Building strong and effective institutions to achieve universal health coverage in Western Africa
(2021) 12th European Congress on Tropical Medicine and International Health — Location: Bergen, Norway (28.September.2021)
Files
ECTMIH2021PowerPoint_PRD-CMU_Consolidated.pdf
Preprint
Open Access - Adobe PDF
- 969.7 KB
Details
- Authors
- et. al.
- Abstract
- Globally, over 300,000 women die from pregnancy and childbirth related complications. In Nigeria, 145 women die daily from complications of pregnancy and childbirth resulting in an estimated 58,000 maternal deaths yearly. This high number is because a large number of women prefer to deliver at home due to barriers faced in utilizing health care services. While some studies have suggested that eliminating financial and access barriers to health care utilization will improve maternal health outcomes, others have suggested otherwise. Evidence from an intervention program that provided free access to community-based health insurance to pregnant women age 15-49 shows that not all women utilized skilled delivery care services. We hypothesised that behavioural and psychological factors prevent women from utilizing available health care services. Using a cross-sectional community-based study design, 1411 randomly selected women of reproductive age were interviewed using a pre-tested structured questionnaire containing standardised questions of locus of control and behavioural traits in two rural communities in the Niger Delta region in Nigeria. The data were analysed with descriptive and multivariate statistical methods. The results showed that locus of control and behavioural traits were significantly associated with skilled delivery care utilization. Achieving universal health coverage in a developing country like Nigeria requires interventions targeted at eliminating inherent psychological and behavioural traits beyond financial barriers to utilization of health care services.
- Affiliations
Université Libre de Bruxelles
Citations
Aikpitanyi, J., & et al. (2021). Building strong and effective institutions to achieve universal health coverage in Western Africa. 12th European Congress on Tropical Medicine and International Health, Bergen, Norway. https://hdl.handle.net/2078.5/30380