NDLI: Perspectives of stakeholders of the free maternity services for mothers in western Kenya: lessons for universal health coverage

Content Provider	Springer Nature : BioMed Central
Author	Ochieng, Beverly Marion Kaseje, Margaret Kaseje, Dan Clement Owino Oria, Kevin Magadi, Monica
Abstract	Background The strategic aim of universal health coverage (UHC) is to ensure that everyone can use health services they need without risk of financial hardship. Linda Mama (Taking care of the mother) initiative focuses on the most vulnerable women, newborns and infants in offering free health services. Financial risk protection is one element in the package of measures that provides overall social protection, as well as protection against severe financial difficulties in the event of pregnancy, childbirth, neonatal and perinatal health care for mothers and their children. Purpose The aim of this study was to find out the extent of awareness, and involvement among managers, service providers and consumers of Linda mama supported services and benefits of the initiative from the perspectives of consumers, providers and managers. Methods We carried out cross sectional study in four sub counties in western Kenya: Rachuonyo East, Nyando, Nyakach, and Alego Usonga. We used qualitative techniques to collect data from purposively selected Linda Mama project implementors, managers, service providers and service consumers. We used key informant interview guides to collect data from a total of thirty six managers, nine from each Sub -County and focus group discussion tools to collect data from sixteen groups of service consumers attending either antenatal or post-natal clinics, four from each sub county, selecting two groups from antenatal and two from postnatal clinics in each sub county. Data analysis was based on thematic content analysis. Findings Managers and service providers were well aware of the initiative and were involved in it. Participation in Linda Mama, either in providing or using, seemed to be more prominent among managers and service providers. Routine household visits by community health volunteers to sensitize mothers and community engagement was core to the initiative. The managers and providers of services displayed profound awareness of how requiring identification cards and telephone numbers had the potential to undermine equity by excluding those in greater need of care such as under-age pregnant adolescents. Maternity and mother child health services improved as a result of the funds received by health facilities. Linda Mama reimbursements helped to purchase drug and reduced workload in the facility by hiring extra hands. Conclusion The initiative seems to have influenced attitudes on health facility delivery through: Partnership among key stakeholders and highlighting the need for enhanced partnership with the communities. It enhanced the capacity of health facilities to deliver high quality comprehensive, essential care package and easing economic burden.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-022-07632-z.pdf
Ending Page	12
Page Count	12
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-022-07632-z
Journal	BMC Health Services Research
Issue Number	1
Volume Number	22
Language	English
Publisher	BioMed Central
Publisher Date	2022-02-19
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Universal Health Coverage Maternity Skilled Delivery Ante Natal Care Post-Natal Care Quality Care Cost Effectiveness Social Protection
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

47:poster Perspectives of stakeholders of the free maternity services for economicaly constrained mothers in Western Kenya, lessons for universal health coverage

The differential effect of the free maternity services policy in Kenya

First-dollar cost-sharing for skilled nursing facility care in medicare advantage plans

Comparative effectiveness of long-term acute care hospital versus skilled nursing facility transfer

Digital financial services for health in support of universal health coverage: qualitative programmatic case studies from Kenya and Rwanda

Focused maternity care in Ghana: results of a cluster analysis

Utilization of free maternity services among women of child bearing age in Machakos County, Kenya.

Cost-effectiveness of recommended nurse staffing levels for short-stay skilled nursing facility patients

Utilization of free maternity services among women of child bearing age in Machakos County, Kenya

Perspectives of stakeholders of the free maternity services for mothers in western Kenya: lessons for universal health coverage

Similar Documents

47:poster Perspectives of stakeholders of the free maternity services for economicaly constrained mothers in Western Kenya, lessons for universal health coverage

The differential effect of the free maternity services policy in Kenya

First-dollar cost-sharing for skilled nursing facility care in medicare advantage plans

Comparative effectiveness of long-term acute care hospital versus skilled nursing facility transfer

Digital financial services for health in support of universal health coverage: qualitative programmatic case studies from Kenya and Rwanda

Focused maternity care in Ghana: results of a cluster analysis

Utilization of free maternity services among women of child bearing age in Machakos County, Kenya.

Cost-effectiveness of recommended nurse staffing levels for short-stay skilled nursing facility patients

Utilization of free maternity services among women of child bearing age in Machakos County, Kenya

Perspectives of stakeholders of the free maternity services for mothers in western Kenya: lessons for universal health coverage