“He Would Have Been Born if Not For Emefiele”: Impact of Currency Redesign on Maternal Healthcare Services in Abeokuta, Southwest Nigeria

Abstract

Objectives: The article examined the impact of the currency redesign on maternal healthcare services in Abeokuta, Southwest Nigeria. The objectives of the study were to (i) investigate the impact of naira redesign on maternal healthcare services in Abeokuta, southwest Nigeria and (ii) identify the implications of these impacts on maternal healthcare services in Abeokuta, southwest Nigeria. Methods: The study adopted the qualitative method. Data for the study were elicited majorly from non-participant observation and interviews of 10 purposive women attending antenatal or postnatal clinics in private and community clinics in Abeokuta, southwest Nigeria. This was complemented with other secondary sources. The ages of the participants were between 18 and 42 years old. The criteria for including the volunteers were based on their status of either being pregnant or nursing mothers, their consents, and their willingness to take part in the study. The data were evaluated through descriptive narrative and thematic analysis. Results: The article found that pregnant women and nursing mothers were affected by the naira design in various ways. These were scarcity of cash, problems of transportation to healthcare facilities, problems of purchasing drugs and medications, problems of purchasing food items, problems of accessing medical services, problems of high cost of living, maternal and infant mortality, and morbidity. These have implications on sexual and reproductive health, national development, and human rights. Conclusion: The article concludes that the government and its agencies must make proper plans before making public policies and also carry stakeholders along in what must be an inclusive policy.

Keywords

• Currency redesign
• maternal healthcare
• mortality
• Nigeria
• public policy
• women

References

1. Adeyanju, O., Tubeuf, S., & Ensor, T. (2017). Socio-economic inequalities in access to maternal and child healthcare in Nigeria: Changes over time and decomposition analysis. Health Policy and Planning, 32(8), 1111–1118.
2. Adinma, J., Umeononihu, O. S., & Umeh, M. N. (2017). Maternal nutrition in Nigeria. Tropical Journal of Obstetrics and Gynaecology, 34(2), 79–84. https://www.tjogonline.com/text.asp?2017/34/2/79/213442 .
3. Ahinkorah, B. O., Ameyaw, E. K., Seidu, A. A., Odusina, E. K., Keetile, M., & Yaya, S. (2021). Examining barriers to healthcare access and utilization of antenatal care services: Evidence from demographic health surveys in sub-Saharan Africa. BMC Health Services Research, 21(1), 1–16.
4. Azuh, D. E., Azuh, A. E., Iweala, E. J., Adeloye, D., Akanbi, M., & Mordi, R. C. (2017). Factors influencing maternal mortality among rural communities in southwestern Nigeria. International Journal of Women’s Health, 9, 179–188. https://www.tandfonline.com/doi/epdf/10.2147/IJWH. S1201 84?needAccess=true.
5. CBN (2022) “Naira Redesign”. https://www.cbn.gov.ng/out/2022/ccd/naira_redesign.pdf.
6. Daily Trust (2023). Naira scarcity: Death figures spike in hospitals. https://dailytrust.com/naira-scarcity-death-f​igures-spike-in-hospitals/
7. Egugbo, C. C. (2020). Public policy discontinuity and poverty in Nigeria’s Fourth Republic: Implications for development. Journal of Public Administration, Finance and Law, 18, 17–25. https://www.jopafl.com/uploads/issue18/PUBLIC POLICY_DISCONTINUITY_ANDPOVERTY_IN_NIGERIA.pdf
8. Ekpenyong, M. S., Bond, C., & Matheson, D. (2019). Challenges of maternal and prenatal care in Nigeria. Journal of Intensive and Critical Care, 05(1), 1–6.

9. Emefiele, G. I. (2022). Press remarks on issuance of new naira banknotes. CBN. https://www.cbn.gov.ng/out/2022/ccd/press%20remarks%20on%20new%20naira%20banknotesoct2022%20final.pdf
10. Fed Ministry of Health (2019). National policy on the health and development of adolescents and young people in Nigeria: 2020–2024. https://scorecard.prb.org/wp-content/uploads/2022/03/National-Adolescent-Health-Policy_Revised_ 2019_ Post-NAHDWG_Post-NDHS_FNL15Nov2019.pdf
11. Health Policy Project (2011) Nigeria. http://www.healthpolicyproject.com/index.cfm?ID=country-Nigeria
12. SB Morgen (2020). Nigeria’s kidnap: Problem May 2020 the economics of the kidnap industry in Nigeria. SBM. https://www.sbmintel.com/wp-content/uploads/2020/05/202005_Nigeria-Kidnap.pdf
13. SB Morgen (2022). The economics of Nigeria’s kidnap industry. SB Morgen. https://www.sbmintel.com/wp-content/uploads/2022/08/202208_The-economics-of-Nigerias-kidnap-industry.pdf
14. Obamwonyi, S. E., & Aibieyi, S. (2014). Public policy failures in Nigeria: Pathway to underdevelopment. Journal of Policy and Development Studies, 9(1), 74–83. Retrieved from https://www.arabianjbmr.com/pdfs/JPDS_VOL_9_1 /5.pdf.
15. Odabi, H. (2023). Lady goes into labor while queuing for cash at bank in Port Harcourt (Video). Dabigal. https://thedabigal.com.ng/lady-goes-into-labor-while-queuing-for-cash-at-bank-in-port-harcourtvideo/accessed.
16. Ogbuabor, D. C., & Onwujekwe, O. E. (2018). Implementation of free maternal and child healthcare policies: Assessment of influence of context and institutional capacity of health facilities in South-East Nigeria. Global Health Action, 11(1), 1535031.
17. Okeh, A. (2023). PHOTOS: Elections: Customers besiege banks for cash in Abeokuta. Punch. https://punchng.com/photos-elections-customers-besiege-banks-for-cash-in-abeokuta/
18. Okonofua, F., Ntoimo, L., Ogungbangbe, J., Anjorin, S., Imongan, W., & Yaya, S. (2018). Predictors of women’s utilization of primary health care for skilled pregnancy care in rural Nigeria. BMC Pregnancy and Childbirth, 18(1), 106.
19. Olonade, O., Olawande, T. I., Alabi, O. J., & Imhonopi, D. (2019). Maternal Mortality and Maternal Health Care in Nigeria: Implications for socioeconomic development. Open Access Macedonian Journal of Medical Sciences, 7(5), 849–855.
20. Onoka, C. A., Onwujekwe, O. E., & Uzochukwu, B. S. C. (2010). Challenges in actual implementation of health policies: A review of payment exemption in Nigeria. Journal of College of Medicine, 15(2), 57–63.
21. Ope, B. W. (2020). Reducing maternal mortality in Nigeria: Addressing maternal health services’ perception and experience. Journal of Global Health Reports, 4.
22. Shuaibu, Z. Y. (2023). Pregnant woman dies in Kano hospital over payment alerts delay. Daily Trust. https://dailytrust.com/pregnant-woman-dies-in-kano-hospital-over-payment-alerts-delay/
23. Thompson, O. O. (2021). A History of Maternal Healthcare Services in Abeokuta, 1895-1987 (Unpublished PhD Thesis). University of Ilorin, Ilorin, Kwara State, Nigeria.
24. Thompson, O. O., Afolabi, A. S., Onifade, C. A., & Akinola, O. O. (2020). Causes and implications of public policy failures in Nigeria: The case of joint admission and matriculation board (JAMB). LIWURAM Journal of the Humanities, 21(2), 178–190.
25. Thompson, O. O., Njemanze, P. O. M., Aduradola, R. R., Onifade, C. A., & Boge, F. I. O. (2015). A dereliction of the child rights’ act: A diagnosis of a pretext in Nigerian context. IRORO, 16(1), 16–36
26. World Health Organization (2019). Maternal health in Nigeria: Generating information for action. https://www.who.int/news/item/25-06-2019-maternal-health-in-nigeria-generating-information-for-action
27. World Health Organization (2023a). A woman dies every two minutes due to pregnancy or childbirth: Un agencies. https://www.who.int/news/item/23-02-2023-a-woman-dies-every-two-minutes-due-to-pregnancy-or-childbirth--un-agencies
28. World Health Organization (2023b). Trends in maternal mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank group and UNDESA/population division.
29. WHO. World Health Organization (2023c). Maternal mortality. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
30. World Health Organization (n.d.). Life Expectancy: Nigeria. https ://data.who.int/countries /566