Costs and financing of improvements in the quality of maternal health services through the Bamako Initiative in Nigeria.
Health Policy Plan
; 11(4): 369-84, 1996 Dec.
Article
en En
| MEDLINE
| ID: mdl-10164194
ABSTRACT
PIP: The authors report on a study conducted to assess the quality of maternal health care in public health facilities in Nigeria and to identify the resource implications of making the necessary quality improvements. The authors draw upon unifying themes from quality assurance, basic microeconomics, and the Bamako Initiative. Locally defined norms were used to estimate resource requirements for improving the quality of maternal health care. The study identified the existence of wide gaps between what fixed and variable resources are required and what was available to deliver maternal health services in public facilities implementing the Bamako Initiative in the local government areas studied. It was highly unlikely that acceptable standards of care could be met without additional resources. Revenue generation from health services was poor and appeared to be more related to the inadequate supply of essential drugs and consumables than to the use of uneconomic fee scales. Any user fee system implemented will have to be accompanied by immediate and visible quality improvements.
Palabras clave
Africa; Africa South Of The Sahara; Delivery Of Health Care; Developing Countries; Economic Factors; English Speaking Africa; Financial Activities; Funds; Health; Health Services; Health Services Evaluation; Maternal Health Services--cost; Maternal-child Health Services; Needs; Nigeria; Organization And Administration; Primary Health Care; Program Evaluation; Programs; Quality Of Health Care; Research Report; Western Africa
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Administración en Salud Pública
/
Calidad de la Atención de Salud
/
Costos de la Atención en Salud
/
Servicios de Salud Materna
Tipo de estudio:
Health_economic_evaluation
/
Prognostic_studies
Aspecto:
Implementation_research
Límite:
Female
/
Humans
/
Pregnancy
País/Región como asunto:
Africa
Idioma:
En
Revista:
Health Policy Plan
Asunto de la revista:
PESQUISA EM SERVICOS DE SAUDE
/
SAUDE PUBLICA
Año:
1996
Tipo del documento:
Article
País de afiliación:
Nigeria
Pais de publicación:
Reino Unido