkila, 2020. "Classifying economics for the common good: Connecting sustainable development goals to JEL codes," Papers 2004.04384, arXiv.org.
    12. Menon Martina & Perali Federico & Veronesi Marcella, 2017. "“Leaving No Child Behind:” Preferences for Social Inclusion and Altruism," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 17(3), pages 1-19, July.
    13. Shannon L. Sibbald & Nicole Haggerty, 2019. "Integrating Business and Medical Pedagogy to Accomplish the Sustainable Development Goals," Journal of Education for Sustainable Development, , vol. 13(1), pages 92-101, March.
    14. Dedy Rahman Wijaya & Ni Luh Putu Satyaning Pradnya Paramita & Ana Uluwiyah & Muhammad Rheza & Annisa Zahara & Dwi Rani Puspita, 2022. "Estimating city-level poverty rate based on e-commerce data with machine learning," Electronic Commerce Research, Springer, vol. 22(1), pages 195-221, March.
    15. Józsa, Krisztián & Török, Balázs & Stevenson, Cerissa, 2018. "Preschool and kindergarten in Hungary and the United States: A comparison within transnational development policy," International Journal of Educational Development, Elsevier, vol. 62(C), pages 88-95.
    16. Kasuga, Hidefumi & Morita, Yuichi, 2022. "The health gap and its effect on economic outcomes," Journal of Macroeconomics, Elsevier, vol. 74(C).
    17. Soumi Roy Chowdhury & Alok K. Bohara & Hari Katuwal & José A. Pagán & Jennifer A. Thacher, 2019. "The Impact of Ritual Bathing in a Holy Hindu River on Waterborne Diseases," The Developing Economies, Institute of Developing Economies, vol. 57(1), pages 36-54, March.
    18. Samuel Dorevitch, 2015. "Health Effects of Waterborne Contaminants: A Focus on Emerging Concerns," IJERPH, MDPI, vol. 12(10), pages 1-3, October.
    19. Santangelo, Grazia D., 2018. "The impact of FDI in land in agriculture in developing countries on host country food security," Journal of World Business, Elsevier, vol. 53(1), pages 75-84.
    20. Sheilla Nyasha Author-Name: Yvonne Gwenhure & Nicholas M. Odhiambo, 2017. "Poverty and Economic Growth in Ethiopia: A Multivariate Causal Linkage," Journal of Developing Areas, Tennessee State University, College of Business, vol. 51(1), pages 343-359, January-M.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e131-e141. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.