TY - JOUR T1 - An Implementer's Perspective on Vouchers for Sexual and Reproductive Health Services JF - Global Health: Science and Practice JO - GLOB HEALTH SCI PRACT SP - 694 LP - 695 DO - 10.9745/GHSP-D-16-00373 VL - 4 IS - 4 AU - Matthew Wilson AU - Caitlin Mazzilli Y1 - 2016/12/23 UR - http://www.ghspjournal.org/content/4/4/694.abstract N2 - See related article by Menotti and Farrell.We found the commentary on vouchers by Menotti and Farrell, published in the September issue of GHSP,1 thought-provoking and comprehensive. At Marie Stopes International (MSI), every year we deliver half a million voluntary contraception and maternal health services via voucher programs in 8 countries. We have directly experienced that “vouchers can be a highly effective tool to increase access to and use of family planning and reproductive health services, especially for special populations including the poor, youth, and postpartum women.”1 We are writing to share an implementer's perspective and a few points of differentiation from Menotti and Farrell.The authors touch upon the complexity of voucher programs, but we believe this point needs to be underscored. Voucher programs are simple to describe, intuitively logical and compelling, but they are challenging to design and implement well and at scale. Despite the growing body of evidence on voucher programs by organizations such as Population Council, many aspects of implementation still need to be better understood. A powerful voucher program requires the perfect sequencing of activities from the supply side and demand side to financial management and controls, but this sequencing can be a challenge for field teams to master. Furthermore, there is appetite for ever-more … ER -