Bono Juana Azurduy maternal and child health transfer
Bolivia's Bono Juana Azurduy opened its 2024 payment round through 47 authorised financial institutions in all 340 municipalities and six Indigenous territories, tying the transfer to prenatal, delivery and early-childhood health checks; the programme reported 1,525,566 pregnant women and 1,783,936 children reached between 2009 and 2023.
340 municipalities, municipalities covered by the 2024 payment round, 2024-01. 47 institutions, authorised financial institutions, 2024-01. Bolivia Ministry of Health and Sports, Bono Juana Azurduy 2024 payment notice, retrieved 2026-08-31.
The move, and what it needed
Bolivia linked a modest cash incentive to a sequence of prenatal, delivery and child-health checks, then used a nationwide bank network and mobile intersectoral brigades to move the programme beyond urban clinics and into Indigenous territories.
Preconditions
- A beneficiary and health-record system able to verify visits without excluding people with incomplete documentation
- Payment institutions and mobile teams that can reach remote and Indigenous communities
- Primary-care facilities with enough staff and supplies for the conditions to mean more than a paperwork exercise
Where it travelled: Conditional health transfers travel best when the payment rail and the service network are designed together. Bolivia's case makes the last-mile condition visible: national coverage is a logistics problem as much as a budget line.
Limits: Municipal and financial-channel coverage shows administrative reach, not whether every eligible mother is paid on time, attends the required visits or experiences better maternal and child outcomes. The ministry reports the programme's own totals, while the record does not establish the causal effect of the transfer or the quality of the health facilities where conditions are verified.