Adinma Echendu D, Nwakoby Boniface A N, Adinma Brian-Davies J I
Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Nig Q J Hosp Med. 2010 Apr-Jun;20(2):86-93. doi: 10.4314/nqjhm.v20i2.58041.
Healthcare delivery is a foremost important basic social services.
This study reviews the influence of the integration of maternal health services into the Anambra State of Nigeria government-community health care financing scheme on health service delivery at primary health care level in Igboukwu, Aguata Local Government Area of Anambra State, Nigeria.
A descriptive, cross-sectional study with an intervention component, conducted amongst 120 women of reproductive age group at Obiuno health centre, Igboukwu.
Mean age of respondents was 30.5 +/- 6.0 years with majority, 44 (36.7%), in the age range of 26-30 years. Almost half, forty eight (40%), of the participants are of post secondary educational status; 60 (50%) are civil servants. Utilization of maternal health services % antenatal and delivery services, were significantly better at the late intervention period when compared to the early intervention period. Quality of service from clients' perspective also showed significant improvement at the late intervention period. There was an overall greater availability of maternal health service equipments, drugs and consumables, and medical records in the health facility later during the scheme.
Community based health insurance schemes that focus on maternal health services ensure the provision of adequate funds for maternal health services that cover a great proportion of the rural communities.
医疗服务是一项极其重要的基本社会服务。
本研究回顾了尼日利亚阿南布拉州政府-社区医疗保健筹资计划中孕产妇保健服务整合对尼日利亚阿南布拉州阿瓜塔地方政府辖区伊格布库初级卫生保健层面医疗服务提供的影响。
在伊格布库奥比努奥保健中心对120名育龄妇女进行了一项带有干预成分的描述性横断面研究。
受访者的平均年龄为30.5±6.0岁，其中大多数，即44人（36.7%），年龄在26至30岁之间。近一半，即48人（40%）的参与者具有大专以上教育程度；60人（50%）是公务员。与早期干预期相比，晚期干预期孕产妇保健服务（产前和分娩服务）的利用率显著更高。从客户角度来看，服务质量在晚期干预期也有显著改善。在该计划实施后期，保健设施中孕产妇保健服务设备、药品和耗材以及医疗记录的总体可获得性更高。
侧重于孕产妇保健服务的社区医疗保险计划确保为覆盖很大一部分农村社区的孕产妇保健服务提供充足资金。
