Final report: The Nature of Competition faced by Private Providers of Maternal Health Services in Uttar Pradesh, India

Final report: The Nature of Competition faced by Private Providers of Maternal Health Services in Uttar Pradesh, India

The final report from the Nature of Competition project is now available for download.

The private healthcare sector dominates the delivery of healthcare in India, and while use of private facilities is lower for maternal healthcare than for general curative care, it is still substantial and increasing.

The interventions funded by MSD for Mothers have a strong focus on the private sector, and anticipating and interpreting their effects requires an understanding of the nature of competition in these markets. We aimed to develop this understanding by studying the market for delivery services in Uttar Pradesh, where several MSD for Mothers projects were operating.

This study investigated (i) the market structure for maternal healthcare, in terms of number and types of providers, their characteristics and market shares; and (ii) private provider conduct in terms of their competitive strategies in relation to price setting, non-price competition, integration and collaboration.

We used our findings to explore the implications for accessibility and quality of maternal healthcare, and for the design of policies and interventions related to the private sector.