Preference for private hospital-based maternity services in inner-city Lagos, Nigeria: An observational study

Meeting need vs. sharing the market: a systematic review of methods to measure the use of private sector family planning and childbirth services in sub-Saharan Africa

“…Forty-seven of the 53 studies used household survey data to estimate use of private sector family planning and/or childbirth services; the majority of these studies used the Demographic and Health Surveys ( n = 27), while others used data from demographic surveillance sites [ 34 , 35 ], national maternal health surveys [ 36 ], or other smaller, sub-national surveys [ 23 , 24 , 37 – 50 ]. Three studies conducted surveys that sampled women at a health facility [ 51 ], market [ 52 ], or through respondent-driven sampling [ 53 ]. The remaining three studies used routine health service statistics to estimate the proportion of facility births that occurred within the private sector [ 54 – 56 ].…”

“…Of the 31 studies that examined use of private sector family planning services, five reported coverage estimates [ 20 , 21 , 57 – 59 ], 30 reported market share estimates, and four reported both market share and coverage estimates [ 20 , 21 , 57 , 59 ] (Additional file 6 ). For childbirth services, 22 of 26 papers presented private sector coverage estimates, seven reported on private sector market share [ 35 , 52 , 54 – 57 , 60 ], and three reported both market share and coverage estimates [ 35 , 57 , 61 ] (Additional file 6 ). Although we grouped these outcomes into two broad categories, there was substantial variation within each category in how these populations were defined.…”

EPIC: A Framework for the Factors That Influence the Selection of Health-Care Providers

“…There are many individual patient characteristics that are associated with preferences for certain providers, including demographics; marital status; offspring and reproductive history; education and literacy; media exposure; employment and occupation, income, wealth, and ability to pay; attendance to preventive care; medical history; and illness severity. For example, a stronger preference for private health‐care facilities among older women than younger women was found in a quantitative study from India (Thind, Mohani, Banerjee, & Hagigi, ); a study from urban Africa found a higher preference for private care among women of higher socioeconomic status and those who had not previously had a Cesarean section, which would be an expensive procedure at a private facility (Olusanya et al, ); and a study conducted in rural and urban Southeast Asia found that those with frequent exposure to media also preferred private providers (Thind et al, ). Other qualitative and quantitative studies from rural Africa and rural and urban Europe have found that women with fewer children (Aboagye & Agyemang, ; Combier et al, ), those engaged in professional or managerial level employment (Pilkington et al, ), and those who have more years of education (Aboagye & Agyemang, ), are more likely to choose advanced‐level care facilities rather than basic ones.…”

“…Studies from Africa, the Middle East, and North America indicated that pregnant women often express a preference for giving birth at a private rather than a public facility (Giacaman et al, ; Osubor, Fatusi, & Chiwuzie, ; Roh, Lee, & Fottler, ). The availability and number of trained staff was also a significant consideration for some women in studies from urban Africa and rural Australia (Hoang & Le, ; Olusanya, Roberts, Olufunlayo, & Inem, ), and the availability of drugs and medical equipment were noted as priorities in rural Africa and in Australia (Aboagye & Agyemang, ; Hoang and Le, ). Additionally, studies from rural Africa and from rural and urban Southeast Asia found that a reputation for quality in terms of short wait times and friendly and trustworthy staff may be important for women's selection of a provider (Hotchkiss, ; Nwosu et al, ).…”

Impact assessment of a maternal health project in a megacity, Nigeria: toward a future with more demand for maternal health services

“…It was also reported that women who had failed to deliver normally were often accused of being witches or adulteries (Thaddeus and Maine, 1994;Aziken et al, 2007). However, factors influencing women's decision to use a health facility for delivery in the State are still poorly understood (Olusanya et al, 2010b;Olusanya et al, 2010a), although plausible barriers could be inferred from previous studies as above. We hope that high priority can be given to field-based research aimed at scrutinising the factors leading to lower utilisation of maternal health services in the State.…”