Abstract
The Kenyan government launched a free maternity program in 2013. Kakamega County Government supplemented this through a conditional cash transfer program targeting poor women. This was to facilitate their access to maternal and child health services. This study looked at the impact of this intervention. Deliveries, four antenatal attendances, and general antenatal attendance were analysed for level 4 hospitals in Kakamega, Bungoma, and Busia counties. Difference-in-differences treatment effects methods were used with Busia and Bungoma acting as controls. Population and poverty were controlled for. Monthly deliveries increased by 57, though this was not significant. Monthly antenatal clinic attendance and four antenatal clinic attendance increased significantly by 539 and 144 respectively. Poverty was a significant factor in influencing utilization of deliveries and antenatal clinic attendance. This conditional cash transfer may have improved use of maternal health services, with greatest impact on antenatal attendance.
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