The goal of this debate is to introduce a set of principles from the field of behavioral economics that could be engineered into interventions to improve utilization of services and retention of mothers through high quality prevention of mother-to-child transmission (PMTCT) programs.
And there was evidence to show that such community-led structural interventions helped reduce the rates of HIV and STIs, 39 stigma, and violence, and have improved utilization of services from public health care facilities, 40 safe sex behaviors, and self- and collective empowerment.
Both government and development partners must carefully balance their HRH investments, however, enhancing capacity in the busiest health facilities to cope with growing workloads while also taking steps to develop capacity at less busy health facilities to improve utilization of services by the catchment population.
Longitudinal work is needed to answer the question of whether increases in physician concentrations will improve utilization of some services or what combination of inputs has the highest potential for improving utilization of essential services.
While there is a strong rationale for improving utilization of health services to improve maternal health, there are limited studies that identify factors affecting uptake of maternal health services, especially among vulnerable groups in Uganda.
Reforms and continuous evaluations are also essential for monitoring the model and improving utilization of health services.
It may be a key to improving utilization of maternal services in Nigeria and the sub-Saharan Africa as a whole.
The main objectives of HEP are to improve equity and access to essential health interventions at the community level by ensuring ownership and participation of the community, increasing health awareness and skills among community members, improving utilization of PHC services and promoting life styles which are conducive to good health [ 3, 4].
Very few studies have investigated the role of these community health workers in improving utilization of maternal health services.
By improving perceived quality of care, by reducing out-of-pocket and by ensuring financial protection reduces the overall delay (mainly first and second), the Nouna CBHI is expected to improving utilization of quality health services and reduction of mortality and morbidity.
This paper sought to contribute to the debate of effectiveness of community based health insurance schemes by assessing the effects of the Nouna community based health insurance scheme in improving utilization of quality health services and reduction of mortality and morbidity.
