Birth plans and health insurance enrolment of pregnant women: a cross-sectional survey at two secondary health facilities in Lagos, Nigeria.
OBJECTIVE
We evaluated birth plans and health insurance enrolment of pregnant women at secondary health care level as a strategy for post-2015 goals.


METHODS
This was a cross-sectional study at two secondary health facilities in Lagos state, Nigeria. A pre-tested questionnaire was used to collect data that were analysed and results presented with frequencies. An overall estimate with 95% confidence interval was used at significant p values of less than 0.05.


RESULTS
Five hundred and twenty-four women, with a mean age of 3 0 ± 4.1 years, participated. Most women chose hospital delivery (84%) and had plan for transportation (86.3%) during labour. Few women were well prepared for birth (9.7%) and had health insurance (10.1%). Compared with women without insurance, more health-insured women had plans for transport in labour (p = 0.1383) and identified a place of birth (p = 0.2294), but did not have as much plan for someone to accompany them in the case of an emergency (p = 0.3855) and donate blood (p = 0.5065). Few health insured women saved money for delivery (p = 0.7439).


CONCLUSIONS
Health insured women did not have better birth plans and expanding pregnant women's access to health insurance may be an insufficient strategy to achieve post MDG 2015 goals.
a Department of Obstetrics and Gynaecology and.
Babasola O
BO
Okusanya
b Department of Community Health and Primary Care , Idi-Araba, College of Medicine, University of Lagos , Lagos , Nigeria.
Alero A
AA
Roberts
b Department of Community Health and Primary Care , Idi-Araba, College of Medicine, University of Lagos , Lagos , Nigeria.
Oluwatosin J
OJ
Akinsola
a Department of Obstetrics and Gynaecology and.
Boniface A
BA
Oye-Adeniran
D000328:Adult; D003365:Costs and Cost Analysis; D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric / Q000191:economics*; D005260:Female; D006268:Health Facilities / Q000706:statistics & numerical data*; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data*; D007743:Labor, Obstetric; D008427:Maternal Health Services; D009549:Nigeria; D011247:Pregnancy; D037841:Pregnant People; D011795:Surveys and Questionnaires; D014186:Transportation
Maternal mortality; near-miss; severe maternal outcome