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Статті в журналах з теми "Maternal health voucher scheme"

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Das, Akkur Chandra, and Manik Nag. "The association between voucher scheme and maternal healthcare services among the rural women in Bangladesh: a cross sectional study." Bangladesh Journal of Medical Science 17, no. 4 (September 19, 2018): 545–55. http://dx.doi.org/10.3329/bjms.v17i4.38314.

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Background: Maternal health voucher scheme, providing financial support to poor women, is popularly known as subsidies in maternity care services including antenatal, delivery and postnatal care and also economic barriers while seeking treatment from qualified service providers. The aim of this study is to evaluate the association of voucher scheme on receiving maternal healthcare services among the rural women in Bangladesh.Methods: This is a cross sectional study where total sample size was (n=500) rural women who were selected by using convenience sampling method. Among them, 250 women were voucher scheme receivers and other 250 women were non-voucher scheme receivers. A structured questionnaire was adopted for data collection between November and December 2015. In the final analysis, cross tabular analysis and logistic regression model were used, and adjusted odds ratios (ORs) were reported.Results: The study found a strong relation between voucher scheme and maternal healthcare services among the rural women in Bangladesh where majority (88.4%) voucher scheme receivers received information or treatment of Reproductive Tract Infections (RTIs) and Sexually Transmitted Infections (STIs) while non-voucher scheme receivers received only 10%. Most of the respondents (93%) voucher scheme receivers received at least 3 times of antenatal care visit; but only 28% received non-voucher scheme receivers at least 3 times of antenatal care visit. Voucher scheme receivers received 17.127 times more likelihood to receive skilled birth attendance and 25.344 times more likelihood to receive institutional delivery services and positively significant (5 percent) compared to those who did not receive maternal heath voucher scheme. Moreover, 92.4% voucher receivers received transport cost and 73.2%, received safe home delivery services while 22.8% non-voucher scheme receivers received transport cost and only 20.4% received safe home delivery services. Majority (94%) voucher scheme receivers received long time birth control services while only 19.2% non-voucher scheme receivers received long time birth control services.Conclusion: Women who did not receive maternal health voucher scheme found the status of lower antenatal, delivery and postnatal care services receiving trends compared to the women who received the maternal health voucher scheme. It is recommended an effective monitoring system and necessary interventions getting overall developed health status in Bangladesh.Bangladesh Journal of Medical Science Vol.17(4) 2018 p.545-555
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Das, Akkur Chandra. "Improving access to safe delivery for poor women by voucher scheme in Bangladesh." South East Asia Journal of Public Health 5, no. 1 (September 13, 2015): 39–43. http://dx.doi.org/10.3329/seajph.v5i1.24850.

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Maternal and child mortality are still higher in Bangladesh where delivery care services are associated with a number of problems. Demand-side financing, popularly well-known as maternal health care voucher, is found to reduce the financial barriers, increases choice for clients, and improves efficiency in delivery and quality of services which ultimately enhances maternal health. A cross-sectional study was conducted in different upzilas of Bhola district in Bangladesh among poor married women and found that voucher scheme receivers were 17.64 times more likely to receive delivery care services than respondents who were not part of the voucher scheme. On the other hand, the study pointed out that recipients of the voucher scheme received comparatively higher levels of delivery care services compared to those not in the voucher scheme, such as skilled birth attendance (64.2% vs. 26.3%), institutional delivery services (86.9% vs. 24.7%), and transport costs (92.5% vs. 23.1%). As the voucher scheme receivers’ delivery care services ensured better health status and care services than non-voucher scheme receivers in Bangladesh, the current study suggests that increasing the accessibility of voucher scheme programs will facilitate the provision of effective maternal health care services.South East Asia Journal of Public Health Vol.5(1) 2015: 39-43
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Schmidt, Jean-Olivier, Tim Ensor, Atia Hossain, and Salam Khan. "Vouchers as demand side financing instruments for health care: A review of the Bangladesh maternal voucher scheme." Health Policy 96, no. 2 (July 2010): 98–107. http://dx.doi.org/10.1016/j.healthpol.2010.01.008.

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Massavon, William, Calistus Wilunda, Maria Nannini, Caroline Agaro, Simon Amandi, John Bosco Orech, Emanuela De Vivo, Peter Lochoro, and Giovanni Putoto. "Community perceptions on demand-side incentives to promote institutional delivery in Oyam district, Uganda: a qualitative study." BMJ Open 9, no. 9 (September 2019): e026851. http://dx.doi.org/10.1136/bmjopen-2018-026851.

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ObjectiveTo examine the perceptions of community members and other stakeholders on the use of baby kits and transport vouchers to improve the utilisation of childbirth services.DesignA qualitative study.SettingOyam district, Uganda.ParticipantsWe conducted 10 focus group discussions with 59 women and 55 men, and 18 key informant interviews with local leaders, village health team members, health facility staff and district health management team members. We analysed the data using qualitative content analysis.ResultsFive broad themes emerged: (1) context, (2) community support for the interventions, (3) health-seeking behaviours postintervention, (4) undesirable effects of the interventions and (5) implementation issues and lessons learnt. Context regarded perceived long distances to health facilities and high transport costs. Regarding community support for the interventions, the schemes were perceived to be acceptable and helpful particularly to the most vulnerable. Transport vouchers were preferred over baby kits, although both interventions were perceived to be necessary. Health-seeking behaviours entailed perceived increased utilisation of maternal health services and ‘bypassing’, promotion of collaboration between traditional birth attendants and formal health workers, stimulation of men’s involvement in maternal health, and increased community awareness of maternal health. Undesirable effects of the interventions included increased workload for health workers, sustainability concerns and perceived encouragement to reproduce and dependency. Implementation issues included information gaps leading to confusion, mistrust and discontent, transport voucher scheme design; implementation; and payment problems, poor attitude of some health workers and poor quality of care, insecurity, and a shortage of baby kits. Community involvement was key to solving the challenges.ConclusionsThe study provides further insights into the implementation of incentive schemes to improve maternal health services utilisation. The findings are relevant for planning and implementing similar schemes in low-income countries.
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Ahmed, S., and M. M. Khan. "A maternal health voucher scheme: what have we learned from the demand-side financing scheme in Bangladesh?" Health Policy and Planning 26, no. 1 (April 7, 2010): 25–32. http://dx.doi.org/10.1093/heapol/czq015.

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Ahmed, Shakil, and M. Mahmud Khan. "Is demand-side financing equity enhancing? Lessons from a maternal health voucher scheme in Bangladesh." Social Science & Medicine 72, no. 10 (May 2011): 1704–10. http://dx.doi.org/10.1016/j.socscimed.2011.03.031.

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Tantivess, Sripen, Yot Teerawattananon, Pitsaphun Werayingyong, Pritaporn Kingkaew, Nilar Tin, SanSan Aye, and Phone Myint. "Evidence-informed policy formulation: the case of the voucher scheme for maternal and child health in Myanmar." WHO South-East Asia Journal of Public Health 3, no. 3 (2014): 285. http://dx.doi.org/10.4103/2224-3151.206751.

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Rahman, Tanzila. "Demand Side Financing and Healthcare Seeking of Pregnant Women." Journal of Clinical and Laboratory Research 5, no. 1 (January 6, 2022): 01–04. http://dx.doi.org/10.31579/2768-0487/058.

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Demand-side financing (DSF) scheme is popularly known as the maternal health voucher program, which is launched in many developing countries of the world including Bangladesh as an intervention of developing overall health status. Maternal mortality ratio is a strong indicator of health profile of any country and pregnant women are prone to fall vulnerable situation. This review was aimed to find gap/missing of existing literature in order to make foundation of new research on healthcare seeking of pregnant women along with financing coverage. After repeated critical review of number original articles, some gaps have been found. Almost every article they focused on outcome and mildly highlighted input variables but did not consider all possible variables and missed to show interlink between those variables.
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Ahmed, Sayem, Md Zahid Hasan, Nausad Ali, Mohammad Wahid Ahmed, Emranul Haq, Sadia Shabnam, Morseda Chowdhury, et al. "Effectiveness of health voucher scheme and micro-health insurance scheme to support the poor and extreme poor in selected urban areas of Bangladesh: An assessment using a mixed-method approach." PLOS ONE 16, no. 11 (November 1, 2021): e0256067. http://dx.doi.org/10.1371/journal.pone.0256067.

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Background National healthcare financing strategy recommends tax-based equity funds and insurance schemes for the poor and extreme poor living in urban slums and pavements as the majority of these population utilise informal providers resulting in adverse health effects and financial hardship. We assessed the effect of a health voucher scheme (HVS) and micro-health insurance (MHI) scheme on healthcare utilisation and out-of-pocket (OOP) payments and the cost of implementing such schemes. Methods HVS and MHI schemes were implemented by Concern Worldwide through selected NGO health centres, referral hospitals, and private healthcare facilities in three City Corporations of Bangladesh from December 2016 to March 2020. A household survey with 1,294 enrolees, key-informant interviews, focus group discussions, consultative meetings, and document reviews were conducted for extracting data on healthcare utilisation, OOP payments, views of enrolees, and suggestions of implementers, and costs of services at the point of care. Results Healthcare utilisation including maternal, neonatal and child health (MNCH) services, particularly from medically trained providers, was higher and OOP payments were lower among the scheme enrolees compared to corresponding population groups in general. The beneficiaries were happy with their access to healthcare, especially for MNCH services, and their perceived quality of care was fair enough. They, however, suggested expanding the benefits package, supported by an additional workforce. The cost per beneficiary household for providing services per year was €32 in HVS and €15 in MHI scheme. Conclusion HVS and MHI schemes enabled higher healthcare utilisation at lower OOP payments among the enrolees, who were happy with their access to healthcare, particularly for MNCH services. However, they suggested a larger benefits package in future. The provider’s costs of the schemes were reasonable; however, there are potentials of cost containment by purchasing the health services for their beneficiaries in a competitive basis from the market. Scaling up such schemes addressing the drawback would contribute to achieving universal health coverage.
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Gideon, Jasmine, Benjamin M. Hunter, and Susan F. Murray. "Public-private partnerships in sexual and reproductive healthcare provision: establishing a gender analysis." Journal of International and Comparative Social Policy 33, no. 2 (June 2017): 166–80. http://dx.doi.org/10.1080/21699763.2017.1329157.

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Abstract The past few decades have seen the growing popularity of public-private partnerships (PPPs) across the health sector – a catch all term used to encompass diverse activities involving both public and private sector entities in areas of global and domestic health. In the article we consider the factors that have led to this proliferation of PPPs in the healthcare delivery field and consider the link to the process of ‘scientization’ of healthcare. With a focus on sexual and reproductive health the article also considers two commonly used mechanisms employed in SRH service delivery that have been used in PPPs – social franchise and health voucher schemes. We then reprise key points from the existing critical literature on gendered health systems and go on to consider their application to such service provision-oriented PPPs, using an exploratory analysis of a case study of the use of maternal health vouchers in India.
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Дисертації з теми "Maternal health voucher scheme"

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Ikpeazu, A. E. "Can the Midwives Service Scheme (MSS) present an effective and health systems strengthening response to the shortages in human resources for maternal health services in Nigeria?" Thesis, London School of Hygiene and Tropical Medicine (University of London), 2018. http://researchonline.lshtm.ac.uk/4647053/.

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The flagship Midwives Service Scheme (MSS) was introduced in 2009 as the first large-scale intervention to address rural retention of midwives in Nigeria. This was a multi-component intervention including financial incentives to midwives, provision of accommodation and systems level support, aiming to improve human resource capacity to provide quality services. This study explores how effectively the scheme’s design and implementation drew on the health system’s context, resources, needs and population preferences, and how it contributed to strengthening health systems at all levels. To meet the objectives, 87 in-depth interviews and eight focus group discussions with policymakers, implementers, midwives and community members were conducted in two Nigerian states and at the federal level. Drawing on a systems-thinking approach, the study developed a new framework examining the fit of the intervention with the local health system’s context considering: i) leadership and commitment ii) policy and financing context iii) human resource management capacity, and iv) stakeholder participation. The framework informed the framing of the study and guided data collection; however, themes were identified and synthesised inductively. The broad principles and features of the scheme were widely supported by program managers and policy-makers across the three health systems levels (local, state, federal). However, its design was based on federal level program managers’ knowledge of maternal health and health worker issues, and limited recognition of the decentralised nature of the health system. Implementation was hampered by inadequate management and logistical capacity to deal with the complex design, poor absorptive capacity of states for the posted midwives, failure to provide continued supervision, and welfare issues that affected the midwives. The MSS was successful in attracting midwives including those employed in the private sector due to the promised pay package and capacity building opportunities offered under it. Several factors affected motivation of midwives and impacted on midwife retention. These include low and unpaid salaries and incentives, housing difficulties and distance of housing from the facility, and travel costs and hardships incurred from commuting to the facility. Unmet career development priorities were an additional source of demotivation. The findings point to poor retention of midwives in both states. Retention was better among retired midwives compared to other categories. Younger midwives were more mobile and exited the scheme mainly to the private sector. The MSS had the potential to bring about system-wide changes; however, weak implementation severely hampered its achievement of the intended outcomes and dampened the expectations of significant improvements in the health systems. The findings underscore the importance of reflecting overall health systems structures and processes and local contextual factors, including local health workers’ preferences in designing effective human resource retention schemes. The scheme is potentially replicable as a bundled package of interventions to improve access to skilled workers in rural communities in LMICs. Since decentralisation critically modifies the decision-making space, an inclusive process where sub-national actors participate in choosing policy options should be a prerequisite.
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Barua, Shampa. "Determinants of maternal and newborn health and survival in three rural areas of Bangladesh." Phd thesis, 2012. http://hdl.handle.net/1885/11802.

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Bangladesh has achieved impressive reductions in maternal deaths during the past two decades, but has not shown much progress in the use of skilled providers at childbirth or in postnatal care from trained providers. Both the Government and NGOs were implementing various interventions aimed at improving the health of mothers and newborns in the study area for this thesis. An in-depth knowledge of existing maternal and newborn care practices, and of related beliefs, is essential to assessing the success of such maternal and newborn care interventions, and to understanding the challenge improving the situation presents. Fieldwork was carried out in three unions of Ramu upazila in rural Bangladesh -Khuniapalong, Joarianala and Fatehkharkul. A total of 1,326 interviews were conducted, with data weighted to reflect the 1,783 women who were eligible to be interviewed. In addition, 40 in-depth interviews were conducted with different stakeholders. Women in Khuniapalong were appreciably poorer and less educated than those in Joarianala, who in turn were poorer and less educated than those in Fatehkharkul. Although most women had sought antenatal care (ANC), little more than a quarter of deliveries had been attended by skilled personnel. Women with higher secondary or higher education, in wealth quintiles 3-5, resident in Fatehkharkul, having a first birth, and having received a voucher/card for ANC and other services were especially likely to have received ANC three or more times from a trained provider. Over three-quarters of births had occurred at home, including almost all ofthose in Khuniapalong. Delivery complications, having received a voucher/card for free ANC, delivery and PNC services, residence in Fatehkharkul, belonging to wealth quintile 4 or 5, the birth being a first birth, having higher secondary or higher education (woman and her husband), and having had three or more ANC consultations were all predictive of hospital delivery. Skilled assistance at home births was related to having a first birth, experiencing complications, having had four or more ANC visits, belonging to the highest wealth quintile, and residence in Fatehkharkul. More than 70 percent of women had consulted somebody for postnatal care (PNC), but almost all PNC providers in Khuniapalong and two-thirds of those in Joarianala were unskilled, along with 40 percent of those in Fatehkharkul. Use of a skilled birth attendant was associated with having skilled PNC for both mothers and newborns, and with essential newborn care practices like clean cord care, immediate drying and wrapping, delayed bathing and early initiation of breastfeeding. These practices are still frequently not followed, being intertwined with cultural beliefs. Qualitative data showed that not consulting trained ANC and PNC providers and not using skilled birth attendants were associated with perceiving them to be ' not needed' . Skilled attendance at delivery and postpartum care for mother and newborn are crucial to improving the mother and newborn health situation in rural Bangladesh. Equitable coverage by health interventions along with community empowerment are keys to overcoming harmful cultural beliefs and norms around childbirth and thereby improving maternal and newborn health.
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Книги з теми "Maternal health voucher scheme"

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Group, Ireland Maternity and Infant Care Scheme Review. Report of the Maternity and Infant Care Scheme Review Group. Dublin: Department of Health, 1994.

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(Bangladesh), Population Council, ed. Evaluation of the impact of the voucher program for improving maternal health behavior and status in Bangladesh. Dhaka: Population Council, 2014.

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M.S. Swaminathan Research Foundation (Chennai, India) and Forum for Crèche and Child Care Services (Tamil Nadu, India), eds. Towards universalisation of maternity entitlements: An exploratory case study of the Dr. Muthulakshmi Maternity Assistance Scheme, Tamil Nadu. [New Delhi]: Public Health Resource Network, 2010.

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Obare, Francis, Peter Okwero, Leslie Villegas, Samuel Mills, and Ben Bellows. Increased Coverage of Maternal Health Services among the Poor in Western Uganda in an Output-Based Aid Voucher Scheme. World Bank, Washington, DC, 2016. http://dx.doi.org/10.1596/1813-9450-7709.

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Implementation of maternal health financial scheme in rural Bangladesh. Dhaka: Population Council Bangladesh, 2009.

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Ramesh, Bhat, and Indian Institute of Management, Ahmedabad., eds. Maternal health financing in Gujarat: Preliminary results from a household survey of beneficiaries under Chiranjeevi Scheme. Ahmedabad: Indian Institute of Management, 2007.

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Jordahl, Henrik, and Mårten Blix. Privatizing Welfare Services. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780198867210.001.0001.

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The Swedish welfare state is known for providing extensive services to its citizens. Much less well known is that a fair amount of the services are delivered by private for-profit firms. The first steps of privatization were taken in the mid-1980s for childcare services at the municipal level, and the government often found itself scrambling to introduce regulation afterwards. Other sectors were subsequently privatized, most notably through an extensive voucher scheme to provide choice in compulsory and upper-secondary education. A key question throughout this process has been how to maintain the Swedish egalitarian ethos while undergoing extensive privatization. How has the country managed to reap the benefits from market forces without endangering equitable outcomes? The Swedish system is no middle road between socialism and capitalism. Instead, it is more akin to a large-scale laboratory for institutional design with lessons that should be of broad relevance to other countries aiming to get high-quality welfare services while containing costs. Focusing on what others can learn from Sweden, the book makes accessible original research on schools, health care, and elderly care. The privatization of service production has occurred despite major political controversy between two competing visions for the welfare state. Successful experiments have spread organically to neighbouring municipalities. What was done well in this process and what were the mistakes? The book addresses the fundamental economic challenges, the trends of the future, and the implications for institutional design
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Частини книг з теми "Maternal health voucher scheme"

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Yee, Hilary H. L., and Vincent Tin Sing Law. "Effectiveness of Elderly Health Care Voucher Scheme and Private Healthcare Providers in Hong Kong." In Quality of Life in Asia, 105–16. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-3061-4_8.

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"4. Vouchers as Demand-side Financing Instruments for Health Care: A Review of the Bangladesh Maternal Voucher Scheme and Implications for Incentives for Human Resource Management." In Improving Health Sector Performance, 76–100. ISEAS Publishing, 2011. http://dx.doi.org/10.1355/9789814311854-008.

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Тези доповідей конференцій з теми "Maternal health voucher scheme"

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Mutebi, Aloysius, and Elisabeth kiracho Ekirapa. "132: BENEFITS OF A MATERNAL AND CHILD HEALTH TRANSPORT VOUCHER STUDY. A TRANSPORTER'S PERSPECTIVE IN PALLISA DISTRICT IN EASTERN UGANDA." In Global Forum on Research and Innovation for Health 2015. British Medical Journal Publishing Group, 2015. http://dx.doi.org/10.1136/bmjopen-2015-forum2015abstracts.132.

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Звіти організацій з теми "Maternal health voucher scheme"

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Rahman, Md, Ubaidur Rob, and Tasnima Kibria. Implementation of maternal health financial scheme in rural Bangladesh. Population Council, 2009. http://dx.doi.org/10.31899/rh13.1000.

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Talukder, Md, Ubaidur Rob, Syed Abu Musa, Ashish Bajracharya, Kaji Keya, Forhana Noor, Eshita Jahan, Md Hossain, Jyotirmoy Saha, and Benjamin Bellows. Evaluation of the impact of the voucher program for improving maternal health behavior and status in Bangladesh. Population Council, 2014. http://dx.doi.org/10.31899/rh10.1000.

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Evaluation of the population-level impact of the maternal health voucher program in Uganda. Population Council, 2012. http://dx.doi.org/10.31899/rh4.1232.

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Social, Psychological and Health Impact of Coronavirus Disease (COVID-19) on the Elderly: South African and Italian Perspectives. Academy of Science of South Africa (ASSAf), 2021. http://dx.doi.org/10.17159/assaf.2021/0069.

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The Panel discussion titled “The Presidential Employment Stimulus: Research Opportunities”, was hosted on 10 December 2020 by the Department of Science and Innovation (DSI) and the Academy of Science of South Africa (ASSAf) at the Science Forum South Africa (SFSA) 2020. The Presidential Employment Stimulus was launched in parliament on 15 October as part of government’s Economic Recovery Strategy. It directly funds 800,000 employment opportunities that are being implemented within the current financial year, but it is anticipated that it will also become a medium-term programme. The stimulus includes public employment programmes, job retention programmes and direct support to livelihoods. The single largest programme is run by the Department of Basic Education, which, in the last fortnight, recruited 300,000 young people as school assistants, to assist schools to deal with the setbacks faced as a result of the pandemic. The stimulus supports employment in the environmental sector and over 75,000 subsistence producers are receiving production grants through an input voucher scheme. There is a once-off grant to assist over 100,000 registered and unregistered Early Childhood Development Practitioners back on their feet, as well as a significant stimulus to the creative sector. The session set out to provide an introduction to the Presidential Employment Stimulus Programme (PESP), a key programme within government’s economic recovery plan led by Dr Kate Philip. The key objective was to get input from the research community on how the work that they are already doing and future work could contribute to the M&E efforts and be augmented in such a way that the PESP could become a medium-term programme. The DSI plans to hold further engagements in 2021 to mobilise the wider research community to provide evidence-based research in order to shape the research agenda that would support the M&E work and identify short-term issues that need to be factored into the department’s work plans, under the guidance of Dr Philip.
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