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Table 5 Impact of the FHCI on the utilisation of maternal health services

From: Free health care for under-fives, expectant and recent mothers? Evaluating the impact of Sierra Leone’s free health care initiative

  Model 1 (M1) Model 2 (M2) LL test (M2 vs. M1)
May’10 June’10a May’10 June’10  
Antenatal care (ANC) visits in public facilitiesb  
Coefficients  
 Time trend    0.016 0.019*  
 Policy 0.282** 0.245* 1.066** 1.059*  
 Policy * Time trend    −0.026* −0.029*  
Marginal effects (%)  
 Policy 1.0* 0.8* 4.2 4.1 3.38
Four ANC visits in public facilities (ANC4)b  
Coefficients  
 Time trend    0.004 0.003  
 Policy 0.118* 0.125** 0.260 0.396  
 Policy * Time trend    −0.005 −0.007  
Marginal effects (%)  
 Policy 2.0* 2.2** 4.6 7.0 0.7
Delivery in public facility  
Coefficients  
 Time trend    0.012* 0.006  
 Policy 0.231*** 0.295*** 0.208* 0.330**  
 Policy * Time trend    −0.007 −0.005  
Marginal effects (%)  
 Policy 4.8*** 6.1*** 4.3* 6.8** 9.34
Delivery in private facilityc  
Coefficients  
 Time trend    0.002 0.009  
 Policy 0.081 0.081 −0.236 −0.410  
 Policy * Time trend    0.007 0.005  
Delivery with trained health workerd  
Coefficients  
 Time trend    0.014** 0.005  
 Policy 0.241*** 0.310*** 0.135 0.263*  
 Policy * Time trend    −0.007 −0.002  
Marginal effects (%)  
 Policy 4.6*** 6.0*** 2.6 5.1* 16.87
Postnatal care within 48 h  
Coefficients  
 Time trend    0.033*** 0.034***  
 Policy 1.046*** 1.072*** 0.635*** 0.814***  
 Policy * Time trend    −0.013 −0.017**  
Marginal effects (%)  
 Policy 14.1*** 15.2*** 9.1*** 11.7*** 89.8
Vitamin A given postnatally  
Coefficients  
 Time trend    0.002 0.002  
 Policy 0.035 −0.081 0.782*** 0.924***  
 Policy * trend    −0.022* −0.024**  
Marginal effects (%)      
 Policy 0.5 −1.2 13.2*** 15.6*** 116
Infant DPT full coursee, f  
Coefficients  
 Time trend    0.026*** 0.026***  
 Policy 0.670*** 0.671*** 0.536*** 0.727***  
 Policy * Time trend    −0.014 −0.019**  
Marginal effects (%)  
 Policy 13.4*** 13.3*** 11.0*** 14.0*** 574
  1. All models control for covariates listed in Table 4 & estimated with district and time (month) random effects
  2. * p < 0.1, ** p < 0.05, *** p < 0.01
  3. aAlternative policy impact date suggested by the breakpoint function utilised
  4. bPolicy implementation assumed to be 9 months prior to delivery date
  5. cMarginal effects could not be estimated
  6. dIncludes doctor, midwife and MCH aide
  7. eSlightly lower but still significant result recorded where mother reported vaccinations also included
  8. fDeliveries excluded from November 2012 to allow for 1 year vaccination period