The Big Idea: Managers who are tasked with increasing family planning services in low resource areas are often faced with the reality that local health clinics may be run down, dirty, and may not have clean or modern equipment or have provisions for ensuring women’s exams are in a private setting. In addition to the poor facility experience, many women also report that the providers are not hospitable. A novel and economical intervention, which includes a 72-hour renovation of the clinic by engaging local community members, can dramatically increase uptake of services and improve quality of care.
The Big Idea: Expectations about a product can create a placebo effect so strong that the actual chemistry of the brain changes. By understanding the underlying mechanisms of the placebo effect, marketers can change biological processes that underlie a consumer’s purchasing decision through simple changes to a product’s visual appeal.
The Big Idea: Long waiting times at rural clinics deter patients from seeking care when they need it. Pairing business and logistics processes with locally-derived solutions can dramatically reduce clinic wait times and increase use of clinic services.
The Big Idea: Male partners exert a considerable influence on women’s use of reproductive health services and participate in decisions that affect health outcomes. Initiatives to actively include fathers to participate in maternity services, even limited, can improve healthy practices after childbirth.
The Big Idea: First time and continued use of labor and delivery services is often affected by how they feel they are treated by providers. Most interventions to improve client satisfaction with labor and delivery services often focus on training providers. More successful interventions might also target facility managers and clients.
WHO recently upped the number of recommended antenatal care visits from four to eight, yet still only two-thirds of women globally get the recommended four visits. New models are needed to increase use of antenatal care. Participatory ANC offers a way to expand options for pregnant women and their families.
The Big Idea: In many countries, effective participation and community voice in health programming remains an obstacle as communities do not know their rights or have channels to share feedback with authorities, and local government may not have full autonomy in budget planning and allocation. The Community Scorecard offers one cost-effective model for strengthening communities’ ability to use information from the local level to the national level in order to hold duty bearers accountable. 

The Big Idea: Programs that work to increase timely use of reproductive health care services benefit from understanding what motivates people to seek services and choose from available services.
The Big Idea: Pregnant women may choose to deliver their child at home rather than in health care facilities when they perceive that care providers do not have the knowledge or respect for their unique cultural and religious practices related to maternal care. Designing and delivering cultural competency training for health care providers may help women and their families feel more comfortable delivering their child in a health care facility.
The Big Idea: Disrespectful and abusive care during childbirth limits women’s use of health services. This study from women’s perspectives shows that an increase in institutional delivery requires ensuring quality, compassionate and caring services in all health facilities.