Effectiveness of Free Maternal Healthcare Programme Under the Successful Delivery Programme in Jigawa State, Nigeria

  • Muhammad Abdulkadir Geography Section, School of Humanities, Universiti Sains Malaysia (USM)
  • Ruslan Rainis Geography Section, School of Humanities, Universiti Sains Malaysia (USM)
  • Alshammari Eissa Zaidan Geography Department, University of Ha'il Saudi Arabia
  • Murtala Uba Muhammad Geography Department, Bayero University, Kano, Nigeria
  • Yamuna A Kani Federal University Dutse, Jigawa State, School of Medicine
Keywords: successful delivery, antenatal care visit, hospital base delivery, postnatal care


In the state effort reduce the number of maternal death, a free child and maternal healthcare programme were introduced called Successful delivery. This main aim of this research is to evaluate if women registered with the programme had a better chance of accessing the services in the state. A cross- sectional quantitative study involving household interviews of all women of the reproductive age group (15–49 years) residing in Jigawa state from February to April 2019. Logistic regression analysis at 95% confidence interval was used to determine the independent associations between the scheme and use of antenatal care, hospital delivery and postnatal care services. Successful delivery program influenced the antenatal care visit as women registered with the schemes are more likely to have maximum of six visit 39.5 times than those who did not and also more likely to have four visit 2.6 times than those without scheme. Hospital delivery is also attached to the scheme as women registered with the scheme is 5.3 times likely to deliver at hospital when compared to those with not. Successful delivery program influence antenatal care visit and hospital base delivery. Nevertheless many of the pregnant women after delivery did not attend postnatal care.


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Acharya, B., Maru, D., Schwarz, R., Citrin, D., Tenpa, J., Hirachan, S., . . . Halliday, S. (2017). Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal. Globalization and health, 13(1), 2.

Asafo, A. J., & Adoma, D. B. (2019). Determinants of women’s perceived satisfaction on Antenatal care in urban Ghana: A cross-sectional study.

Assembly, G. (2015). sustainable Development goals. SDGs), Transforming our world: the, 2030.

Basu, S., Andrews, J., Kishore, S., Panjabi, R., & Stuckler, D. (2012). Comparative performance of private and public healthcare systems in low-and middle-income countries: a systematic review. PLoS medicine, 9(6), e1001244.

Bayu, H., Adefris, M., Amano, A., & Abuhay, M. (2015). Pregnant women’s preference and factors associated with institutional delivery service utilization in Debra Markos Town, North West Ethiopia: a community based follow up study. BMC pregnancy and childbirth, 15(1), 15.

Benjamin, U., Chineny, O., Ogochukwu, E., & Obinna, O. (2015). Free maternal and child health services in Enugu state, south East Nigeria: experiences of the community and health care providers. Int J Med Health Sci Res, 2(9), 158-170.

Chou, D., Tunçalp, Ö., Firoz, T., Barreix, M., Filippi, V., von Dadelszen, P., . . . Say, L. (2016). Constructing maternal morbidity–towards a standard tool to measure and monitor maternal health beyond mortality. BMC pregnancy and childbirth, 16(1), 45.

Chuma, J., Musimbi, J., Okungu, V., Goodman, C., & Molyneux, C. (2009). Reducing user fees for primary health care in Kenya: Policy on paper or policy in practice? International journal for equity in health, 8(1), 15.

Comfort, A. B., Peterson, L. A., & Hatt, L. E. (2013). Effect of health insurance on the use and provision of maternal health services and maternal and neonatal health outcomes: a systematic review. Journal of health, population, and nutrition, 31(4 Suppl 2), S81.

Commission, N. P. (2006). Population census report. Abuja, Nigeria.

Dieleman, J., Murray, C., Haakenstad, A., Graves, C., Johnson, E., & Templin, T. (2015). Financing global health 2014: shifts in funding as the MDG era closes. Seattle, WA: Institute for Health Metrics and Evaluation.

Dixon, J., Tenkorang, E. Y., & Luginaah, I. (2013). Ghana’s National Health Insurance Scheme: a national level investigation of members’ perceptions of service provision. BMC International Health and Human Rights, 13(1), 35.

Dogara, M. M., & Ocheje, A. (2016). Prevalence of malaria and risk factors among patients attending Dutse General Hospital, Jigawa State, Nigeria. Int J Pub Environ Health, 11, 270-277.

Dzakpasu, S., Powell-Jackson, T., & Campbell, O. M. (2013). Impact of user fees on maternal health service utilization and related health outcomes: a systematic review. Health policy and planning, 29(2), 137-150.

Finlayson, K., & Downe, S. (2013). Why do women not use antenatal services in low-and middle-income countries? A meta-synthesis of qualitative studies. PLoS medicine, 10(1), e1001373.

Gobah, F. F., & Liang, Z. (2011). The National Health Insurance Scheme in Ghana: prospects and challenges: a cross-sectional evidence. Global Journal of Health Science, 3(2), 90.

Govender, V., McIntyre, D., & Loewenson, R. (2008). Progress towards the Abuja target for government spending on health care in East and Southern Africa. Cape Town, SA: EQUINET.

Hardon, A. (1990). Ten best readings in... the Bamako initiative. Health policy and planning, 5(2), 186-189.

Hercot, D., Meessen, B., Ridde, V., & Gilson, L. (2011). Removing user fees for health services in low-income countries: a multi-country review framework for assessing the process of policy change. Health policy and planning, 26(suppl_2), ii5-ii15.

Hogan, M. C., Foreman, K. J., Naghavi, M., Ahn, S. Y., Wang, M., Makela, S. M., . . . Murray, C. J. (2010). Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5. The Lancet, 375(9726), 1609-1623.

Hutton, G. (2004). Charting the path to the World Bank’s “No blanket policy on user fees”: a look over the past 25 years at the shifting support for user fees in health and education, and reflections on the future. London, DFID Health Systems Resource Centre.

Lang’at, E., & Mwanri, L. (2015). Healthcare service providers’ and facility administrators’ perspectives of the free maternal healthcare services policy in Malindi District, Kenya: a qualitative study. Reproductive health, 12(1), 59.

Lozano, R., Naghavi, M., Foreman, K., Lim, S., Shibuya, K., Aboyans, V., . . . Ahn, S. Y. (2012). Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2095-2128.

Mæstad, O., & Mwisongo, A. (2011). Informal payments and the quality of health care: mechanisms revealed by Tanzanian health workers. Health policy, 99(2), 107-115.

Makinde, O. A., Sule, A., Ayankogbe, O., & Boone, D. (2018). Distribution of health facilities in Nigeria: implications and options for universal health coverage. The International journal of health planning and management, 33(4), e1179-e1192.

Mannava, P., Durrant, K., Fisher, J., Chersich, M., & Luchters, S. (2015). Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review. Globalization and health, 11(1), 36.

Meessen, B., Hercot, D., Noirhomme, M., Ridde, V., Tibouti, A., Tashobya, C. K., & Gilson, L. (2011). Removing user fees in the health sector: a review of policy processes in six sub-Saharan African countries. Health policy and planning, 26(suppl_2), ii16-ii29.

Odeyemi, I., & Nixon, J. (2013). Assessing equity in health care through the national health insurance schemes of Nigeria and Ghana: a review-based comparative analysis. International journal for equity in health, 12(1), 9.

Okereke, E., Tukur, J., Aminu, A., Butera, J., Mohammed, B., Tanko, M., . . . Egboh, M. (2015). An innovation for improving maternal, newborn and child health (MNCH) service delivery in Jigawa State, northern Nigeria: a qualitative study of stakeholders’ perceptions about clinical mentoring. BMC health services research, 15(1), 64.

Okereke, E., Tukur, J., Oginni, A. B., & Obonyo, B. (2015). Evaluating Health Workers’ Knowledge Following the Introduction of Clinical Mentoring in Jigawa State, Northern Nigeria. African journal of reproductive health, 19(3), 118-125.

Organization, W. H. (2004). Making pregnancy safer: the critical role of the skilled attendant: a joint statement by WHO, ICM and FIGO: World Health Organization.

Organization, W. H. (2010). PMTCT strategic vision 2010-2015: preventing mother-to-child transmission of HIV to reach the UNGASS and Millennium Development Goals: moving towards the elimination of paediatric HIV, December 2009.

Organization, W. H. (2015). Strategies towards ending preventable maternal mortality (EPMM).

Ridde, V., & Diarra, A. (2009). A process evaluation of user fees abolition for pregnant women and children under five years in two districts in Niger (West Africa). BMC health services research, 9(1), 89.

Ridde, V., & Morestin, F. (2010). A scoping review of the literature on the abolition of user fees in health care services in Africa. Health policy and planning, 26(1), 1-11.

Riman, H. B., & Akpan, E. S. (2012). Healthcare financing and health outcomes in Nigeria: A state level study using multivariate analysis.

Sharma, A. (2012). User fee impact on equitable access to care: A review. Journal of Health Management, 14(1), 43-49.

Silva, H. T., De Paepe, P., Soors, W., Lanza, O. V., Closon, M.-C., Van Dessel, P., & Unger, J.-P. (2011). Revisiting health policy and the World Bank in Bolivia. Global Social Policy, 11(1), 22-44.

Twum, P., Qi, J., Aurelie, K. K., & Xu, L. (2018). Effectiveness of a free maternal healthcare programme under the National Health Insurance Scheme on skilled care: evidence from a cross-sectional study in two districts in Ghana. BMJ open, 8(11), e022614.

UNESCO, H. (2012). Health Education Clearinghouse. Realising Sexual and Reproductive Health Rights in Kenya. Nairobi: Kenya National Commission on Human Rights, 48-49.

Uzochukwu, B., Ughasoro, M., Etiaba, E., Okwuosa, C., Envuladu, E., & Onwujekwe, O. (2015). Health care financing in Nigeria: Implications for achieving universal health coverage. Nigerian journal of clinical practice, 18(4), 437-444.

Witter, S., Adjei, S., Armar-Klemesu, M., & Graham, W. (2009). Providing free maternal health care: ten lessons from an evaluation of the national delivery exemption policy in Ghana. Global Health Action, 2(1), 1881.
How to Cite
Abdulkadir, M., Rainis, R., Zaidan, A. E., Muhammad, M. U. and Kani, Y. A. (2019) “Effectiveness of Free Maternal Healthcare Programme Under the Successful Delivery Programme in Jigawa State, Nigeria”, Malaysian Journal of Social Sciences and Humanities (MJSSH), 4(7), pp. 140 - 151. doi: 10.47405/mjssh.v4i7.313.

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