Effect of government-community healthcare co-financing on maternal and child healthcare in Nigeria

West Afr J Med. 2011 Jan-Feb;30(1):35-41. doi: 10.4314/wajm.v30i1.69882.


Background: Effective maternal and child healthcare delivery requires a proper and adequate funding of the health sector.

Objective: To determine the effect of government-community healthcare co-financing on maternal and child healthcare services' delivery.

Methods: A descriptive, cross-sectional study with an intervention component, conducted amongst 240 women from Igboukwu (intervention area), and Ekwuluobia (control area), of Anambra State of Nigeria.

Results: The biosocial characteristics of the respondents were essentially similar. Better utilization of health services occurred in the intervention area post-intervention. Quality of service from intervention clients' perspective showed significant improvement post-intervention. Distance less than five km, transportation cost less than N40, and maternal education above secondary level impacted positively on utilization of maternal and child health services. Acceptability of the scheme was better for the intervention facility evident from the higher number of respondents showing "willingness to join", and "willingness to pay".

Conclusion: Health sector funding partnership, positively impacts on maternal and child health services. Government's total commitment, backed with legislation, and community mobilization, will sustain the scheme.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child Health Services / economics*
  • Child Health Services / statistics & numerical data
  • Community Health Planning / organization & administration*
  • Cross-Sectional Studies
  • Delivery of Health Care
  • Female
  • Financing, Government / economics*
  • Focus Groups
  • Humans
  • Insurance, Health / economics*
  • Maternal Health Services / economics
  • Maternal Health Services / statistics & numerical data*
  • Nigeria
  • Patient Acceptance of Health Care
  • Qualitative Research
  • Quality of Health Care
  • Socioeconomic Factors
  • Young Adult