ArticleBMC health services research2017
Who benefits from free institutional delivery? evidence from a cross sectional survey of North Central and Southwestern Nigeria.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review and meta-analysis of attitude and knowledge involving emergency oral contraceptive use in patients and healthcare providers.International journal of clinical pharmacy · 2022Pooled it
- Pro-equity legislation, health policy and utilisation of sexual and reproductive health services by vulnerable populations in sub-Saharan Africa: a systematic review.Global health promotion · 2020Pooled it
- Strengthening caesarean birth: Sub-Saharan Africa health system evaluation: Scoping review.African journal of primary health care & family medicine · 2024Article
- Financing for equity for women's, children's and adolescents' health in low- and middle-income countries: A scoping review.PLOS global public health · 2024Article
- "I don't like to be seen by a male provider": health workers' strike, economic, and sociocultural reasons for home birth in settings with free maternal healthcare in Nigeria.International health · 2023Article
- Exploring underutilization of skilled maternal healthcare in rural Edo, Nigeria: A qualitative study.PloS one · 2022Article
- Inequalities in access to birth by caesarean section in the context of user fee exemption for maternal health services in southwest and north central Nigeria.International health · 2021Article
- Maternal health care services utilisation in the context of 'Abiye' (safe motherhood) programme in Ondo State, Nigeria.BMC public health · 2020Article
- Effect of Implementing a Free Delivery Service Policy on Women's Utilization of Facility-Based Delivery in Central Ethiopia: An Interrupted Time Series Analysis.Journal of pregnancy · 2020Article
- Evaluation of policies for free maternal healthcare in low/middle-income countries: a scoping review protocol.BMJ open · 2019Article
- The impacts of quantity and quality of health clinics on health behaviors and outcomes in Nigeria: analysis of health clinic census data.BMC health services research · 2019Article
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- Determinants of condom use among parous women in North Central and South Western Nigeria: a cross-sectional survey.BMC research notes · 2018Article
- Do free caesarean section policies increase inequalities in Benin and Mali?International journal for equity in health · 2018Article
- Why not? Understanding the spatial clustering of private facility-based delivery and financial reasons for homebirths in Nigeria.BMC health services research · 2018Article
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2 authors.
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Abstract
backgroundThe reasons for low utilisation of maternal health services in settings where the user-fee removal policy has been implemented continue to generate scholarly debates. Evidence of whether user-fee removal benefits the poor women in underserved settings is scanty and inconsistent. This article examines use of maternal health care services in the context of free maternal healthcare and profiles the beneficiaries of user-fee removal.
methodsThe study adopted a descriptive design. A three-stage cluster sampling method was used to select a representative sample of 1227 women who gave birth between 2011 and 2015. Questionnaires were administered using a face-to-face interview approach and data generated were analysed using descriptive and inferential statistics.
resultsThe analysis shows that the use of maternal healthcare services has improved considerably in North Central and Southwestern Nigeria. While socioeconomic and geographical inequality in the use of maternal healthcare services appear to be disappearing in Southwestern Nigeria, it appears to be widening in North Central Nigeria. The findings indicate that 33.6% of women reported to have benefitted from the free child-delivery programme; however, substantial variation exists across the two regions. The proportion of beneficiaries of user-fee removal policy was highest in urban areas (35.9%), among women belonging to the middle income category (38.3%), among women who gave birth in primary health centres (63.1%) and among women who resided in communities where there was availability of health facilities (37.2%).
conclusionThe study concludes that low coverage of the free maternal health programme, especially among women of low socioeconomic status residing in underserved settings is among the reasons for persistent poor maternal health outcomes in the context of free maternal healthcare. A model towards improving maternal health in underserved settings, especially in North Central Nigeria, would entail provisioning of health facilities as well as focusing on implementing equitable maternal health policies.
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