In 2016, in an effort to catalyze improvements in the quality of maternity care in India, Merck for Mothers led a public-private partnership to create and launch a Development Impact Bond (DIB) a relatively untested financing instrument (especially in health) that links payments to results. This $9 million DIB is now funding quality improvement efforts in private health facilities in Rajasthan, a state in India with 75 million people and where maternal mortality rates are well above the national average. To date, service providers have prepared 227 facilities to apply for quality certification. Their goal is to support 400 facilities to achieve national quality standards.
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