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

被引：47
作者：
Okonofua, Friday [1 ,2 ]
Lambo, Eyitayo
Okeibunor, John [3 ]
Agholor, Kingsley [1 ,2 ]
机构：
[1] Univ Benin, Coll Med Sci, Dept Obstet & Gynecol, Benin, Edo State, Nigeria
[2] Univ Benin, Teaching Hosp, Benin, Nigeria
[3] Univ Nigeria, Dept Sociol & Anthropol, Nsukka, Enugu State, Nigeria
来源：
HEALTH POLICY | 2011年 / 99卷 / 02期
关键词：
Maternal mortality; Under-five mortality; Free maternal and child health; Nigeria; USER FEES; MORTALITY; MOTHERS; STATE;
D O I：
10.1016/j.healthpol.2010.07.013
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
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. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：131 / 138
页数：8
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