The Effect of the Removal of User Fees for Delivery at Public Health Facilities on Institutional Delivery in Urban Kenya
Bibliographic Data
| ID | 15339718 |
|---|---|
| Authors | Lisa M Calhoun (0000-0002-3499-9372, University of North Carolina at Chapel Hill, corresponding author), Ilene S Speizer (0000-0001-6204-1316, University of North Carolina at Chapel Hill), David K Guilkey (University of North Carolina at Chapel Hill), David Guilkey, Elizabeth A Bukusi (0000-0002-2031-2808, Kenya Medical Research Institute), Elizabeth Bukusi |
| Year | 2017 |
| Volume | 22 |
| Issue | 3 |
| Pages | 409-418 |
| Publication date | 2017-12-29 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Maternal and Child Health Journal (JOURNAL) |
| Journal identifiers | ISSN: 1092-7875 • E-ISSN: 1573-6628 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10995-017-2408-7 |
| PMID | 29288407 |
| OpenAlex | W2776002908 |
| Language | EN |
| Citations received | 7 |
| References cited | 25 |
Objectives In 2013, Kenya removed delivery fees at public health facilities in an effort to promote equity in access to health services and address high maternal mortality. This study determines the effect of the policy to remove user fees on institutional delivery in a population-based sample of women from urban Kenya. Methods Longitudinal data were collected from a representative sample of 8500 women from five cities in Kenya in 2010 with a follow-up interview in 2014 (response rate 58.9%). Respondents were asked about their most recent birth since 2008 at baseline and 2012 at endline, including the delivery location. Multinomial logistic regression is used, controlling for the temporal time trend and background characteristics, to determine if births which occurred after the national policy change were more likely to occur at a public facility than at home or a private facility. Results Multivariate findings show that women were significantly more likely to deliver at a public facility as compared to a private facility after the policy. Among the poor, the results show that poor women were significantly more likely to deliver in a public facility compared to home or a private facility after policy change. Conclusions for Practice These findings show Kenya's progress towards achieving universal access to delivery services and meeting its national development targets. The removal of delivery fees in the public sector is leading to increased use of facilities for delivery among the urban poor; this is an important first step in reducing maternal death
Baseline (sea · Business · Economic growth · Environmental health · Equity (law · Health facility · Health services · Multinomial logistic regression · Population · Private sector · Public health · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Nursing · Health Policy
Impact of free maternity policies in Kenya
Decentralization, Ethnic Fractionalization, and Public Services
The Effects of Antenatal Depression and Women’s Perception of Having Poor Health on Maternal Health Service Utilization in Northern Ghana
Understanding Women’s Choices
We are called the et cetera”
How equitable is health spending on curative services and institutional delivery in Malawi? Evidence from a quasi-longitudinal benefit incidence analysis
Care seeking during pregnancy
Reducing user fees for primary health care in Kenya
It’s up to the Woman’s People”
What does Access to Maternal Care Mean Among the Urban Poor? Factors Associated with Use of Appropriate Maternal Health Services in the Slum Settlements of Nairobi, Kenya
Impact of user fees on maternal health service utilization and related health outcomes
Provision and Use of Maternal Health Services among Urban Poor Women in Kenya
Urban as a Determinant of Health
Bypassing primary care facilities for childbirth
Removing user fees for facility-based delivery services
Composition of pluralistic health systems
The national subsidy for deliveries and emergency obstetric care in Burkina Faso
The fall and rise of cost sharing in Kenya
The national free delivery and caesarean policy in Senegal
Estimating wealth effects without expenditure data—or tears
Estimating Wealth Effects without Expenditure Data-or Tears
The Experience of Ghana in Implementing a User Fee Exemption Policy to Provide Free Delivery Care
| Citations per year | 1 |
|---|---|
| Citation span | 2019 - 2024 (6) |
| Highly cited | No |