Health related policy reform in Nigeria: Empirical analysis of health policies developed and implemented between 2001 to 2010 for improved sustainable health and development

Saka, MJ; Isiaka, Sulu Babaita; Ak,; Saka, AO; Agbana, B. E.; Bako, IA

doi:10.5897/jpapr11.061

Cited by 4 publications

(1 citation statement)

References 2 publications

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“…Twum [20] calls these surrounding and accompanying conditions "policy linkages". Hence, such American-model VCT runs into serious problem of implementation in Nigeria's health care delivery system which Saka et al [21] described as "weak and fragile". Poor client flow at VCT centers in Anambra State is one of the inevitable ugly manifestations of inappropriate foreign 'copying'.…”

Section: Discussionmentioning

confidence: 99%

Using Client Flow to Assess Effectiveness of Voluntary Counseling and Testing Service as the Gateway in the Control of HIV/AIDS in Anambra State, South-East Nigeria

2022

austinjhivaidsres

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Anambra State, South-East Nigeria, had high prevalence of HIV averaging 7.1% during period under study. In line with national guidelines, the State established 117 Voluntary Counseling and Testing (VCT) centers designed to function as ‘gateway’ service to other HIV/AIDS services in the State. This study assessed the effectiveness of VCT centers as ‘gateway’ to other HIV/ AIDS services in Anambra State for the period 2006 to 2011 using the client flow recorded by the VCT centers. Descriptive documentary survey was adopted. Secondary data comprising of client flows of the VCT centers were collected. The data were presented in tables as integrated annual summary reports, and analysed as percentages, comparison, and for significance using Chi-Square Test of Significance @ 0.05. It was found that average annual client flows of 1.89% at the VCT centers were not significant. Inference was drawn and conclusion made that VCT service, for the years under study, was not an effective gateway to other HIV/AIDS services in Anambra State. The study recommends a paradigm shift to Universal Counseling and Testing involving, among other features; focus on provider-initiated counseling and testing and liberalization of the location of UCT centers in other public places with high client catchment potentials such as Government Secretariats.

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Section: Discussionmentioning

confidence: 99%

Using Client Flow to Assess Effectiveness of Voluntary Counseling and Testing Service as the Gateway in the Control of HIV/AIDS in Anambra State, South-East Nigeria

2022

austinjhivaidsres

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Who benefits from free institutional delivery? evidence from a cross sectional survey of North Central and Southwestern Nigeria

Ajayi

Akpan

2017

BMC Health Serv Res

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BackgroundThe reasons for low utilisation of maternal health services in settings where the user-fee removal policy has been implemented continue to generate scholarly debates. Evidence of whether user-fee removal benefits the poor women in underserved settings is scanty and inconsistent. This article examines use of maternal health care services in the context of free maternal healthcare and profiles the beneficiaries of user-fee removal.MethodsThe study adopted a descriptive design. A three-stage cluster sampling method was used to select a representative sample of 1227 women who gave birth between 2011 and 2015. Questionnaires were administered using a face-to-face interview approach and data generated were analysed using descriptive and inferential statistics.ResultsThe analysis shows that the use of maternal healthcare services has improved considerably in North Central and Southwestern Nigeria. While socioeconomic and geographical inequality in the use of maternal healthcare services appear to be disappearing in Southwestern Nigeria, it appears to be widening in North Central Nigeria. The findings indicate that 33.6% of women reported to have benefitted from the free child-delivery programme; however, substantial variation exists across the two regions. The proportion of beneficiaries of user-fee removal policy was highest in urban areas (35.9%), among women belonging to the middle income category (38.3%), among women who gave birth in primary health centres (63.1%) and among women who resided in communities where there was availability of health facilities (37.2%).ConclusionThe study concludes that low coverage of the free maternal health programme, especially among women of low socioeconomic status residing in underserved settings is among the reasons for persistent poor maternal health outcomes in the context of free maternal healthcare. A model towards improving maternal health in underserved settings, especially in North Central Nigeria, would entail provisioning of health facilities as well as focusing on implementing equitable maternal health policies.

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Professional Nurses’ Knowledge and Skills in the Management of Aggressive Patients in a Psychiatric Hospital in the Western Cape

Afemikhe

Chipps

2015

AJNM

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Health related policy reform in Nigeria: Empirical analysis of health policies developed and implemented between 2001 to 2010 for improved sustainable health and development

Cited by 4 publications

References 2 publications

Using Client Flow to Assess Effectiveness of Voluntary Counseling and Testing Service as the Gateway in the Control of HIV/AIDS in Anambra State, South-East Nigeria

Using Client Flow to Assess Effectiveness of Voluntary Counseling and Testing Service as the Gateway in the Control of HIV/AIDS in Anambra State, South-East Nigeria

Who benefits from free institutional delivery? evidence from a cross sectional survey of North Central and Southwestern Nigeria

Professional Nurses’ Knowledge and Skills in the Management of Aggressive Patients in a Psychiatric Hospital in the Western Cape

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