Demand and supply analysis for maternal and child health services at the primary healthcare level in Nigeria
Abstract Background The low demand for maternal and child health services is a significant factor in Nigeria's high maternal death rate. This paper explores demand and supply-side determinants at the primary healthcare level, highlighting factors affecting provision and utilization. Methods Thi...
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-023-10210-6 |
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| author | Udochukwu U. Ogu Bassey Ebenso Tolib Mirzoev Nkolika Uguru Enyi Etiaba Benjamin Uzochukwu Nkoli Ezumah Obinna Onwujekwe |
| author_facet | Udochukwu U. Ogu Bassey Ebenso Tolib Mirzoev Nkolika Uguru Enyi Etiaba Benjamin Uzochukwu Nkoli Ezumah Obinna Onwujekwe |
| author_sort | Udochukwu U. Ogu |
| collection | DOAJ |
| description | Abstract Background The low demand for maternal and child health services is a significant factor in Nigeria's high maternal death rate. This paper explores demand and supply-side determinants at the primary healthcare level, highlighting factors affecting provision and utilization. Methods This qualitative study was undertaken in Anambra state, southeast Nigeria. Anambra state was purposively chosen because a maternal and child health programme had just been implemented in the state. The three-delay model was used to analyze supply and demand factors that affect MCH services and improve access to care for pregnant women/mothers and newborns/infants. Result The findings show that there were problems with both the demand and supply aspects of the programme and both were interlinked. For service users, their delays were connected to the constraints on the supply side. On the demand side, the delays include poor conditions of the facilities, the roads to the facilities are inaccessible, and equipment were lacking in the facilities. These delayed the utilisation of facilities. On the supply side, the delays include the absence of security (fence, security guard), poor citing of the facilities, inadequate accommodation, no emergency transport for referrals, and lack of trained staff to man equipment. These delayed the provision of services. Conclusion Our findings show that there were problems with both the demand and supply aspects of the programme, and both were interlinked. For service users, their delays were connected to the constraints on the supply side. |
| first_indexed | 2024-03-09T15:22:16Z |
| format | Article |
| id | doaj.art-43f2f8d3eeaa42c290c4dbe9cda7efe8 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-09T15:22:16Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-43f2f8d3eeaa42c290c4dbe9cda7efe82023-11-26T12:42:25ZengBMCBMC Health Services Research1472-69632023-11-012311910.1186/s12913-023-10210-6Demand and supply analysis for maternal and child health services at the primary healthcare level in NigeriaUdochukwu U. Ogu0Bassey Ebenso1Tolib Mirzoev2Nkolika Uguru3Enyi Etiaba4Benjamin Uzochukwu5Nkoli Ezumah6Obinna Onwujekwe7Department of Pharmacology and Therapeutics, College of Medicine, Health Policy Research Group, University of NigeriaUniversity of LeedsLondon School of Hygiene and Tropical MedicineDepartment of Pharmacology and Therapeutics, College of Medicine, Health Policy Research Group, University of NigeriaDepartment of Pharmacology and Therapeutics, College of Medicine, Health Policy Research Group, University of NigeriaDepartment of Pharmacology and Therapeutics, College of Medicine, Health Policy Research Group, University of NigeriaDepartment of Pharmacology and Therapeutics, College of Medicine, Health Policy Research Group, University of NigeriaDepartment of Pharmacology and Therapeutics, College of Medicine, Health Policy Research Group, University of NigeriaAbstract Background The low demand for maternal and child health services is a significant factor in Nigeria's high maternal death rate. This paper explores demand and supply-side determinants at the primary healthcare level, highlighting factors affecting provision and utilization. Methods This qualitative study was undertaken in Anambra state, southeast Nigeria. Anambra state was purposively chosen because a maternal and child health programme had just been implemented in the state. The three-delay model was used to analyze supply and demand factors that affect MCH services and improve access to care for pregnant women/mothers and newborns/infants. Result The findings show that there were problems with both the demand and supply aspects of the programme and both were interlinked. For service users, their delays were connected to the constraints on the supply side. On the demand side, the delays include poor conditions of the facilities, the roads to the facilities are inaccessible, and equipment were lacking in the facilities. These delayed the utilisation of facilities. On the supply side, the delays include the absence of security (fence, security guard), poor citing of the facilities, inadequate accommodation, no emergency transport for referrals, and lack of trained staff to man equipment. These delayed the provision of services. Conclusion Our findings show that there were problems with both the demand and supply aspects of the programme, and both were interlinked. For service users, their delays were connected to the constraints on the supply side.https://doi.org/10.1186/s12913-023-10210-6Maternal and child healthDemand and supplyThree-delays modelPrimary healthcare |
| spellingShingle | Udochukwu U. Ogu Bassey Ebenso Tolib Mirzoev Nkolika Uguru Enyi Etiaba Benjamin Uzochukwu Nkoli Ezumah Obinna Onwujekwe Demand and supply analysis for maternal and child health services at the primary healthcare level in Nigeria BMC Health Services Research Maternal and child health Demand and supply Three-delays model Primary healthcare |
| title | Demand and supply analysis for maternal and child health services at the primary healthcare level in Nigeria |
| title_full | Demand and supply analysis for maternal and child health services at the primary healthcare level in Nigeria |
| title_fullStr | Demand and supply analysis for maternal and child health services at the primary healthcare level in Nigeria |
| title_full_unstemmed | Demand and supply analysis for maternal and child health services at the primary healthcare level in Nigeria |
| title_short | Demand and supply analysis for maternal and child health services at the primary healthcare level in Nigeria |
| title_sort | demand and supply analysis for maternal and child health services at the primary healthcare level in nigeria |
| topic | Maternal and child health Demand and supply Three-delays model Primary healthcare |
| url | https://doi.org/10.1186/s12913-023-10210-6 |
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