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Aligning public financial management system and free healthcare policies: lessons from a free maternal and child healthcare programme in Nigeria

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  • Daniel Chukwuemeka Ogbuabor

    (University of Nigeria Enugu Campus (UNEC)
    University of Nigeria Enugu Campus)

  • Obinna Emmanuel Onwujekwe

    (University of Nigeria Enugu Campus
    University of Nigeria Enugu Campus)

Abstract

Background Relatively little is known about how public financial management (PFM) systems and health financing policies align in low- and middle-income countries. This study assessed the alignment of PFM systems with health financing functions in the free maternal and child healthcare programme (FMCHP) of Enugu State, Nigeria. Methods Data were collected through quantitative and qualitative document review, and semi-structured, in-depth interview with 16 purposively selected policymakers involved in FMCHP. Data collection and analysis were by guided a framework for assessing alignment of PFM systems and health financing policies. Revenue and expenditure trend analyses were done using descriptive statistics and analysis of variance (ANOVA). Level of significance was set at ρ

Suggested Citation

  • Daniel Chukwuemeka Ogbuabor & Obinna Emmanuel Onwujekwe, 2019. "Aligning public financial management system and free healthcare policies: lessons from a free maternal and child healthcare programme in Nigeria," Health Economics Review, Springer, vol. 9(1), pages 1-10, December.
    • Handle: RePEc:spr:hecrev:v:9:y:2019:i:1:d:10.1186_s13561-019-0235-9
    DOI: 10.1186/s13561-019-0235-9
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    References listed on IDEAS

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    2. Hughes, David & Leethongdee, Songkramchai & Osiri, Sunantha, 2010. "Using economic levers to change behaviour: The case of Thailand's universal coverage health care reforms," Social Science & Medicine, Elsevier, vol. 70(3), pages 447-454, February.
    3. Kannika Damrongplasit & Glenn Melnick, 2015. "Funding, Coverage, and Access Under Thailand’s Universal Health Insurance Program: An Update After Ten Years," Applied Health Economics and Health Policy, Springer, vol. 13(2), pages 157-166, April.
    4. Mcintyre, Di & Meheus, Filip & Røttingen, John-Arne, 2017. "What level of domestic government health expenditure should we aspire to for universal health coverage?," Health Economics, Policy and Law, Cambridge University Press, vol. 12(2), pages 125-137, April.
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    Cited by:

    1. Taiwo Obembe & Sharon Fonn, 2020. "Affording unavoidable emergency surgical care – The lived experiences and payment coping strategies of households in Ibadan metropolis, Southwestern Nigeria," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-18, May.

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