Abstract


 
 
 In the state effort reduce the number of maternal death, a free child and maternal healthcare programme were introduced called Successful delivery. This main aim of this research is to evaluate if women registered with the programme had a better chance of accessing the services in the state. A cross- sectional quantitative study involving household interviews of all women of the reproductive age group (15–49 years) residing in Jigawa state from February to April 2019. Logistic regression analysis at 95% confidence interval was used to determine the independent associations between the scheme and use of antenatal care, hospital delivery and postnatal care services. Successful delivery program influenced the antenatal care visit as women registered with the schemes are more likely to have maximum of six visit 39.5 times than those who did not and also more likely to have four visit 2.6 times than those without scheme. Hospital delivery is also attached to the scheme as women registered with the scheme is 5.3 times likely to deliver at hospital when compared to those with not. Successful delivery program influence antenatal care visit and hospital base delivery. Nevertheless many of the pregnant women after delivery did not attend postnatal care.
 
 

Highlights

  • The Millennium Development Goals (MDGs) advocate for the reduction of world ratio of the maternal mortality by 75% from 1990 to the year 2015(Dieleman et al, 2015; Hogan et al, 2010; Organization, 2010) The ratio of the maternal mortality almost reduced by 44% with an estimated figure of 216 in 2015 and uncertainty interval of 80% maternal mortality

  • The lifetime risk of global maternal mortality is significantly reduced from 1 out of 73 to 1 out of 180(Dieleman et al, 2015) The target of Millennium Development Goals was not achieved by any country in the world but the ratio of the maternal death was reduced to 3% after the MDGs declarations

  • The Sustainable Development Goals (SDGs) build on the effort of the Millennium Development Gaols it calls for the speeding up of the situation in order to achieved a global ratio of the maternal mortality of 70 per live births by the year 2030 by ending mortalities that are preventable (Asafo & Adoma, 2019; Assembly, 2015; Organization, 2004)

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Summary

Introduction

The Millennium Development Goals (MDGs) advocate for the reduction of world ratio of the maternal mortality by 75% from 1990 to the year 2015(Dieleman et al, 2015; Hogan et al, 2010; Organization, 2010) The ratio of the maternal mortality almost reduced by 44% with an estimated figure of 216 in 2015 and uncertainty interval of 80% maternal mortality. The lifetime risk of global maternal mortality is significantly reduced from 1 out of 73 to 1 out of 180(Dieleman et al, 2015) The target of Millennium Development Goals was not achieved by any country in the world but the ratio of the maternal death was reduced to 3% after the MDGs declarations. Appropriate programme and interventions must be put in place in order to achieve this ambitious target which includes financing the interventions, access to the health care and provision of skilled care (Chou et al, 2016; Organization, 2015) The major obstacles to healthcare in many countries especially low and middle income nations is financial constrains. Many countries in Africa have introduced policies of free child and maternal and health in their effort to reduce the mortality (infant and maternal) (Witter, Adjei, Armar-Klemesu, & Graham, 2009)

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