Table 3.

Key design features

Key features	Characteristics
1. Benefit package
Safe motherhood (SM)
Management of labour and complications	✓ Delivery- vacuum extraction and caesarean care
	✓ Emergency obstetric care; manage all stages of labour
	✓ Refer for emergency obstetric care services
	✓ Management of postpartum hemorrhage, eclampsia but not abortion related issues
	✓ Management of retained placenta, prolonged labour/obstructed, ruptured uterus.
	✓ Four ANC visits
Post natal care	✓ Within six hours of delivery examination of clients for danger signs
	✓ Referral for postpartum hemorrhage, third degree tear
	✓ Newborn care and referral for sick new born
	✓ Post operative care for Caesarean section
	✓ Review mother and counsel on infant feeding practices
	✓ Contraception and PMTCT services
Long term Family planning methods	✓ Long-term contraception methods but at present underutilized- implants, IUCD, male and female voluntary surgical contraception
Gender based violence	✓ Medical examination and treatment and management of injuries
	✓ Hospitalization and accommodation
	✓ Laboratory testing and X-rays including (HIV/AIDS, High Vaginal Swab, Hepatitis, Pregnancy, Syphilis, Urinalysis, Haemogram, Liver Function
	✓ Access to pregnancy prevention medication & antiretroviral drugs
	✓ Professional counselling
2. Quality Assurance
Infrastructure and basic services	✓ Facilities with basic equipment and infrastructure and staff according to the level of care
	✓ Provision of basic emergency and comprehensive obstetric care
Monitoring quality	✓ Documentation of treatment given including filling in the partograph, patient file notes and register
	✓ Documentation to facilitate reimbursements and claims
	✓ Analysis of claims data regularly every three months
3. Selection of facilities and accreditation process
Selection of providers	✓ Mapping of facilities in selected districts based on level of care and service given (basic and comprehensive obstetric care) and licensed service providers
	✓ Selection made by an assessor using set criteria
Contracting providers and distributors	✓ Contractual agreements with selected VSPs and distributors
4. Marketing and distribution
Distribution process	✓ Two mechanisms used; direct approach distribution where vouchers are sold to clients in their homes; use of specific locations- where clients will go to specific points to access the vouchers such as preferred fixed selling points such as pharmacies.
Marketing strategy	✓ Designed to use local media, radio shows, vans buses, fliers and posters and marketed as VOCHA brand
5. Claims and reimbursement process
Claims processing	✓ Time line pegged at a month from presenting claim with proper documentation
Reimbursement	✓ Reimbursement fee set based on a market analysis of what different facilities charged and negotiated
6. Management system	✓ System of managing program with clearly defined roles