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Preference for private hospital-based maternity services in inner-city Lagos, Nigeria: An observational study

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  • Olusanya, Bolajoko O.
  • Roberts, Alero A.
  • Olufunlayo, Tolulope F.
  • Inem, Victor A.

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.

Suggested Citation

  • Olusanya, Bolajoko O. & Roberts, Alero A. & Olufunlayo, Tolulope F. & Inem, Victor A., 2010. "Preference for private hospital-based maternity services in inner-city Lagos, Nigeria: An observational study," Health Policy, Elsevier, vol. 96(3), pages 210-216, August.
    • Handle: RePEc:eee:hepoli:v:96:y:2010:i:3:p:210-216
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    1. Onah, Hyacinth Eze & Ikeako, Lawrence C. & Iloabachie, Gabriel C., 2006. "Factors associated with the use of maternity services in Enugu, southeastern Nigeria," Social Science & Medicine, Elsevier, vol. 63(7), pages 1870-1878, October.
    2. Stephenson, R. & Baschieri, A. & Clements, S. & Hennink, M. & Madise, N., 2006. "Contextual influences on the use of health facilities for childbirth in Africa," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 84-93.
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    1. Marin-Pantelescu Andreea & Hint Mihaela, 2020. "Romanian customers’ satisfactions regarding private health services," Proceedings of the International Conference on Business Excellence, Sciendo, vol. 14(1), pages 788-796, July.
    2. Eric Y. Tenkorang, 2016. "Type of Health Facility and Utilization of Antenatal Care Services Among Ghanaian Women," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(5), pages 631-650, October.
    3. Lila C. Fleming & Rashid Ansumana & Alfred S. Bockarie & Joel D. Alejandre & Karen K. Owen & Umaru Bangura & David H. Jimmy & Kevin M. Curtin & David A. Stenger & Kathryn H. Jacobsen, 2016. "Health-care availability, preference, and distance for women in urban Bo, Sierra Leone," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(9), pages 1079-1088, December.

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