Impact of free maternity policies in Kenya: an interrupted time-series analysis.

BMJ Global Health
Stacey OrangiEdwine Barasa

Abstract

User fees have been reported to limit access to services and increase inequities. As a result, Kenya introduced a free maternity policy in all public facilities in 2013. Subsequently in 2017, the policy was revised to the Linda Mama programme to expand access to private sector, expand the benefit package and change its management. An interrupted time-series analysis on facility deliveries, antenatal care (ANC) and postnatal care (PNC) visits data between 2012 and 2019 was used to determine the effect of the two free maternity policies. These data were from 5419 public and 305 private and faith-based facilities across all counties, with data sourced from the health information system. A segmented negative binomial regression with seasonality accounted for, was used to determine the level (immediate) effect and trend (month-on-month) effect of the policies. The 2013 free-maternity policy led to a 19.6% and 28.9% level increase in normal deliveries and caesarean sections, respectively, in public facilities. There was also a 1.4% trend decrease in caesarean sections in public facilities. A level decrease followed by a trend increase in PNC visits was reported in public facilities. For private and faith-based facilities, there was a...Continue Reading

References

May 8, 1995·Health Policy and Planning·G MwabuW Liambila
Oct 1, 2005·BMJ : British Medical Journal·Lucy Gilson, Di McIntyre
Oct 10, 2006·Lancet·Oona M R CampbellUNKNOWN Lancet Maternal Survival Series steering group
Nov 26, 2008·Bulletin of the World Health Organization·Mylene Lagarde, Natasha Palmer
May 9, 2009·International Journal for Equity in Health·Jane ChumaCatherine Molyneux
Feb 2, 2013·Health Policy and Planning·Susie DzakpasuOona M R Campbell
Jun 11, 2016·International Journal of Epidemiology·James Lopez BernalAntonio Gasparrini
May 5, 2018·Acta Obstetricia Et Gynecologica Scandinavica·Lill Nyfløt, Vasilis Sitras
Jul 13, 2018·International Journal of Health Policy and Management·Eric TamaEdwine Barasa

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Citations

Aug 13, 2021·The International Journal of Health Planning and Management·Stacey OrangiEdwine Barasa
Sep 2, 2021·BMC Health Services Research·Michael L ScanlonAstrid Christoffersen-Deb

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