Many strategic challenges impeding the success of primary health care are rooted in weak strategic inputs, including intersectoral collaboration. Some encouraging evidence from programmes, projects, and studies suggests that intersectoral collaboration is feasible and useful. The strategy has the potential to fast-track the attainment of Millenium Development Goals. However, the strategy is not commonly utilised in developing countries. The health sector expects inputs from other sectors which may not necessarily subscribe to a shared responsibility for health improvement, whereas the public expects ‘‘health” from the health sector. Yet, the health sector rarely takes on initiatives in that direction. The sector is challenged to mobilise all stakeholders for intersectoral collaboration through advocacy and programming. Pilot projects are advised in order to allow for cumulative experience, incremental lessons and more supportive evidence.
Group health talks were conducted in Ekiadolor, Southern Nigeria, to improve male attitudes and practices regarding their involvement in prenatal care and family planning. Intervention planners highlight the importance of embedding local cultural norms along with co-opting gendered beliefs for purposes of planning and implementing the group talks. The authors facilitated 9 groups of adult males mostly from the traditional hierarchy of the community. Using gender theory as an analytical lens along with the application of local cultural beliefs and norms, a useful communication intervention was developed that increased the possibility of positive male engagement in maternal health in 1 Nigerian community.
The main study objectives were to highlight male attitudes and practices regarding safe motherhood, and to demonstrate the usefulness of qualitative research methods in studying behaviour-related health problems. The setting was Ekiadolor, a semiurban Nigerian community with an under-resourced district hospital. The study design was a qualitative research, using Focus Group Discussions (FGDs) with females and the local hospital staff as participants, triangulated with Free Listing Interviews (FLIs) and group interviews of males. The FGD findings showed a consensus that male practices and attitudes were generally unsatisfactory, as exemplified by physical violence against females, delay in enabling access to emergency obstetric care and a general perception that males were uncaring. However, many males paid parts of their partners' routine obstetric care bills. These findings were largely corroborated and enriched by those of the FLIs and group interviews, albeit with differing emphases; they provided vital inputs into health education of the community males. In conclusion, the wide range of attitudes and practices described, and the socioeconomic settings in which they occur, pose challenges and opportunities for behaviour change interventions primarily targeting males, poverty reduction and health service reforms. Health researchers are challenged to draw from the varied strengths of qualitative research methods. RÉSUMÉ"IL FAIT LE SIEN ET IL S'EN VA". Perceptions à l'égard des attitudes et des pratiques des hommes concernant la maternité sans danger à Ekiadolor, au sud du Nigéria Les objectifs principaux de l'étude étaient de mettre l'accent sur les attitudes et les pratiques des hommes concernant la maternité sans danger et de démontrer les bénéfices des méthodes de la recherche qualitative dans l'étude des problèmes de santé liés au comportement. Le cadre était Ekiadolor, une communauté semi-urbaine nigériane qui dispose d'un hôpital régional qui ne dispose pas de ressources nécessaires. La conception de l'étude était une recherche qualitative, à l'aide des Discussions à Groupe Cible (DGC) ayant les femmes et le personnel local de l'hôpital comme participants, triangulé avec les interviews libres (IL) et les interviews en groupe pour les hommes. Les résultats du DGC ont montré un consensus sur le fait que les pratiques et les attitudes des hommes étaient dans l'ensemble peu satisfaisantes, comme elles ont été manifestées par la violence physique contre les femmes, le retard par rapport à l'accès aux soins obstétriques d'urgence et une perception générale que les hommes sont insensibles. Néanmoins, beaucoup d'hommes ont payé une partie des facteurs de routine de leurs partenaires pour les soins obstétriques. Ces résultats ont été largement corroborés et enrichis par ceux des ILs et des interviews en groupes, quoique avec des accents différents; ils ont donné des apports importants à l'éducation de la santé des hommes dans la société. En conclusion, les grandes varieties d'attitudes et des pratiques dé...
Background. Birth preparedness and complication readiness (BPACR) has been advocated as a strategy to overcome costly delays in decision-making to seek skilled attendance at delivery, which in turn contribute significantly to maternal mortality from obstetric causes. Objective. To assess the determinants of BPACR among pregnant women in a rural community in Edo State, Nigeria. Methods. A descriptive cross-sectional study was done in Anegbette, a rural community in Etsako Central Local Government Area of Edo State. A house-to-house survey was carried out to identify pregnant women and all eligible women in the study area were included in the study. Results. A total of 277 pregnant women participated in the study. The mean age (standard deviation) of respondents was 28.7 (5.8) years. Less than half (134, 48.4%) of the respondents were well prepared while 143 (51.6%) were poorly prepared. After adjustment for confounding effect using binary logistic regression analysis, educational level (odds ratio (OR) 0.653, 95% confidence interval (CI) 0.330 -0.956), occupation (OR 0.384, 95% CI 0.148 -0.990) and utilisation of antenatal care (OR 3.407, 95% CI 1.830 -5.074) were significant predictors of BPACR. Conclusion. BPACR was poor among women in the rural community. In order to improve maternal health among rural women in Nigeria, government and donor agency funding for safe motherhood programmes should focus on female empowerment and encourage community participation towards promotion of maternal health. Birth preparedness and complication readiness (BPACR) has been advocated as a strategy to overcome costly delays in decision-making to seek skilled attendance at delivery, which in turn contribute significantly to maternal mortality from obstetric causes.[1] BPACR entails identifying a skilled provider and a birth location, learning to recognise the danger signs that may indicate life-threatening complications for the mother and baby, saving money and arranging for transportation, identifying a blood donor, identifying the nearest emer gency obstetric services should pregnant women, their families and communities need to seek assistance in case of emergencies.[2] In addition, BPACR requires health providers and facilities to be prepared to attend births and treat complications. [2] BPACR among pregnant women is significantly influenced by their socioeconomic characteristics, among other personal factors. A study conducted among women attending antenatal care in south eastern Nigeria found that although 70.6% of women were aware of BPACR, knowledge of key danger signs in pregnancy was low; educational status was identified to be the best predictor of BPACR.[3] Similarly, having a higher education, upper socioeconomic status and being married were identified as factors associated with good BPACR among women receiving antenatal care in Benin City [4] and Ile-Ife, [5] Nigeria. A community-based survey in northern Nigeria among 5 083 rural women recruited from three states found that BPACR practices were generally poor, with...
Concerns about research wrongdoing in biomedical research are growing in developing countries, where research ethics training and research regulatory systems are just emerging. In a first-time study in Africa, medical/dental researchers (N = 132) in two states in Nigeria were interviewed on a wide range of research wrongdoings and potential predictors. Using multivariate logistic regression, significant predictors of research wrongdoing were identified. Some 22.0% admitted to at least one of fabrication, falsification, and plagiarism, the predictors of which were knowledge gaps in research ethics and pressure to publish enough papers for promotion. Acknowledging inadequate knowledge of research ethics was a predictor of admitting a wrongdoing. Systems that support ethical research, including skilled training and funding, are recommended.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.