Estimating the impact of trained midwives and upgraded health facilities on institutional delivery rates in Nigeria using a quasi-experimental study design
Studies have shown that demand-side interventions, such as conditional cash transfers and vouchers, can increase the proportion of women giving birth in a health facility in low-income and middle-income countries, but there is limited evidence of the effectiveness of supply-side interventions. We ev...
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BMJ Publishing Group Ltd
2022
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| Online Access: | http://hdl.handle.net/10986/37724 |
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okr-10986-377242022-07-21T05:10:42Z Estimating the impact of trained midwives and upgraded health facilities on institutional delivery rates in Nigeria using a quasi-experimental study design Grépin, Karen Ann Chukwuma, Adanna Holmlund, Marcus Vera-Hernandez, Marcos Wang, Qiao Rosa-Dias, Pedro HEALTH CONDITIONAL CASH TRANSFERS Studies have shown that demand-side interventions, such as conditional cash transfers and vouchers, can increase the proportion of women giving birth in a health facility in low-income and middle-income countries, but there is limited evidence of the effectiveness of supply-side interventions. We evaluated the impact of the Subsidy Reinvestment and Empowerment Program Maternal and Child Health Project (SURE-PMCH) on rates of institutional delivery and antenatal care. The authors used a differences-in-differences study design that compared changes in rates of institutional delivery and antenatal care in areas that had received additional support through the SURE-PMCH program relative to areas that did not. Data on outcomes were obtained from the 2013 Nigerian Demographic and Health Survey. The authors found that the program significantly increased the proportion of women giving birth in a health facility by approximately 7 percentage points (p=0.069) or approximately 10 percent relative to the baseline after 9 months of implementation. The program, however, did not significantly increase the use of antenatal care. The findings of this study suggest there could be important improvements in institutional delivery rates through greater investment in supply-side interventions. 2022-07-20T05:35:36Z 2022-07-20T05:35:36Z 2022-05-24 Journal Article Health Economics http://hdl.handle.net/10986/37724 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank BMJ Publishing Group Ltd Publications & Research :: Journal Article Nigeria |
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Digital Repository |
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Foreign Institution |
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Digital Repositories |
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World Bank Open Knowledge Repository |
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World Bank |
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HEALTH CONDITIONAL CASH TRANSFERS |
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HEALTH CONDITIONAL CASH TRANSFERS Grépin, Karen Ann Chukwuma, Adanna Holmlund, Marcus Vera-Hernandez, Marcos Wang, Qiao Rosa-Dias, Pedro Estimating the impact of trained midwives and upgraded health facilities on institutional delivery rates in Nigeria using a quasi-experimental study design |
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Nigeria |
| description |
Studies have shown that demand-side interventions, such as conditional cash transfers and vouchers, can increase the proportion of women giving birth in a health facility in low-income and middle-income countries, but there is limited evidence of the effectiveness of supply-side interventions. We evaluated the impact of the Subsidy Reinvestment and Empowerment Program Maternal and Child Health Project (SURE-PMCH) on rates of institutional delivery and antenatal care. The authors used a differences-in-differences study design that compared changes in rates of institutional delivery and antenatal care in areas that had received additional support through the SURE-PMCH program relative to areas that did not. Data on outcomes were obtained from the 2013 Nigerian Demographic and Health Survey. The authors found that the program significantly increased the proportion of women giving birth in a health facility by approximately 7 percentage points (p=0.069) or approximately 10 percent relative to the baseline after 9 months of implementation. The program, however, did not significantly increase the use of antenatal care. The findings of this study suggest there could be important improvements in institutional delivery rates through greater investment in supply-side interventions. |
| format |
Journal Article |
| author |
Grépin, Karen Ann Chukwuma, Adanna Holmlund, Marcus Vera-Hernandez, Marcos Wang, Qiao Rosa-Dias, Pedro |
| author_facet |
Grépin, Karen Ann Chukwuma, Adanna Holmlund, Marcus Vera-Hernandez, Marcos Wang, Qiao Rosa-Dias, Pedro |
| author_sort |
Grépin, Karen Ann |
| title |
Estimating the impact of trained midwives and upgraded health facilities on institutional delivery rates in Nigeria using a quasi-experimental study design |
| title_short |
Estimating the impact of trained midwives and upgraded health facilities on institutional delivery rates in Nigeria using a quasi-experimental study design |
| title_full |
Estimating the impact of trained midwives and upgraded health facilities on institutional delivery rates in Nigeria using a quasi-experimental study design |
| title_fullStr |
Estimating the impact of trained midwives and upgraded health facilities on institutional delivery rates in Nigeria using a quasi-experimental study design |
| title_full_unstemmed |
Estimating the impact of trained midwives and upgraded health facilities on institutional delivery rates in Nigeria using a quasi-experimental study design |
| title_sort |
estimating the impact of trained midwives and upgraded health facilities on institutional delivery rates in nigeria using a quasi-experimental study design |
| publisher |
BMJ Publishing Group Ltd |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10986/37724 |
| _version_ |
1764487789109313536 |