Involving the private sector in improving obstetric care, Anambra State, Nigeria

Chukudebelu, W. O.; Ikeme, A. C.; Okaro, JM; Egbuciem, P; Onah, Benardine Ifeoma; Okeke, V. O. S.; Nwakoby, Ban; Akpala, O; Nwagbo, Douglas; Ikeagu, A

doi:10.1016/s0020-7292(97)00154-9

Cited by 12 publications

(16 citation statements)

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“…Informants in all of the groups were critical of the condescending and hostile attitude of many obstetric nurses. This attitude has been observed elsewhere (Chukudebelu et al 1997;Oyesola et al 1997;Senah et al 1997;Amooti-Kaguna and Nuwaha 2000;). Research conducted prior to the implementation of the Community Health and Family Planning Project in the district in 1994 revealed that all the communities had requested the establishment of clinics (Health on Wheels 2001).…”

Section: Discussionsupporting

confidence: 84%

Use of Health Professionals for Obstetric Care in Northern Ghana

Mills

Bertrand

2005

Studies in Family Planning

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This study explores the role of access versus traditional beliefs in the decision to seek obstetric care from health professionals. Eighteen purposively sampled homogenous groups in Kassena-Nankana District of northern Ghana participated in focus-group discussions about traditional beliefs, barriers to the use of health professionals, and ways to improve obstetric care. All the groups were knowledgeable about the life-threatening signs and symptoms of complications of pregnancy and labor. Decisions about place of delivery generally were made after the onset of labor. Accessibility factors (cost, distance, transport, availability of health facilities, and nurses' attitudes) were major barriers, whereas traditional beliefs were reported as less significant. Informants made pertinent recommendations on how to improve obstetric services in the district. These findings demonstrate that even in this district, where African traditional religion is practiced by a third of the population, compared with a national average of 4 percent, lack of access was perceived as the main barrier to seeking professional obstetric care.

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Section: Discussionsupporting

confidence: 84%

Use of Health Professionals for Obstetric Care in Northern Ghana

Mills

Bertrand

2005

Studies in Family Planning

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“…The private health sector has become increasingly important in the provision of reproductive health services in many middle-and low-income settings (Peters et al, 2004). Demographic and Health Survey (DHS) data have also shown that even the poorest women in poor countries use the for-profit private sector for delivery care (see, for example, Chukudebelu et al, 1997;Hanson & Berman, 1998;Amooti-Kaguna & Nuwaha, 2000). These figures excluded childbirths that took place at home and might have been attended by private sector providers.…”

Section: Introductionmentioning

confidence: 99%

“…A small but significant proportion (between 10 and 15%) of deliveries in many developing countries take place in a private sector facility, with women from wealthy households more likely than women from poor households to deliver their baby at a private sector facility (World Bank, 2002). The availability of private doctors, their responsiveness to patients and women's trust, which is highly valued by both sides, are often given as reasons for many women's preference for the private sector (Chukudebelu et al, 1997;Saénz-Martinez, 1998;Tengilimoglu et al, 1999;Amooti-Kaguna & Nuwaha, 2000;Pongsuppa & Van Lerberghe, 2006). Demographic and Health Survey (DHS) data have also shown that even the poorest women in poor countries use the for-profit private sector for delivery care (see, for example, Chukudebelu et al, 1997;Hanson & Berman, 1998;Amooti-Kaguna & Nuwaha, 2000).…”

Section: Introductionmentioning

confidence: 99%

Utilization of Skilled Birth Attendants in Public and Private Sectors in Vietnam

2009

J. Biosoc. Sci.

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The private sector in health care in Vietnam has been increasingly competing with the government in primary health care services. However, little is known about the use of skilled birth attendance or about choice of public and private sectors among those who opt for skilled attendants. Using data from the Vietnam 2002 Demographic and Health Survey, this study examines factors related to women's decision-making of whether to have a skilled birth attendant at a recent childbirth, and if they did, whether it was a public or private sector provider. The study indicates that the use of the private sector for delivery services was significant. Women's household wealth, education, antenatal care and community's wealth were positively related to skilled birth attendance, while ethnicity and order of childbirth were negatively related. Order of childbirth was positively associated with skilled birth attendance in the private sector. Among service environment factors, increased access to public sector health centres was associated with an increased likelihood of skilled birth attendance in general, but a lowered chance of that in the private sector. Further studies are needed to assess the current situation in the private sector, the demand for delivery services in the private sector, and its readiness to provide quality services.

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“…Private providers may be sought out by women who cannot or choose not to obtain government services (Brugha and Pritze-Aliassime 2003;WHO 2004). Studies have found that the private sector offers patients flexible payment schedules and greater perceived responsiveness to their needs (Chukudebelu et al 1997;Amooti-Kaguna and Nuwaha 2000). On the supply side, health-care personnel have incentives to work in the private sector, including increased or supplemental salaries (WHO 2004).…”

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confidence: 99%

Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's. Informal Settlements

Bazant¹,

Koenig

Fotso

et al. 2009

Studies in Family Planning

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The private sector's role in increasing the use of maternal health care for the poor in developing countries has received increasing attention, yet few data exist for urban slums. Using household‐survey data from 1,926 mothers in two informal settlements in Nairobi, Kenya, collected in 2006, we describe and examine the factors associated with women's use of private and government health facilities for childbirth. More women gave birth at private facilities located in the settlements than at government facilities, and one‐third of the women gave birth at home or with the assistance of a traditional birth attendant. In multivariate models, women's education, ethnic group, and household wealth were associated with institutional deliveries, especially in government hospitals. Residents in the more disadvantaged settlement were more likely than those in the better‐off settlement to give birth in private facilities. In urban areas, maternal health services in both the government and private sectors should be strengthened, and efforts made to reach out to women who give birth at home.

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Involving the private sector in improving obstetric care, Anambra State, Nigeria

Abstract: Auxiliaries' skills can be improved with classroom and practical training. The involvement of private sector institutions is important where they provide a substantial proportion of emergency obstetric services. However, maintaining improvements requires sustained efforts.

Cited by 12 publications

References 0 publications

Use of Health Professionals for Obstetric Care in Northern Ghana

Use of Health Professionals for Obstetric Care in Northern Ghana

Utilization of Skilled Birth Attendants in Public and Private Sectors in Vietnam

Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's. Informal Settlements

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