The Maternal healthcare markets Evaluation Team (MET) at the London School of Hygiene & Tropical Medicine is conducting multidisciplinary research on the role of public and private health sectors in delivering maternal healthcare. MET is led by Dr Caroline Lynch and Professor Catherine Goodman. MET includes experts in health economics, epidemiology, anthropology, and statistics.
The evaluations conducted by MET are generating evidence on the use, quality, equity and market dynamics of private maternal health services, and whether interventions such as social franchising can increase access to lifesaving care for all women. Our research is helping to answer questions on how to improve the affordability and quality of both private and public maternal health services, including how and why interventions work, whether they are cost-effective, and their potential impact on maternal and reproductive health if replicated in other contexts.
Our findings have important implications locally, nationally and globally as governments and key stakeholders around the world consider how to integrate private providers into their strategies for achieving universal health coverage. Our results have been published since 2014 in formal peer-reviewed publications and through conference presentations, dissemination workshops, reports and policy briefs.
Working alongside in-country research partners, MET has developed an evidence base in two main areas:
Contextual analyses to better understand the private health sector
- Largest ever analysis of Demographic and Health Surveys from 57 countries to identify where women are seeking family planning, antenatal care and labour and delivery services, as well as the quality and equity of those services in the public and private sectors (SAGE)
- Characterisation of the market dynamics at play in providing private maternal health services in Uttar Pradesh, India (Nature of Competition)
Evaluations of MSD for Mothers interventions
- Impact and process evaluations of a maternal health social franchise in Uttar Pradesh, India (Matrika)
- Impact and process evaluations of a family planning supply chain using performance-based contracting of private sector logisticians in Senegal (PROCEED)
- Case studies of three social franchising models for maternal health in India and Uganda to distil lessons learned and answer questions on cost and sustainability (Case Studies)
- Lessons learned from a multi-institutional collaboration to collect routine M&E data on a set of harmonised indicators from private sector maternal healthcare programmes in India and Uganda (DATA-HI)
MSD for Mothers is a 10-year, $500 million global initiative to reduce maternal mortality.
For more information, please visit the MET website.