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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