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Dissertation/Thesis Abstract

Impact of Free Maternal and Child Health Services on Health Care Utilization in Jigawa State, Nigeria
by Kazaure, Nura Ibrahim, Ph.D., Walden University, 2018, 127; 10831383
Abstract (Summary)

In spite of a decrease globally, the maternal mortality rate (MMR) in Nigeria and its Jigawa State has remained persistently high. Few efforts to address the MMR in Nigeria have been undertaken. The purpose of this study was to investigate the impact of Jigawa State’s Free Maternal and Child Health Program (JSFMCHP), education, employment, and parity of pregnant women on health care utilization (the outcome variable), as measured by antenatal care (ANC) visits. Anderson’s behavioral model served as the study’s theoretical framework. The sample size included 400 antenatal records of pregnant women who were randomly selected from the state’s Health Management and Information data collected between 2011 and 2015. Chi-square tests showed a significant association between those who did not participate in the JSFMCHP, education, employment, with ANC. There was no association between parity and the number of ANC visits. The odds ratio suggested that pregnant women who did not participate in the program were 5.53 times as likely to have 4 or more visits compared to those who participated. Furthermore, the recommended number (4 or more) of ANC visits was predicted by tertiary education and employment. This study’s findings indicate the need for a reevaluation of JSFMCHP policy, with a focus on ensuring a minimum recommended number of ANC visits for all program participants. These results can influence positive social change if used by policy makers to strengthen policies that have a beneficial impact on maternal morbidity and mortality in Jigawa State, in particular, and Nigeria, in general.

Indexing (document details)
Advisor: Oswald, John
Commitee: Danawi, Hadi, Rohrer, James
School: Walden University
Department: Health Services
School Location: United States -- Minnesota
Source: DAI-B 79/11(E), Dissertation Abstracts International
Subjects: African Studies, Health sciences, Health care management
Keywords: Free maternal and child health services, Health care utilization, Jigawa State, Nigeria
Publication Number: 10831383
ISBN: 978-0-438-12508-7
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