Global Health and Medical Consultants Limited, Abuja, Nigeria.
SURE-P MCH Project Implementation Unit, National Primary Health Care Development Agency, Abuja, Nigeria.
Int J Health Plann Manage. 2019 Apr;34(2):e1054-e1073. doi: 10.1002/hpm.2741. Epub 2019 Feb 22.
Our paper presents experiences and perceptions of beneficiaries, health service providers, and community members about a conditional cash transfer (CCT) programme piloted in Nigeria from April 2013 to May 2015 to boost demand for maternal, newborn, and child health services.
We conducted a descriptive cross-sectional retrospective study using both qualitative and quantitative methods. Personal interviews and focus group discussions (FGDs) were conducted between June and July 2015 for 314 CCT beneficiaries, 72 ward development committee (WDC) members, and 60 service providers (midwives, community health extension workers [CHEWs], and village health workers [VHWs]) including 29 officers-in-charge as key informants. Content analysis was applied to qualitative findings and grouped into themes of attitude, practices, CCT operations, payout, and perceived impact.
Over 97% of beneficiaries affirmed that the cash incentive was very helpful and almost 70% opined that the free supply-side services were the real benefit. Majority of service providers applauded the programme though, with complaints about the increased workload. Community members applauded the scheme, with mixed feelings over some operational processes.
Beneficiaries, service providers, and community members expressed deep satisfaction with the CCT programme and opined that antenatal care (ANC) and skilled birth delivery service utilization increased. Insights into some programmatic challenges are provided to enrich future CCT design and implementation.
本文介绍了 2013 年 4 月至 2015 年 5 月在尼日利亚试点的有条件现金转移支付（CCT）计划的受益者、卫生服务提供者和社区成员的经验和看法，以促进产妇、新生儿和儿童健康服务的需求。
我们采用定性和定量方法进行了描述性横断面回顾性研究。2015 年 6 月至 7 月，我们对 314 名 CCT 受益者、72 名区发展委员会（WDC）成员和 60 名服务提供者（助产士、社区卫生推广人员[CHEW]和乡村卫生工作者[VHW]）进行了个人访谈和焦点小组讨论（FGD），其中包括 29 名主管作为关键信息提供者。对定性结果进行内容分析，并分为态度、实践、CCT 运作、支出和感知影响等主题。
超过 97%的受益者肯定现金激励非常有帮助，近 70%的受益者认为免费的供应方服务是真正的好处。大多数服务提供者对该计划表示赞赏，但也对工作量增加表示不满。社区成员对该计划表示赞赏，但对一些运作过程持复杂态度。
受益者、服务提供者和社区成员对 CCT 计划表示非常满意，并认为产前护理（ANC）和熟练分娩服务的利用率有所增加。本研究提供了对一些计划挑战的深入了解，以丰富未来 CCT 的设计和实施。
