IDEAS home Printed from https://ideas.repec.org/p/ehl/lserod/101627.html
   My bibliography  Save this paper

Conditional cash transfers for maternal health interventions: Factors influencing uptake in North-Central Nigeria

Author

Listed:
  • Baba-Ari, Fatima
  • Eboreime, Ejemai Amaize
  • Hossain, Mazeda

Abstract

Background: Nigeria accounts for a significant proportion of global maternal mortality figures with little progress made in curbing poor health indices. In a bid to reverse this trend, the Government of Nigeria initiated a conditional cash transfer (CCT) programme to encourage pregnant women utilize services at designated health facilities. This study aims to understand experiences of women who register for CCT services and explore reasons behind non-uptake of those women who do not register. Methods: We conducted this study in a rural community in North Central Nigeria. Having identified programme beneficiaries by randomly sampling contact details obtained from the programme database, using snowball sampling method we sourced non-beneficiaries list based on recommendations from beneficiaries and other community members. Thereafter we undertook semi-structured interviews on both beneficiaries and non-beneficiaries and analysed data obtained thematically. Results: Our findings revealed that, while beneficiaries of the programme were influenced by the cash transfers, cash may not be sufficient incentive for uptake by non-beneficiaries of CCT in Nigeria. Factors such as community and spousal influence, availability of free drugs, proximity to health facility are critical factors that affect uptake in our study context. On the other hand, poor programme administration, mistrust for government initiatives as well as poor quality of services could significantly constrain service utilization despite cash transfers. Conclusion: Considering that a number of barriers to uptake of the CCT programme are similar to barriers to maternal health services, it is essential that maternal health services are available, accessible and of acceptable quality to target recipients for CCT programmes to reach their full implementation potential.

Suggested Citation

  • Baba-Ari, Fatima & Eboreime, Ejemai Amaize & Hossain, Mazeda, 2018. "Conditional cash transfers for maternal health interventions: Factors influencing uptake in North-Central Nigeria," LSE Research Online Documents on Economics 101627, London School of Economics and Political Science, LSE Library.
  • Handle: RePEc:ehl:lserod:101627
    as

    Download full text from publisher

    File URL: http://eprints.lse.ac.uk/101627/
    File Function: Open access version.
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Norbert Schady & Ariel Fiszbein & Francisco H.G. Ferreira & Niall Keleher & Margaret Grosh & Pedro Olinto & Emmanuel Skoufias, 2009. "Conditional Cash Transfers : Reducing Present and Future Poverty," World Bank Publications - Books, The World Bank Group, number 2597.
    2. Medlin, Carol & de Walque, Damien, 2008. "Potential applications of conditional cash transfers for prevention of sexually transmitted infections and HIV in Sub-Saharan Africa," Policy Research Working Paper Series 4673, The World Bank.
    3. Stock, Robert, 1983. "Distance and the utilization of health facilities in rural Nigeria," Social Science & Medicine, Elsevier, vol. 17(9), pages 563-570, January.
    4. Andaleeb, Syed Saad, 2001. "Service quality perceptions and patient satisfaction: a study of hospitals in a developing country," Social Science & Medicine, Elsevier, vol. 52(9), pages 1359-1370, May.
    5. Haddad, Slim & Fournier, Pierre & Machouf, Nimâ & Yatara, Fassinet, 1998. "What does quality mean to lay people? Community perceptions of primary health care services in Guinea," Social Science & Medicine, Elsevier, vol. 47(3), pages 381-394, August.
    6. Cecchini, Simone & Martínez, Rodrigo, 2012. "Inclusive Social Protection in Latin America: a comprehensive, rights-based approach," Libros de la CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), number 2596 edited by Eclac, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ezumah, Nkoli & Manzano, Ana & Ezenwaka, Uchenna & Obi, Uche & Ensor, Tim & Etiaba, Enyi & Onwujekwe, Obinna & Ebenso, Bassey & Uzochukwu, Benjamin & Huss, Reinhard & Mirzoev, Tolib, 2022. "Role of trust in sustaining provision and uptake of maternal and child healthcare: Evidence from a national programme in Nigeria," Social Science & Medicine, Elsevier, vol. 293(C).

    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. nan, 2010. "Conditional Cash Transfers in Latin America," IFPRI books, International Food Policy Research Institute (IFPRI), number 978-0-8018-9498-5 edited by Adato, Michelle; Hoddinott, John.
    2. Bereket Yakob & Busisiwe Purity Ncama, 2016. "Correlates of perceived access and implications for health system strengthening – lessons from HIV/AIDS treatment and care services in Ethiopia," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-19, August.
    3. Scarlato, Margherita & D'Agostino, Giorgio, 2016. "The political economy of cash transfers: a comparative analysis of Latin American and sub-Saharan African experiences," IDOS Discussion Papers 6/2016, German Institute of Development and Sustainability (IDOS).
    4. Stephen Smith, 2018. "Development Economics Meets the Challenges of Lagging U.S. Areas: Applications to Education, Health and Nutrition, Behavior, and Infrastructure," Working Papers 2018-7, The George Washington University, Institute for International Economic Policy.
    5. Rinehart, Chloe S. & McGuire, James W., 2017. "Obstacles to Takeup: Ecuador's Conditional Cash Transfer Program, The Bono de Desarrollo Humano," World Development, Elsevier, vol. 97(C), pages 165-177.
    6. -, 2013. "Gender Equality Observatory of Latin America and the Caribbean. Annual report 2012: A look at grants, support and burden for women," Sede de la CEPAL en Santiago (Estudios e Investigaciones) 35445, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    7. -, 2013. "Gender Equality Observatory of Latin America and the Caribbean. Annual report 2012: A look at grants, support and burden for women," Observatorio de Igualdad de Género en América Latina y el Caribe. Estudios, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), number 35445 edited by Eclac, September.
    8. Verónica Amarante & Marco Manacorda & Edward Miguel & Andrea Vigorito, 2016. "Do Cash Transfers Improve Birth Outcomes? Evidence from Matched Vital Statistics, Program, and Social Security Data," American Economic Journal: Economic Policy, American Economic Association, vol. 8(2), pages 1-43, May.
    9. Ryckembusch, David & Frega, Romeo & Silva, Marcio Guilherme & Gentilini, Ugo & Sanogo, Issa & Grede, Nils & Brown, Lynn, 2013. "Enhancing Nutrition: A New Tool for Ex-Ante Comparison of Commodity-based Vouchers and Food Transfers," World Development, Elsevier, vol. 49(C), pages 58-67.
    10. Sanchez, Alan & Jaramillo, Miguel, 2012. "Impacto del programa Juntos sobre la nutrición temprana," Revista Estudios Económicos, Banco Central de Reserva del Perú, issue 23, pages 53-66.
    11. M. Caridad Araujo & Mariano Bosch & Norbert Schady, 2017. "Can Cash Transfers Help Households Escape an Intergenerational Poverty Trap?," NBER Chapters, in: The Economics of Poverty Traps, pages 357-382, National Bureau of Economic Research, Inc.
    12. Crespo, Cristian, 2020. "Two become one: improving the targeting of conditional cash transfers with a predictive model of school dropout," LSE Research Online Documents on Economics 123139, London School of Economics and Political Science, LSE Library.
    13. Dirk Van de gaer & Joost Vandenbossche & José Luis Figueroa, 2014. "Children's Health Opportunities and Project Evaluation: Mexico's Oportunidades Program," The World Bank Economic Review, World Bank, vol. 28(2), pages 282-310.
    14. Marcelo Arbex & Enlinson Mattos, 2017. "Optimal Paternalistic Health and Human Capital Policies," Working Papers 1709, University of Windsor, Department of Economics.
    15. Costa, Lorena Vieira & Helfand, Steven M. & Souza, André Portela, 2018. "No impact of rural development policies?: no synergies with conditional cash transfers?: an investigation of the IFAD-Supported Gavião Project in Brazil," Textos para discussão 489, FGV EESP - Escola de Economia de São Paulo, Fundação Getulio Vargas (Brazil).
    16. Felipe Barrera-Osorio & Leigh L. Linden & Juan E. Saavedra, 2019. "Medium- and Long-Term Educational Consequences of Alternative Conditional Cash Transfer Designs: Experimental Evidence from Colombia," American Economic Journal: Applied Economics, American Economic Association, vol. 11(3), pages 54-91, July.
    17. Gabor Kertesi & Gabor Kezdi, 2013. "The Kindergarten Attendance Allowance In Hungary - An evaluation of a conditional cash transfer program," Budapest Working Papers on the Labour Market 1314, Institute of Economics, Centre for Economic and Regional Studies.
    18. Bergstrom, Katy & Dodds, William, 2021. "The targeting benefit of conditional cash transfers," Journal of Public Economics, Elsevier, vol. 194(C).
    19. -, 2015. "Towards universal social protection: Latin American pathways and policy tools," Libros de la CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), number 39484 edited by Eclac, September.
    20. Kusuma, Dian & Cohen, Jessica & McConnell, Margaret & Berman, Peter, 2016. "Can cash transfers improve determinants of maternal mortality? Evidence from the household and community programs in Indonesia," Social Science & Medicine, Elsevier, vol. 163(C), pages 10-20.

    More about this item

    Keywords

    Conditional cash transfer; Health financing; Maternal health; Nigeria;
    All these keywords.

    JEL classification:

    • N0 - Economic History - - General

    Statistics

    Access and download statistics

    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:ehl:lserod:101627. 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: LSERO Manager (email available below). General contact details of provider: https://edirc.repec.org/data/lsepsuk.html .

    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.