IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v99y2011i2p131-138.html
   My bibliography  Save this article

Advocacy for free maternal and child health care in Nigeria--Results and outcomes

Author

Listed:
  • Okonofua, Friday
  • Lambo, Eyitayo
  • Okeibunor, John
  • Agholor, Kingsley

Abstract

The study was designed to determine the outcome of an advocacy program aimed at implementing a policy of free maternal and child health (MCH) services in Nigeria. The team conducted a situational analysis on costing of MCH services, and used the results to conduct public health education and advocacy. Advocacy consisted of public presentation on MCH to high-level policymakers, dissemination of situational analysis report, and media publicity. The implementation of free MCH services at national and sub-national levels was assessed 3 years after. The results showed that the number of States offering comprehensive free MCH services increased from four to nine; the States offering partially free MCH services increased from 11 to 14 (8.1% increase); while those not offering any form of free treatment decreased from 22 to 14 (21.7% decrease). We conclude that advocacy and public health education is effective in increasing the commitment of policymakers to provide resources for implementing evidence-based maternal and child health services in Nigeria.

Suggested Citation

  • Okonofua, Friday & Lambo, Eyitayo & Okeibunor, John & Agholor, Kingsley, 2011. "Advocacy for free maternal and child health care in Nigeria--Results and outcomes," Health Policy, Elsevier, vol. 99(2), pages 131-138, February.
  • Handle: RePEc:eee:hepoli:v:99:y:2011:i:2:p:131-138
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168-8510(10)00207-1
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Storeng, Katerini Tagmatarchi & Baggaley, Rebecca F. & Ganaba, Rasmané & Ouattara, Fatoumata & Akoum, Mélanie S. & Filippi, Véronique, 2008. "Paying the price: The cost and consequences of emergency obstetric care in Burkina Faso," Social Science & Medicine, Elsevier, vol. 66(3), pages 545-557, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Benjamin M Hunter & Sean Harrison & Anayda Portela & Debra Bick, 2017. "The effects of cash transfers and vouchers on the use and quality of maternity care services: A systematic review," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-37, March.
    2. Haijun Wang & Fang Ye & Yan Wang & Dale Huntington & the study group for Economic Impact of Maternal Deaths in China, 2013. "Economic Impact of Maternal Death on Households in Rural China: A Prospective Cohort Study," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-9, October.
    3. Phuong Hung Vu & Ardeshir Sepehri & Linh Thi Thuy Tran, 2023. "Trends in out-of-pocket expenditure on facility-based delivery and financial protection of health insurance: findings from Vietnam’s Household Living Standard Survey 2006–2018," International Journal of Health Economics and Management, Springer, vol. 23(2), pages 237-254, June.
    4. D'Ambruoso, Lucia & Byass, Peter & Qomariyah, Siti Nurul & Ouédraogo, Moctar, 2010. "A lost cause? Extending verbal autopsy to investigate biomedical and socio-cultural causes of maternal death in Burkina Faso and Indonesia," Social Science & Medicine, Elsevier, vol. 71(10), pages 1728-1738, November.
    5. Timothy Powell‐Jackson & Mohammad Enamul Hoque, 2012. "Economic Consequences Of Maternal Illness In Rural Bangladesh," Health Economics, John Wiley & Sons, Ltd., vol. 21(7), pages 796-810, July.
    6. Patrick S Moran & Francesca Wuytack & Michael Turner & Charles Normand & Stephanie Brown & Cecily Begley & Deirdre Daly, 2020. "Economic burden of maternal morbidity – A systematic review of cost-of-illness studies," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-18, January.
    7. Fang Ye & Deng Ao & Yao Feng & Lin Wang & Jie Chen & Dale Huntington & Haijun Wang & Yan Wang & Economic Impact of Maternal Deaths in China, 2015. "Impact of Maternal Death on Household Economy in Rural China: A Prospective Path Analysis," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-14, August.
    8. Patrick Gueswendé Ilboudo & Alain Siri, 2023. "Effects of the free healthcare policy on maternal and child health in Burkina Faso: a nationwide evaluation using interrupted time-series analysis," Health Economics Review, Springer, vol. 13(1), pages 1-13, December.
    9. Melberg, Andrea & Diallo, Abdoulaye Hama & Storeng, Katerini T. & Tylleskär, Thorkild & Moland, Karen Marie, 2018. "Policy, paperwork and ‘postographs’: Global indicators and maternity care documentation in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 215(C), pages 28-35.
    10. Fang Ye & Haijun Wang & Dale Huntington & Hong Zhou & Yan Li & Fengzhi You & Jinhua Li & Wenlong Cui & Meiling Yao & Yan Wang & the study team for Economic Impact of Maternal Deaths in China, 2012. "The Immediate Economic Impact of Maternal Deaths on Rural Chinese Households," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-7, June.
    11. Kuwawenaruwa, August & Ramsey, Kate & Binyaruka, Peter & Baraka, Jitihada & Manzi, Fatuma & Borghi, Josephine, 2019. "Implementation and effectiveness of free health insurance for the poor pregnant women in Tanzania: A mixed methods evaluation," Social Science & Medicine, Elsevier, vol. 225(C), pages 17-25.
    12. Kim, Younhee & Yang, Bongmin, 2011. "Relationship between catastrophic health expenditures and household incomes and expenditure patterns in South Korea," Health Policy, Elsevier, vol. 100(2), pages 239-246.
    13. David M Goodman & Rohit Ramaswamy & Marc Jeuland & Emmanuel K Srofenyoh & Cyril M Engmann & Adeyemi J Olufolabi & Medge D Owen, 2017. "The cost effectiveness of a quality improvement program to reduce maternal and fetal mortality in a regional referral hospital in Accra, Ghana," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-19, July.
    14. Ingrid Miljeteig & Frehiwot Berhane Defaye & Paul Wakim & Dawit Neema Desalegn & Yemane Berhane & Ole Frithjof Norheim & Marion Danis, 2019. "Financial risk protection at the bedside: How Ethiopian physicians try to minimize out-of-pocket health expenditures," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-16, February.
    15. Peter Binyaruka & Josephine Borghi, 2022. "An equity analysis on the household costs of accessing and utilising maternal and child health care services in Tanzania," Health Economics Review, Springer, vol. 12(1), pages 1-15, December.
    16. Shou-Lin Yang & Chiung-Ying Lee, 2015. "Analysis of the medical demands of elderly dementia patients considering the caregiver cost of medical accompaniment: an application of the travel cost method and altruistic utility function," Quality & Quantity: International Journal of Methodology, Springer, vol. 49(1), pages 423-439, January.
    17. Storeng, Katerini Tagmatarchi & Murray, Susan F. & Akoum, Mélanie S. & Ouattara, Fatoumata & Filippi, Véronique, 2010. "Beyond body counts: A qualitative study of lives and loss in Burkina Faso after 'near-miss' obstetric complications," Social Science & Medicine, Elsevier, vol. 71(10), pages 1749-1756, November.
    18. Kristine Husøy Onarheim & Johanne Helene Iversen & David E Bloom, 2016. "Economic Benefits of Investing in Women’s Health: A Systematic Review," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-23, March.
    19. Mohanty, Sanjay K. & Panda, Basant Kumar & Khan, Pijush Kanti & Behera, Priyamadhaba, 2019. "Out-of-pocket expenditure and correlates of caesarean births in public and private health centres in India," Social Science & Medicine, Elsevier, vol. 224(C), pages 45-57.
    20. Murray, Susan F. & Akoum, Mélanie S. & Storeng, Katerini T., 2012. "Capitals diminished, denied, mustered and deployed. A qualitative longitudinal study of women's four year trajectories after acute health crisis, Burkina Faso," Social Science & Medicine, Elsevier, vol. 75(12), pages 2455-2462.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:99:y:2011:i:2:p:131-138. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.