Health Insurance, Attitude of Health Workers and Delivery at Health Facility: Outcome from Demographic and Health Survey in Nigeria.

Abstract

The authors are concerned about poor utilization of health facility during pregnancy and delivery in Nigeria which are contributing to high incidence of maternal mortality. The causes of the poor utilization of health facility during delivery were examined so as to proffer policy solution on how to overcome the high incidence of maternal mortality in the country. The authors sourced data from Nigerian Demographic and Health Survey (DHS, 2013) because cost of attending health facility was not covered in the 2018 Demographic Health Survey. Moreover, the Ordinary Least Squares (OLS) method of regression analysis was used in the study because the dependent variable was not binary.Finding shows that cost of accessing health care in the hospitals, health insurance, and attitude of health workers have a positive and significant effect on delivery at health facility. This makes it important for wider coverage of national health insurance program and organization of regular training on work attitudes for health workers in Nigeria to increase use of health facility during child delivery. It will help to reduce maternal health problems in Nigeria.