Home Health Output Based Aid (OBA) Voucher Scheme (NARI)

Output Based Aid (OBA) Voucher Scheme (NARI)

HANDS Health Program introduced an innovative model of Output Based Aid (OBA) Voucher Scheme for pregnant women in rural/remote areas. This model is referred as NARI.

The objectives of this model are to:

  • Provide financial support to pregnant women/neonates with complication for treatment at tertiary
  • healthcare facility.
  • Identify and strengthen local public/private tertiary healthcare facilities for Emergency Obstetrical and
  • Neonatal Care (EmONC) services in target area.
  • Establish and strengthen referral mechanism for EmONC services.
  • Promote antenatal registration and utilisation of secondary health care facility for antenatal services
  • with special focus on referrals


  • Screening for identification of public/private tertiary healthcare facility for referral of complicated
  • cases.
  • Responsibility of public/private healthcare facilities to ensure quality EmONC services.
  • Partnership agreement signing between the service provider (public/private healthcare facilities) and
  • HANDS (the project supports only out of pocket expenses in case of public sector facilities).
  • Screening of high risk pregnant women and neonates in target population.
  • Identification of voucher recipients, based on developed eligibility criteria.
  • HANDS redeems the cost of expenses incurred at the identified referral facility against voucher after verification.