Assessing the Impact of Task-Shifting on Infant, Maternal and Child Health Outcomes in Rural Nigeria

   By using a longitudinal panel data approach, this study assesses how task-shifting affects maternal, infant, and child health outcomes in underdeveloped Nigeria. An analysis was done of data from administrative health records, national health surveys, and reports from the Federal Ministry of Hea...

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Main Authors: Yusuf Adeniyi Jamiu, Muhammed Muritala Muhammed, Dauda Musa Segun
Format: Article
Language:English
Published: Faculty of Medicine, University of Kufa 2025-06-01
Series:مجلة الكوفة الطبية
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Online Access:https://journal.uokufa.edu.iq/index.php/kmj/article/view/18575
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author Yusuf Adeniyi Jamiu
Muhammed Muritala Muhammed
Dauda Musa Segun
author_facet Yusuf Adeniyi Jamiu
Muhammed Muritala Muhammed
Dauda Musa Segun
author_sort Yusuf Adeniyi Jamiu
collection DOAJ
description    By using a longitudinal panel data approach, this study assesses how task-shifting affects maternal, infant, and child health outcomes in underdeveloped Nigeria. An analysis was done of data from administrative health records, national health surveys, and reports from the Federal Ministry of Health, UNICEF, and WHO. By means of a difference-in-differences (DiD) econometric technique, the study aims to estimate the impact of task-shifting by analyzing health results before and after implementation in institutions with and without the intervention. Key dependent variables are maternal mortality rate, infant mortality rate, under-five mortality rate, and immunization coverage. Independent variables include the degree of training given, the number of non-physician health care providers, and the status of task-shifting implementation. Regional fixed effects, facility characteristics, and socioeconomic variables are among the control variables. In facilities where task-shifting was applied, the outcomes show a statistically significant decrease in maternal and child death rates as well as an increase in immunization coverage. The validity of the results is confirmed by robustness checks including placebo tests and sensitivity analyses. Task-shifting is shown in the research to be a successful tactic for bettering health results in rural areas with limited resources. It recommends policies to strengthen training and support for non-physician healthcare workers and urges more widespread adoption of task-shifting initiatives to more effectively improve maternal and child health.
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spelling doaj-art-dd06d2321c61492aabcd2f369f611c4e2025-08-20T02:36:42ZengFaculty of Medicine, University of Kufaمجلة الكوفة الطبية1993-517X2709-44642025-06-0121110.36330/kmj.v21.i1.18575Assessing the Impact of Task-Shifting on Infant, Maternal and Child Health Outcomes in Rural NigeriaYusuf Adeniyi Jamiu0Muhammed Muritala Muhammed1Dauda Musa Segun2Summit University, Offa, kwara State, Nigeria.University of Abuja, Abuja, Nigeria.University of Windsor, Ontario, Canada.    By using a longitudinal panel data approach, this study assesses how task-shifting affects maternal, infant, and child health outcomes in underdeveloped Nigeria. An analysis was done of data from administrative health records, national health surveys, and reports from the Federal Ministry of Health, UNICEF, and WHO. By means of a difference-in-differences (DiD) econometric technique, the study aims to estimate the impact of task-shifting by analyzing health results before and after implementation in institutions with and without the intervention. Key dependent variables are maternal mortality rate, infant mortality rate, under-five mortality rate, and immunization coverage. Independent variables include the degree of training given, the number of non-physician health care providers, and the status of task-shifting implementation. Regional fixed effects, facility characteristics, and socioeconomic variables are among the control variables. In facilities where task-shifting was applied, the outcomes show a statistically significant decrease in maternal and child death rates as well as an increase in immunization coverage. The validity of the results is confirmed by robustness checks including placebo tests and sensitivity analyses. Task-shifting is shown in the research to be a successful tactic for bettering health results in rural areas with limited resources. It recommends policies to strengthen training and support for non-physician healthcare workers and urges more widespread adoption of task-shifting initiatives to more effectively improve maternal and child health. https://journal.uokufa.edu.iq/index.php/kmj/article/view/18575Task-shifting, Maternal health, Child health, Difference-in-differences, Rural healthcare
spellingShingle Yusuf Adeniyi Jamiu
Muhammed Muritala Muhammed
Dauda Musa Segun
Assessing the Impact of Task-Shifting on Infant, Maternal and Child Health Outcomes in Rural Nigeria
مجلة الكوفة الطبية
Task-shifting, Maternal health, Child health, Difference-in-differences, Rural healthcare
title Assessing the Impact of Task-Shifting on Infant, Maternal and Child Health Outcomes in Rural Nigeria
title_full Assessing the Impact of Task-Shifting on Infant, Maternal and Child Health Outcomes in Rural Nigeria
title_fullStr Assessing the Impact of Task-Shifting on Infant, Maternal and Child Health Outcomes in Rural Nigeria
title_full_unstemmed Assessing the Impact of Task-Shifting on Infant, Maternal and Child Health Outcomes in Rural Nigeria
title_short Assessing the Impact of Task-Shifting on Infant, Maternal and Child Health Outcomes in Rural Nigeria
title_sort assessing the impact of task shifting on infant maternal and child health outcomes in rural nigeria
topic Task-shifting, Maternal health, Child health, Difference-in-differences, Rural healthcare
url https://journal.uokufa.edu.iq/index.php/kmj/article/view/18575
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