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Table 2 Study findings

From: Maternal perceptions of the quality of Care in the Free Maternal Care Policy in sub-Sahara Africa: a systematic scoping review

Author & Date Study Pop. Type of healthcare financing policy Significant study findings Perception of the quality of care
Amo-Adjei et al., 2016 [56] Pregnant women Free maternal healthcare The quality of care rendered to card bearers of the National Health Insurance Scheme was worse and some form of illegal out-of-pocket payment was found. Poor
Dalinjong et al., 2012 [4] Pregnant women Free maternal healthcare Clients experienced long waiting times, verbal abuse, and discriminated by providers. Poor
Koroma et al., 2017 [17] Pregnant women and health providers Free maternal healthcare Inadequate beds, drug supplies, no potable water, and poor reception of providers and low skilled birth attendants. Poor
Kuwawenaruwa et al., 2019 [55] Pregnant women Free maternal healthcare Reduction of the financial burden for women, poor attitude of providers, ignorance of clients about the policy Poor
Dennis et al., 2019 [11] Pregnant women Free maternal healthcare Early initiation of ANC visit Good
Mahamoud, 2017 [54] Pregnant women Free maternal healthcare Available essential drugs, friendly provider-client relationship, clean environment High satisfaction rate Good
Ogbuabor and Onwujekwe 2018 [58] Pregnant women, managers, providers Free maternal healthcare Distrustful relationships with policymakers and providers, weak patient complaint system (No suggestions box to put it their grievances) Poor
Owiti et al., 2018 [51] Pregnant women Free maternal healthcare Low utilization of service due to perceived poor quality of care, ill-attitude of provider, fear of being charged for delivery. Poor
Philibert et al., 2014 [52] Pregnant women Free maternal healthcare High satisfactory rate of service and quality of care, providers give assurance, good nursing care and interaction, and clean environment Good
Belaid and Ridde, 2015 [57] Pregnant women, frontline managers, & Providers Partially free obstetric care Clients were charged for some drugs meant to be free, providers ill-attitudes and charging of illegal fees coupled with poor quality of care put clients off Poor
Ridde and Diarra 2009 [53] Pregnant women, and healthcare providers Free maternal healthcare Clients support user-fees abolition Good
Gitobu et al., 2018 [5] Pregnant women free maternal health policy More than half (54.5%) of the respondents were satisfied with all indicators, but the majority were unsatisfied with privacy, cleanliness and waiting time. Mixed perception
Ganle et al., 2014 [50] Pregnant women & health providers Free maternal healthcare Poor quality of care due to long lower staff strength, limited and unequal distribution of skilled workers Poor