What compels enrollment in a mobile maternal health wallet? A mixed-methods doer/non-doer analysis in Analamanga, Madagascar.

ABSTRACT:

Background

Care-seeking during antenatal and intrapartum periods has remained persistently low in Madagascar, largely due to financial barriers. To bolster both care-seeking and health financing, a Mobile Maternal Health Wallet (MMHW) was developed and implemented in the Analamanga region, Madagascar. The MMHW, a service based on mobile money, enabled users to digitally save and pay for services at participating public health facilities. Here, we compare perspectives of those who enrolled (doers) and those who did not enroll (non-doers) in the MMHW to understand decision-making processes, interpersonal dynamics, and other factors that informed enrollment.

Methods

In this mixed methods study, we analyzed data from a quantitative survey (n = 477) examining predictors of enroll

SUBMITTER: Schafer LN 

PROVIDER: S-EPMC12687524 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature