What does quality maternity care mean in a context of medical pluralism? Perspectives of women in Nigeria

by Chimaraoke O Izugbara and Frederick Wekesah
Health Policy and Planning, czx131 – Published: 05 October 2017

8 pp. 183 kB
https://academic.oup.com/heapol/article-
pdf/doi/10.1093/heapol/czx131/20590089/czx131.pdf

User priorities regarding quality care in contexts of medical pluralism are poorly documented. Drawing on group and individual interviews with women, the authors interrogate ideas of quality maternity care in the context of Nigeria’s medical pluralism. They found complex utilization patterns for conventional, complementary and alternative maternity care services. Convenience, availability and affordability of maternal health services, as well as sociocultural factors were major influences on women’s use of services. Results demonstrate the embeddedness of women’s quality of care notions in the vast socioeconomic inequities that typify Nigeria’s particular form of poorly regulated medical pluralism, raising need for strategies to strengthen the delivery, coordination and supervision of maternal health services in the country.

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