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• W2488977564 abstract "Since the introduction of the millennium development goals (MDGs) 4 and 5 (2/3 reduction in child deaths and 3/4 reduction in maternal deaths) in 2000, various health policies have been adopted in Nigeria to improve quality and utilisation of maternal and child health services to provide access to cost-effective interventions to prevent or treat a majority of the causes of these deaths. However, improvements have been very slow. With the 2015 deadline for the MDGs approaching, it is necessary to reflect on why these reforms have been unsuccessful, and pilot strategies to overcome the challenges identified in order to accelerate the process of meeting the MDG targets. This paper discusses the introduction of a pay for performance (P4P) pilot to improve quality and utilisation of maternal and child health services in 3 out of 36 states in Nigeria, and its potential to address the challenges in the Nigerian health system (e.g. lack of transparency and poor governance). The promising early results of the P4P scheme in Nigeria and evidence of effectiveness of similar P4P schemes in other low and middle income countries (such as Rwanda and Tanzania), suggest that P4P might be a game changing health reform in Nigeria to improve the quality and utilisation of maternal and child health services and accelerate the progress of meeting the MDG targets." @default.
• W2488977564 created "2016-08-23" @default.
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• W2488977564 date "2015-07-17" @default.
• W2488977564 modified "2023-09-24" @default.
• W2488977564 title "Can Pay-For-Performance (P4P) Improve The Quality Of Maternal And Child Health Services In Nigeria? The Potentials And Preliminary Results" @default.
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