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Baba-Ari, F., Eboreime, E., Hossain, M. (2018). Conditional Cash Transfers for Maternal Health Interventions: Factors Influencing Uptake in North-Central Nigeria. International Journal of Health Policy and Management, 7(10), 934-942. doi: 10.15171/ijhpm.2018.56
Fatima Baba-Ari; Ejemai Amaize Eboreime; Mazeda Hossain. "Conditional Cash Transfers for Maternal Health Interventions: Factors Influencing Uptake in North-Central Nigeria". International Journal of Health Policy and Management, 7, 10, 2018, 934-942. doi: 10.15171/ijhpm.2018.56
Baba-Ari, F., Eboreime, E., Hossain, M. (2018). 'Conditional Cash Transfers for Maternal Health Interventions: Factors Influencing Uptake in North-Central Nigeria', International Journal of Health Policy and Management, 7(10), pp. 934-942. doi: 10.15171/ijhpm.2018.56
Baba-Ari, F., Eboreime, E., Hossain, M. Conditional Cash Transfers for Maternal Health Interventions: Factors Influencing Uptake in North-Central Nigeria. International Journal of Health Policy and Management, 2018; 7(10): 934-942. doi: 10.15171/ijhpm.2018.56

Conditional Cash Transfers for Maternal Health Interventions: Factors Influencing Uptake in North-Central Nigeria

Article 8, Volume 7, Issue 10, October 2018, Page 934-942  XML PDF (545 K)
Document Type: Original Article
DOI: 10.15171/ijhpm.2018.56
Authors
Fatima Baba-Ari1, 2; Ejemai Amaize Eboreime orcid 3, 4; Mazeda Hossain5
1Department of Primary Healthcare Systems Development, National Primary Health Care Development Agency, Abuja, Nigeria
2Presidential Initiative for the North East (PINE), Abuja, Nigeria
3Department of Planning, Research and Statistics, National Primary Health Care Development Agency, Abuja, Nigeria
4Centre for Health Policy, Wits School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
5Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK
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.


Highlights

Supplementary File 1 (Download)

Keywords
Conditional Cash Transfer; Health Financing; Maternal Health; Nigeria
Main Subjects
Health Equity
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