Preference for private hospital-based maternity services in inner-city Lagos, Nigeria: An observational study
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Date
2010-08
Authors
Olusanya, B.O.
Roberts, A.A.
Olufunlayo, T.F.
Inem, V.A.
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Abstract
Objectives: To determine factors associated with maternal preference for delivery in private hospitals in an urban community in sub-Saharan Africa.
Methods: A cross-sectional study of socio-demographic and obstetric characteristics of mothers and their newborns attending Bacille Calmette-Guérin (BCG) immunization clinics in inner-city Lagos, Nigeria. Factors associated with delivery in private hospitals were determined using multivariable logistic regression analyses.
Results: Of the 3296 mothers enlisted for this study 1659 (50.3%) delivered in private hospitals and 1637 (49.7%) in public hospitals. Government hospitals had a higher proportion of doctors at delivery. Use of private obstetric services was significantly associated with ethnicity, religion, social class and obstetric history. Infants delivered at private hospitals were significantly more likely to be undernourished and have severe hyperbilirubinemia but less likely to be preterm and at no greater risk of hearing loss.
Conclusions: Current global strategies to expand facility-based deliveries in order to reduce maternal and child mortality rates need to be complemented by improved regulatory/supervisory framework at country levels to better serve mothers and their offspring in urban areas who may opt for private hospitals usually lacking adequate obstetric and pediatric facilities against the backdrop of the rapid urban transition in Africa.
Description
Scholarly article
Keywords
Private hospitals , Maternity services , Inner city , Lagos Nigeria , Research Subject Categories::MEDICINE
Citation
Olusanya BO, Roberts AA, Olufunlayo TF, Inem VA. Preference for private hospital-based maternity services in inner-city Lagos, Nigeria: An observational study. Health Policy. 2010 Aug;96(3):210-6. doi: 10.1016/j.healthpol.2010.02.002. Epub 2010 Mar 1. PMID: 20197207.