Choosing Not to Give Birth at a Health Facility in Nigeria: Where and Why?

Yaya, Sanni; Amouzou, Agbessi; Ekholuenetale, Michael; Udenigwe, Ogochukwu; Hudani, Alzahra; Shah, Vaibhav; Bishwajit, Ghose

doi:10.1080/23293691.2018.1463752

Cited by 5 publications

(7 citation statements)

References 22 publications

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“…Findings from the study not only further confirm low institutional delivery in Nigeria in line with previous findings in the country [6,13,17,8], it has also confirmed the significance of variables previously associated with institutional delivery [48,53,12,54,56,7,58]. However, the key issue that emerged from the study is that most pregnant women in the country live in households with no viable means of transportation to reduce their stress in moving from home to facility.…”

Section: Discussionsupporting

confidence: 86%

“…One important factor accounting for low institutional delivery in developing countries is poor or lack of transportation [12][13][14][15][16][17][18]. However, the issue of transportation seems to have been greatly overshadowed by more research attention on geographical or physical accessibility to maternal healthcare services [19][20][21][22][23][24][25].…”

Section: Introductionmentioning

confidence: 99%

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Household means of transportation and place of child delivery in Nigeria

Solanke¹,

Oluwatope²,

Adebayo³

et al. 2020

Preprint

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Background The means of transportation available to pregnant women in households may serve either as a driver or deterrent of institutional delivery. However, how household means of transportation associates with place of delivery has been less explored in Nigeria. Methods This study was based on pooled data of 2008-2013 Nigeria Demographic and Health Survey. The study analysed a weighted sample size of 6,540 women. The multilevel logistic regression model was applied using STATA 14. Results The study revealed 37% institutional delivery among women in Nigeria. Women whose household mode of transport were cars were twice more likely to have institutional delivery compared to women who had no viable household means of transportation (AOR=2.044, p<0.01; CI=1.781-2.345). Women who live in communities with high proportions of households with no means of transportation were 12.8% less likely to have institutional delivery (AOR=0.872, p=0.01; CI: 0.788-0.967). Women who live in communities with high proportions of household who owned motorcycle compared to those in communities with low proportion were 31.9% more likely to have institutional delivery (AOR=1.319, p<0.05; CI: 1.071-1.625). Women who live in communities with high proportions of households who owned cars compared to those in communities with low proportion were more than three times more likely to have institutional delivery (AOR=3.146, p<0.01; CI: 2.621-3.777).Conclusion Means of transportation significantly explains choice of place of child delivery in urban Nigeria. A public-private transport support programme to reduce transportation burden among pregnant women is imperative in the country.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Household means of transportation and place of child delivery in Nigeria

Solanke¹,

Oluwatope²,

Adebayo³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…In spite of the importance of such government action, health planners and authorities must clearly understand how Nigerian women perceive facility delivery. As revealed in existing studies (Ashimi & Amole, 2015; Kaba et al., 2016; Yaya et al., 2018) there are a lot of misconceptions about facility delivery among women in developing countries such as been perceived as anti‐custom/tradition (Kaba et al., 2016) not necessary (Yaya et al., 2018) or associated with caesarean section (Ashimi & Amole, 2015). Until such misconceptions are properly dispelled through comprehensive public health education, decisions to seek facility delivery may continue to be delayed among pregnant women in the country.…”

Section: Discussionmentioning

confidence: 99%

“…Studies in Nigeria (Ashimi & Amole, 2015; Fapohunda & Orobatan, 2013; Yaya et al., 2018) and many other developing countries (Asseffa, Fawole, & Arowojolu, 2016; Atusiimire, Waiswa, Atuyambe, Nankabirwa, & Okuga, 2019; Ejigu Tafere, Afework, & Yalew, 2018; Yaya, Bishwajit, & Ekholuenetale, 2017) have provided evidence of low levels of health facility delivery in several developing countries and have provided inputs for the development of workable strategies by identifying a wide spectrum of individual characteristics (such as poor maternal education, poor antenatal care visits, parity, lack of female autonomy, lack of viable means of transportation and poor economic condition) affecting the uptake of health facility delivery across developing countries with insufficient research attention on the community characteristics that may impede or enhance health facility delivery. Understanding the community characteristics affecting health facility delivery is crucial for informing strategies to boost the uptake of health facility delivery in the country.…”

Section: Introductionmentioning

confidence: 99%

To what extent do community characteristics drive health facility delivery? Findings among Women who had recent live births in Nigeria

Solanke

Rahman

Ogunjuyigbe

2020

Health Soc Care Community

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Existing studies have established several individual drivers of health facility delivery in many developing countries. However, the community characteristics that drive health facility delivery have been less studied across developing countries. This study thus examines the extent to which community characteristics drives health facility delivery among women who had recent live births in Nigeria based on data from the 2018 Nigeria Demographic and Health Survey (NDHS). A weighted sample size of 7,342 women was analysed. The outcome variable was health facility delivery. The explanatory variables were selected individual and community characteristics. Results show 39.7% prevalence of health facility delivery among the women. Findings further reveals that the community characteristics have significant effects on the variations in health facility delivery across the communities. Community characteristics significantly drive health facility delivery in Nigeria. More community‐based priority actions are required to improve demand for health facility delivery in the country.

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“… 10 Studies in Nigeria and Afghanistan showed that about 5% and 6% of women refused to deliver in a health facility due to the absence of female health care providers. 11 , 12 …”

Section: Introductionmentioning

confidence: 99%

Preference of birth attendant gender and associated factors among antenatal care attendants at Debre Markos town public health facilities, Northwest Ethiopia: A cross-sectional study design 2021

et al. 2022

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Objective: To assess the preference of birth attendant gender and associated factors among antenatal care attendants in Debre Markos town public health facilities, northwest Ethiopia, 2021. Method: A facility-based cross-sectional study was conducted from 8 January 2021 to 28 February 2021 at Debre Markos town public health facilities. A total of 662 study participants were selected by systematic random sampling technique. Pretested interviewer-administered structured questionnaires were used for data collection. Data were entered using Epi Data version 3.1 and analyzed using SPSS version 25. Bivariable and multivariable logistic regression were applied to identify factors associated with birth attendant gender preference. Association was described by the “odd ratio” along with a 95% confidence interval. Finally, a P value < 0.05 in the adjusted analysis was used to declare a significant association. Result: In this study, 644 women participated making a response rate of 97.3%. Of the total study participants, 108 (16.8%; 95% confidence interval: 13.8–19.4) preferred male birth attendants, while 232 (36%; 95% confidence interval: 32.5–39.8) preferred female birth attendants. Age (15–24) (adjusted odds ratio = 4.81, 95% confidence interval: 1.79, 12.94), no formal education (adjusted odds ratio = 2.94, 95% confidence interval: 1.32, 6.52), and primary education (adjusted odds ratio = 2.42, 95% confidence interval: 1.07, 5.47) were significantly associated with female birth attendant preference. A lack of formal education (adjusted odds ratio = 0.08; 95% confidence interval: 0.01, 0.68), secondary education (adjusted odds ratio = 0.34; 95% confidence interval: 0.16, 0.71), and history of assisted vaginal delivery (adjusted odds ratio = 3.72; 95% confidence interval: 1.40, 9.87) were significantly associated with a male birth attendant preference. Conclusion: A female birth attendant is preferred by almost one-third of pregnant mothers, while one-sixth preferred a male. The clients who were younger in age and lower in educational status were more likely to prefer female birth attendants, whereas those who had a history of assisted vaginal delivery were more likely to prefer male birth attendants. To have a mother in the continuum of care, it is crucial to take her preferences into account when providing services.

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Choosing Not to Give Birth at a Health Facility in Nigeria: Where and Why?

Cited by 5 publications

References 22 publications

Household means of transportation and place of child delivery in Nigeria

Household means of transportation and place of child delivery in Nigeria

To what extent do community characteristics drive health facility delivery? Findings among Women who had recent live births in Nigeria

Preference of birth attendant gender and associated factors among antenatal care attendants at Debre Markos town public health facilities, Northwest Ethiopia: A cross-sectional study design 2021

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