Impact of Performance-Based Financing (PBF) and on Maternal and Child Health in Adamawa State
The purpose of this study is to investigate the impact of performance-based financing (PBF) on maternal and child health in Nigeria. PBF is proposed as a holistic reform approach that aims to improve the aforementioned shortcomings among others in healthcare provision. In Nigeria, this unique funding approach based on performance was piloted in 2011 with Adamawa, Nasarawa and ONDO states and later additional five States are Borno, Yobe, Gombe, Taraba and Bauchi which were added in 2016. It is expected that if these States demonstrates effectiveness in yielding the expected health outcomes especially as it pertains to the attainment of the stated health-related SDGs, the project would be implemented in all the States of the federation. This necessitates the need for an objective assessment of the impact of Performance-Based Financing especially as it pertains to maternal and child health. Against this background, data on key health indicators like number of ANC visits, Completely Vaccinated Children (CVC), Out Patient Department (OPD) attendance, Deliveries at the health centre and the number of Family Planning Services Uptake were collected at the Primary health care centre level in three States-Adamawa, Nassarawa and ONDO States. The Ex post facto and causal research design was used for the study. A sample size of one hundred and sixty two (162) primary health care facilities will be selected for the study representing approximately 20% of the study population which is adequate. This selection was done using a multi-stage sampling technique. Data collected was analyzed using basic descriptive statistics and the General Linear Model (GLM) approach involving the Two-way Mixed effects ANOVA Statistic. It was found that at 0.05 significant levels PBF health facilities perform better than the conventionally funded health facilities in terms of number of ANC visits, OPD attendance, deliveries at the health centres, CVCs and the number of family planning services. Consequently, it was concluded that PBF has had a significant impact on the health care quality of Primary Health Care Centres in the Piloted States. As a result it is recommended that the PBF program should be scaled up to all the States of the Federation and also the need to incorporate the PBF tenets in to the new Basic Health Care Provision Funds, BHCPF, among others were recommended
Year of publication: |
2022
|
---|---|
Authors: | Suleiman, Yakubu ; Igbudu, Ujiro ; Adesua, Julia |
Publisher: |
[S.l.] : SSRN |
Subject: | Kinder | Children | Mütter | Mothers | Gesundheit | Health |
Saved in:
freely available
Extent: | 1 Online-Ressource (7 p) |
---|---|
Type of publication: | Book / Working Paper |
Language: | English |
Notes: | Nach Informationen von SSRN wurde die ursprüngliche Fassung des Dokuments January 3, 2022 erstellt |
Other identifiers: | 10.2139/ssrn.3999005 [DOI] |
Source: | ECONIS - Online Catalogue of the ZBW |
Persistent link: https://www.econbiz.de/10014085950
Saved in favorites
Similar items by subject
-
Effect of arsenic on health : evidence from Indian districts
Aggarwal, Khushboo, (2023)
-
Does medicaid coverage for pregnant women affect prenatal health behaviors?
Dave, Dhaval, (2016)
-
Maternal age and offspring human capital in India
Pérez-Alvarez, Marcello, (2019)
- More ...