HEALTHCARE FINANCING FOR ANTENATAL CARE AND DELIVERY SERVICES IN A TERTIARY HEALTH FACILITY IN SOUTH-WEST NIGERIA.

Autor:	Abdus-Salam RA; Department of Obstetrics and Gynaecology, University of Ibadan, Oyo, Nigeria.; Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Oyo state, Nigeria., Mark T; University College Hospital, Ibadan Oyo state, Nigeria., Agboola AD; Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Oyo state, Nigeria., Babawarun T; Centre for Population and Reproductive Health, University of Ibadan, Ibadan, Oyo, Nigeria.
Jazyk:	angličtina
Zdroj:	Annals of Ibadan postgraduate medicine [Ann Ib Postgrad Med] 2021 Jun; Vol. 19 (1), pp. 56-62.
Abstrakt:	Background: Universal health coverage and healthcare financing for maternal health services are essential for quality care, prevention of complication and a reduction in maternal morbidity and mortality. Objective: To evaluate the modes of healthcare financing for antenatal and delivery care among pregnant women in a tertiary health facility in South-West Nigeria. Methods: This is a four-year retrospective review of maternal healthcare financing models adopted by pregnant/postpartum women at the antenatal clinic and labour/delivery unit. Data for health financing in antenatal booking clinic for a four-year period from 2016-2019 and labour & delivery for a two-year period from 2018 and 2019 were reviewed. The information collected were - number of women that paid out-of-pocket for services, number of women that paid for services using health insurance and other means of payment during the period. Data were analysed using SPSS version 23. Result: A total of 7,129 women accessed antenatal care services during the period under review. About 58.9% of the women paid for antenatal care services out-of-pocket, 36.6% were covered under the health insurance (social and private health insurance). A total of 2,881 women accessed delivery services at the health facility. About 66.4% of the women paid out-of-pocket for both caesarean section and vaginal delivery. Prepaid health insurance was used by about 31% of the women. Conclusion: Health insurance has been available for over a decade; however prepaid healthcare financing model remains less popular. Out-of-pocket payment constitutes the predominant mode of healthcare financing for maternal healthcare among pregnant women at the tertiary health facility. The out-of-pocket payment exposes the pregnant women and her family to financial burden and catastrophic spending especially in obstetric emergency. (© Association of Resident Doctors, UCH, Ibadan.)
Databáze:	MEDLINE
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