Free Cesarean Sections in Nigeria: Can This Policy Truly Deliver?
Will this free cesarean section policy truly deliver for them? Only time will tell, but much more needs to be done to make it work for all women in Nigeria.
In Nigeria, over 80,000 women die each year from pregnancy and childbirth complications. Recently, Nigeria’s coordinating minister of health and social welfare, Muhammad Pate, announced the Maternal Mortality Reduction Initiative. It aims to provide free cesarean section (CS) and essential maternal care to poor women nationwide, ensuring safer childbirth and improved maternal health outcomes. Free CS is a life-saving solution. But while the idea is great, let’s take a closer look to unpack how it can really help Nigerian women.
To access the free CS, pregnant women must be enrolled in the country’s National Health Insurance Scheme, which covers pregnancy-related emergencies. Social welfare units in public hospitals will check if women qualify and can’t afford the procedure. But is this enough?
For a policy like this to work, it must be well-planned, involve many stakeholders, and take into account the rising cost of living, widespread poverty, and the large number of women in informal jobs who are not routinely covered by health insurance
The survival of women at childbirth hinges on availability of expertise to provide cesarean section when needed. A study found a national cesarean section prevalence of 17.6%, with a significantly higher prevalence in facilities in the south (25.5%) compared to the north (10.6%). The authors also identified higher prevalence of emergency cesarean section (75.9%) compared to elective CS (24.3%).
The Reality of Maternal Deaths in Nigeria
An unacceptable number of women in Nigeria die before, during, and after childbirth. Those 80,000 annual deaths are equivalent to 80% of the population of Seychelles.
This reaffirms Nigeria as a large country with an estimated population of more than 200 million; covering 36 states, the federal capital territory, and 774 local government areas.
For a policy like this to work, it must be well-planned, involve many stakeholders, and take into account the rising cost of living, widespread poverty, and the large number of women in informal jobs who are not routinely covered by health insurance.
Poverty is a big issue. Many women cannot afford hospital births and instead deliver in places like faith homes (run by churches) or with traditional birth attendants. If this policy is to work, women’s preference for health facility-based deliveries must improve significantly.
These are five ways to make the free CS policy truly equitable.
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