Free Maternal Healthcare Programme under the Successful Delivery Programme in Jigawa State, Nigeria
DOI:
https://doi.org/10.61841/xgfymz32Keywords:
Successful delivery, Antenatal care visit, Hospital base delivery, postnatal care, JigawaAbstract
In the state effort reduce the number of maternal deaths, a free child and maternal healthcare programme were introduced called Successful delivery. This main aim of this research is to evaluate if women registered with the programme had a better chance of accessing the services in the state. A cross-sectional quantitative study involving household interviews of all women of the reproductive age group (15–49 years) residing in Jigawa state from February to April 2019. Logistic regression analysis at 95% confidence interval was used to determine the independent associations between the scheme and use of antenatal care, hospital delivery and postnatal care services. successful delivery program influenced the antenatal care visit as women registered with the schemes are more likely to have maximum of six visit 39.5 times than those who did not and also more likely to have four visit 2.6 times than those without scheme. Hospital delivery is also attached to the scheme as women registered with the scheme is 5.3 times likely to deliver at hospital when compared to those with not. Successful delivery program influences antenatal care visit and hospital base delivery. Nevertheless, many of the pregnant women after delivery did not attend postnatal care.
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[1] Acharya, B., Maru, D., Schwarz, R., Citrin, D., Tenpa, J., Hirachan, S., . . . Halliday, S. (2017). Partnerships
in mental healthcare service delivery in low-resource settings: developing an innovative network in rural
Nepal. Globalization and health, 13(1), 2.
[2] Asafo, A. J., & Adoma, D. B. (2019). Determinants of women’s perceived satisfaction on Antenatal care in
urban Ghana: A cross-sectional study.
[3] Assembly, G. (2015). sustainable Development goals. SDGs), Transforming our world: the, 2030.
[4] Basu, S., Andrews, J., Kishore, S., Panjabi, R., & Stuckler, D. (2012). Comparative performance of private
and public healthcare systems in low-and middle-income countries: a systematic review. PLoS medicine,
9(6), e1001244.
[5] Bayu, H., Adefris, M., Amano, A., & Abuhay, M. (2015). Pregnant women’s preference and factors
associated with institutional delivery service utilization in Debra Markos Town, North West Ethiopia: a
community based follow up study. BMC pregnancy and childbirth, 15(1), 15.
[6] Benjamin, U., Chineny, O., Ogochukwu, E., & Obinna, O. (2015). Free maternal and child health services in
Enugu state, south East Nigeria: experiences of the community and health care providers. Int J Med Health
Sci Res, 2(9), 158-170.
[7] Chou, D., Tunçalp, Ö., Firoz, T., Barreix, M., Filippi, V., von Dadelszen, P., . . . Say, L. (2016).
Constructing maternal morbidity–towards a standard tool to measure and monitor maternal health beyond
mortality. BMC pregnancy and childbirth, 16(1), 45.
[8] Chuma, J., Musimbi, J., Okungu, V., Goodman, C., & Molyneux, C. (2009). Reducing user fees for primary
health care in Kenya: Policy on paper or policy in practice? International journal for equity in health, 8(1),
15.
[9] Comfort, A. B., Peterson, L. A., & Hatt, L. E. (2013). Effect of health insurance on the use and provision of
maternal health services and maternal and neonatal health outcomes: a systematic review. Journal of health,
population, and nutrition, 31(4 Suppl 2), S81.
[10] Commission, N. P. (2006). Population census report. Abuja, Nigeria.
[11] Dieleman, J., Murray, C., Haakenstad, A., Graves, C., Johnson, E., & Templin, T. (2015). Financing global
health 2014: shifts in funding as the MDG era closes. Seattle, WA: Institute for Health Metrics and
Evaluation.
[12] Dixon, J., Tenkorang, E. Y., & Luginaah, I. (2013). Ghana’s National Health Insurance Scheme: a national
level investigation of members’ perceptions of service provision. BMC International Health and Human
Rights, 13(1), 35.
[13] Dogara, M. M., & Ocheje, A. (2016). Prevalence of malaria and risk factors among patients attending Dutse
General Hospital, Jigawa State, Nigeria. Int J Pub Environ Health, 11, 270-277.
[14] Dzakpasu, S., Powell-Jackson, T., & Campbell, O. M. (2013). Impact of user fees on maternal health service
utilization and related health outcomes: a systematic review. Health policy and planning, 29(2), 137-150.
[15] Finlayson, K., & Downe, S. (2013). Why do women not use antenatal services in low-and middle-income
countries? A meta-synthesis of qualitative studies. PLoS medicine, 10(1), e1001373.
[16] Gobah, F. F., & Liang, Z. (2011). The National Health Insurance Scheme in Ghana: prospects and
challenges: a cross-sectional evidence. Global Journal of Health Science, 3(2), 90.
[17] Govender, V., McIntyre, D., & Loewenson, R. (2008). Progress towards the Abuja target for government
spending on health care in East and Southern Africa. Cape Town, SA: EQUINET.
[18] Hardon, A. (1990). Ten best readings in... the Bamako initiative. Health policy and planning, 5(2), 186-189.
[19] Hercot, D., Meessen, B., Ridde, V., & Gilson, L. (2011). Removing user fees for health services in lowincome countries: a multi-country review framework for assessing the process of policy change. Health
policy and planning, 26(suppl_2), ii5-ii15.
[20] Hogan, M. C., Foreman, K. J., Naghavi, M., Ahn, S. Y., Wang, M., Makela, S. M., . . . Murray, C. J. (2010).
Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium
Development Goal 5. The Lancet, 375(9726), 1609-1623.
[21] Hutton, G. (2004). Charting the path to the World Bank’s “No blanket policy on user fees”: a look over the
past 25 years at the shifting support for user fees in health and education, and reflections on the future.
London, DFID Health Systems Resource Centre.
[22] Lang’at, E., & Mwanri, L. (2015). Healthcare service providers’ and facility administrators’ perspectives of
the free maternal healthcare services policy in Malindi District, Kenya: a qualitative study. Reproductive
health, 12(1), 59.
[23] Lozano, R., Naghavi, M., Foreman, K., Lim, S., Shibuya, K., Aboyans, V., . . . Ahn, S. Y. (2012). Global
and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis
for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2095-2128.
[24] Mæstad, O., & Mwisongo, A. (2011). Informal payments and the quality of health care: mechanisms
revealed by Tanzanian health workers. Health policy, 99(2), 107-115.
[25] Makinde, O. A., Sule, A., Ayankogbe, O., & Boone, D. (2018). Distribution of health facilities in Nigeria:
implications and options for universal health coverage. The International journal of health planning and
management, 33(4), e1179-e1192.
[26] Mannava, P., Durrant, K., Fisher, J., Chersich, M., & Luchters, S. (2015). Attitudes and behaviours of
maternal health care providers in interactions with clients: a systematic review. Globalization and health,
11(1), 36.
[27] Meessen, B., Hercot, D., Noirhomme, M., Ridde, V., Tibouti, A., Tashobya, C. K., & Gilson, L. (2011).
Removing user fees in the health sector: a review of policy processes in six sub-Saharan African countries.
Health policy and planning, 26(suppl_2), ii16-ii29.
[28] Odeyemi, I., & Nixon, J. (2013). Assessing equity in health care through the national health insurance
schemes of Nigeria and Ghana: a review-based comparative analysis. International journal for equity in
health, 12(1), 9.
[29] Okereke, E., Tukur, J., Aminu, A., Butera, J., Mohammed, B., Tanko, M., . . . Egboh, M. (2015). An
innovation for improving maternal, newborn and child health (MNCH) service delivery in Jigawa State,
northern Nigeria: a qualitative study of stakeholders’ perceptions about clinical mentoring. BMC health
services research, 15(1), 64.
[30] Okereke, E., Tukur, J., Oginni, A. B., & Obonyo, B. (2015). Evaluating Health Workers’ Knowledge
Following the Introduction of Clinical Mentoring in Jigawa State, Northern Nigeria. African journal of
reproductive health, 19(3), 118-125.
[31] Organization, W. H. (2004). Making pregnancy safer: the critical role of the skilled attendant: a joint
statement by WHO, ICM and FIGO: World Health Organization.
[32] Organization, W. H. (2010). PMTCT strategic vision 2010-2015: preventing mother-to-child transmission of
HIV to reach the UNGASS and Millennium Development Goals: moving towards the elimination of
paediatric HIV, December 2009.
[33] Organization, W. H. (2015). Strategies towards ending preventable maternal mortality (EPMM).
[34] Ridde, V., & Diarra, A. (2009). A process evaluation of user fees abolition for pregnant women and children
under five years in two districts in Niger (West Africa). BMC health services research, 9(1), 89.
[35] Ridde, V., & Morestin, F. (2010). A scoping review of the literature on the abolition of user fees in health
care services in Africa. Health policy and planning, 26(1), 1-11.
[36] Riman, H. B., & Akpan, E. S. (2012). Healthcare financing and health outcomes in Nigeria: A state level
study using multivariate analysis.
[37] Sharma, A. (2012). User fee impact on equitable access to care: A review. Journal of Health Management,
14(1), 43-49.
[38] Silva, H. T., De Paepe, P., Soors, W., Lanza, O. V., Closon, M.-C., Van Dessel, P., & Unger, J.-P. (2011).
Revisiting health policy and the World Bank in Bolivia. Global Social Policy, 11(1), 22-44.
[39] Twum, P., Qi, J., Aurelie, K. K., & Xu, L. (2018). Effectiveness of a free maternal healthcare programme
under the National Health Insurance Scheme on skilled care: evidence from a cross-sectional study in two
districts in Ghana. BMJ open, 8(11), e022614.
[40] UNESCO, H. (2012). Health Education Clearinghouse. Realising Sexual and Reproductive Health Rights in
Kenya. Nairobi: Kenya National Commission on Human Rights, 48-49.
[41] Uzochukwu, B., Ughasoro, M., Etiaba, E., Okwuosa, C., Envuladu, E., & Onwujekwe, O. (2015). Health
care financing in Nigeria: Implications for achieving universal health coverage. Nigerian journal of clinical
practice, 18(4), 437-444.
[42] Witter, S., Adjei, S., Armar-Klemesu, M., & Graham, W. (2009). Providing free maternal health care: ten
lessons from an evaluation of the national delivery exemption policy in Ghana. Global Health Action, 2(1),
1881.
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