Global Advanced Research Journal of Peace, Gender and Development Studies (GARJPGDS)
May 2013 Vol. 2(4), pp. 081-085
Copyright © 2013 Global Advanced Research Journals

Full Length Research Paper

Increasing use of reproductive health services through community-based and health care financing programmes: Impact and sustainability in Abia State of Nigeria
Enwereji Ezinne E1* and Enwereji Kelechi O2

1College of medicine, Abia State University, Uturu, Abia State, Nigeria
2College of Medicine, Nnamdi Azikiwe University, Awka, Anambra State

*Corresponding Author’s E-mail: hersng@yahoo.com

Accepted 03 May, 2013

Abstract

Studies have shown that the governments’ central role to guarantee access to reproductive health care is to provide and finance services at all levels.  In Nigeria, budget constraints limit this role.  The question is, how do individuals in rural areas access sexual and reproductive health (SRH) care services?  Study explored health care financing mechanisms and burdens the mechanisms impose on reproductive health needs within the context of free and informed choices. In-dept interview which was recorded and transcribed was conducted with 24 key informants within the ages of 25-58years. The informants are made up of 8 women and   men respectively, who are community leaders in the study area.  Also interviewed are   8 nurses in charge of primary health centers in the study area. Data collection and analysis were qualitative.  Measures of social connections through coordinated analyses of ethnographic data and    enabling conditions for scale-up were emphasized. Findings showed that the  government   provided little or no    reproductive health  care services in rural areas. The study identified  myriad   ways in which community members financed   SRH services. These  include “isusu”(weekly out-of-pocket contributions), palm fruit harvesting levies, community-based monthly  levies and individual  donations.  The amounts   generated from these methods are   paid into community common purse. From this common purse, sexual and reproductive health (SRH) services are paid for. The study noted that individuals who did not contribute towards this fund are usually denied the benefits of these services.  In the words of three respondents,” we ensure that we pay for our health care bills   through community efforts. We do not want our wives and children to continue to die while waiting for free services from government which will never come”. Two respondents specifically maintained that   we have lost a good number of our children   through this neglect. We shall continue to assist ourselves”  Given the numerous health, social and economic problems inherent   in the  rural areas in  Nigeria, a  mixture of public and private financing of health care services  is   preferable. This will ensure more accessibility of reproductive health care services, and thereby, help to reduce maternal and child mortality in the rural areas. This study constitutes valuable tool for those interested in identifying how maternal and child mortality rates could be minimized in the rural areas. 

Keywords: mortality, health financing, reproductive health, accessibility

 

Related Articles


Original Research Articles
Dr Sarah Wali Qazi, Prof Aurangzeb, Saima Hussain
Microfinance Effective in Generating Opportunities and Mitigating Poverty in Pakistan
Glo. Adv. Res. J. Peace. Gend. Dev. Stud. October 2015 Vol: 4(9): - [Abstract] [Full Text - PDF] (133 KB)
Farnaz Rahbarzare, Elham Eslahi, Nazafarin Hatami-Mazinani, Elham Magharehabed, Mahsa Aliqanbari, Niloofar Ahmadi, Shabnam Naderifar, Mona Mirgeloybayat, Hamed Hojatian, Mojdeh Naeima and Soha Sadeghi
Study of the side effects of Docetaxel as chemotherapy medicine on changing the expression of genes of Enterococcus faecalis isolated from patients with breast cancer
Glo. Adv. Res. J. Peace. Gend. Dev. Stud. January 2019 Vol: 8(1): - [Abstract] [Full Text - PDF] (158 KB)
Review
Omolade O Okwa
The current trends in integrated prevention and control of malaria. A case study of some Nigerian communities
Glo. Adv. Res. J. Peace. Gend. Dev. Stud. May 2013 Vol: 2(5): - [Abstract] [Full Text - PDF] (150 KB)
Original Research Articles
Samer, S. Ibrahim and Ibrahim, A. Mostafa
Impact of some common diseases on profitability of broiler farms
Glo. Adv. Res. J. Peace. Gend. Dev. Stud. February 2018 Vol: 7(2): - [Abstract] [Full Text - PDF] (136 KB)
Sawsan, S. Moawad, Aziza Sharaby, Ibrahim M. Ebadah and Huda El-Behery
Efficiency of Zinc sulfate and some volatile oils on some insect pests of the tomato crop
Glo. Adv. Res. J. Peace. Gend. Dev. Stud. April 2015 Vol: 4(4): - [Abstract] [Full Text - PDF] (195 KB)
Hisham N Altayb, Mohamed A M Siddig, Nagwa M El Amin, Ahmed Ibrahim Hashim, Maowia M. Mukhtar
Molecular Characterization of CTX-M ESBLs among Pathogenic Enterobacteriaceae isolated from different regions in Sudan
Glo. Adv. Res. J. Peace. Gend. Dev. Stud. April 2018 Vol: 7(2): - [Abstract] [Full Text - PDF] (1,351 KB)

Current Issue

Viewing Options

View Full Article - PDF
Download Full Article - PDF

Search for Articles

Enwereji Ezinne E1 on Google Scholar
Enwereji Ezinne E1 on Pubmed
Enwereji Kelechi O2 on Google Scholar
Enwereji Kelechi O2 on Pubmed

Statistics

Viewed 1868
Printed 569
Downloaded 1813
Powered By iPortal Works