Maternal Mortality During Developing Countries

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Maternal mortality in developing countries is alarmingly high when compared with developed countries. Africa has the highest burden in the world and Nigeria accounts for a significant proportion of these deaths (1). The 2013 Nigerian Demographic Health Survey reports maternal mortality in Nigeria at 576 deaths per 100,000 live births (2). One third of women in the country receive no antenatal service at all with much higher rates of this found in the rural areas compared with those in the urban regions (2).
The fifth millennium development goal (MDG) is to reduce by 75% maternal mortality by 75% between 1990 and 2015 (3). In 2004, Nigeria revised its National Health Policy with the main goal of providing adequate health care access to its
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The Nigerian Living Standard Survey approximates poverty incidence in Nigeria at around 54 per cent (5). Many governments are increasingly using financial incentives to improve utilization of health services across the developing world. As a new innovation to increase access to maternal health care services, the government of Nigeria introduced a pilot Conditional Cash Transfer (CCT) program in its primary health facilities in selected states across the country.
Conditional cash transfer programs in health operate on the premise of providing financial incentives to its users to promote health seeking behaviour. The beneficiaries of CCT are those who meet the conditions thus the CCT programs in health is usually designed to target specific populations for example pregnant women and expected to have positive impact on their health.
A CCT has a direct influence on poverty by making available instant additional income for the poor and they decide how to spend the provided cash (6). CCT programs have been widely used in health mostly in the Latin Americas but the past decade has seen an increase in the program in several other countries following recorded successes.(refs) Early CCT programs were developed to incentivise education by increasing school attendance rates (7). The first CCT programs in the world were in Mexico and Brazil (Opportunidades and Bolsa Familia respectively). By 2009, over 20 countries had implemented CCT programs with health components (6)
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