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Title: Priority Setting for Achieving Universal Health Coverage in Nigeria: A Spatial and Temporal Analysis and Cost-Benefit Analysis
Citation Type: Dissertation/Thesis
Publication Year: 2023
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Abstract: Universal Health Coverage (UHC) is an urgent global priority outlined in the Sustainable Development Goals (SDGs) to ensure the accessibility of health services for all people without causing financial hardship. If current progress continues to 2030, 37% to 61% of the global population will not be covered by essential health services.1 Therefore, we need to accelerate the increase of service coverage to achieve the UHC target by 2030. There are three specific aims of this dissertation; 1) To identify both individual and contextual factors that are consistently associated with utilization of nine essential maternal and child health services (i.e., ANC, facility-based delivery, modern contraceptive use, immunizations, and childhood illnesses), across survey years and household geolocations, using five national representative cross-sectional surveys in Nigeria; 2) To estimate grid-level coverage of selected essential MCH services in Nigeria using generalized additive models (GAMs) and Gradient Boosting (GB) 3) To estimate required costs and avoidable child deaths by increasing selected essential health service coverage in each community, and to identify the priority sub-national areas. This dissertation emphasizes the importance of multi-dimensional priority setting in achieving Universal Health Coverage in Nigeria. By identifying the factors influencing health service utilization, assessing regional disparities, estimating required costs, and quantifying potential impacts, policymakers can make evidence-based decisions to maximize the efficiency and effectiveness of healthcare interventions. The findings and recommendations of this research contribute to the broader global agenda of achieving UHC and improving health outcomes for all populations, particularly in low- and middle-income countries.
Url: https://www.proquest.com/docview/2838572892?pq-origsite=gscholar&fromopenview=true
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Authors: Kawakatsu, Yoshito
Institution: University of Washington
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Pages: 1-63
Data Collections: IPUMS Global Health - DHS
Topics: Health, Poverty and Welfare
Countries: Nigeria