Determinants of utilization of maternity services in Gidan Igwe, Sokoto, Nigeria

Oche, Oche Mansur; Saeed, Umar; Adejoh, MO; Isah, HO; Ekele, BA

doi:10.4314/smj2.v13i3.64845

Cited by 4 publications

(5 citation statements)

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“…These findings suggest that these women are likely to have high proportion of complicated pregnancies, poor access and utilization of MCHS, which might have contributed to the high MMR as was similarly observed in other studies. [ 29 - 33 ] Furthermore, these high risk pregnancies coupled with short interval between births (25.3%) and grand multipara (50.6%) as observed in this study, could be the underlying root causes for most of the high proportion of preventable maternal deaths. [ 9 , 10 ] ANC is an objective strategy to effectively identify high risk pregnancies.…”

Section: Discussionmentioning

confidence: 77%

Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers

Umar¹,

Bawa

2015

Int. J. MCH AIDS

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Objective:In Nigeria, wide disparities exist between the different parts of the country, with the states in the North East zone having poor health resources. The objective of this study is to assess whether women’s biological, sociocultural, and economic characteristics are associated with utilization of ante natal care services as measured by number of antenatal care (ANC) visits in Yobe State.Methods:This is a secondary data analysis of the 2008 Nigeria Demographic and Health Survey with records from 33,385 women between 15-49 years who had given birth between January 2003 and December 2008 in Yobe State. Bivariate Pearson’s Chi square test and two stages of Multivariate regression analysis were conducted.Results:Women with at least primary level education (adjusted OR (AOR) = 2.40; CI 1.24 – 4.67), belonging to professional employment category (AOR = 12.07; CI 0.19 – 75.74) and those who had access to skilled health workers (AOR = 5.13; CI 2.50 – 10.52) are more likely to make the required number of ANC visits compared to those who are illiterates, unemployed and had no access to skilled health workers.Conclusion and Global Health Implications:This study demonstrated that educational level, family wealth income, and availability of skilled health worker were consistently associated with the number of ANC visits even after controlling for covariates. These three covariates are in tandem with the Millenium Development Goals (MDG) 1 - eradication of extreme poverty and hunger; MDG 2 - universal basic education; MDG 3 - gender equality; and MDG 4 - maternal mortality. There is the need for inter-sectoral holistic intervention approach.

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Section: Discussionmentioning

confidence: 77%

Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers

Umar¹,

Bawa

2015

Int. J. MCH AIDS

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“…10 A cross-sectional study conducted in north Western Ethiopia among 314 mothers who gave birth in the last 12 months in Sekele district, reported a very low (12.1%) institutional delivery, it was also found that knowledge of the mother on pregnancy and delivery was significantly associated with institutional delivery utilization (p < 0.05).…”

Section: 23mentioning

confidence: 99%

“…8 The proportion of the pregnant women utilizing delivery services in the study area was estimated at 32%. 10 The key to reducing maternal mortality ratio and improving maternal health is increasing attendance by skilled health personnel throughout pregnancy and delivery 12 Accessibility to health facilities and services in terms of distance, poor or lack of Ante-Natal Care (ANC) and delay in presentation to the hospital were among the risk factors leading to high maternal mortality in the study area. 13 A survey carried-out in Northern Nigerian States of Katsina, Yobe and Zamfara to assess the use of antenatal service and delivery care among 6,924 pregnant women attending ANC, it was found that most of the women (90.7%) delivered at home.…”

Section: 23mentioning

confidence: 99%

Effect of Health Education Intervention on Knowledge and Utilization of Health Facility Delivery Services by Pregnant Women in Sokoto State, Nigeria

Ango¹,

Oche²,

Abubakar³

et al. 2018

IJCMR

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Introduction: Although, maternal health care services have been found to improve the survival and quality of life for mothers and children, they are often underutilized by the mothers and children who are in greatest need. This study aimed to assess the effect of health education intervention on knowledge and utilization of health facility delivery services by pregnant women in Sokoto State, Nigeria.

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“…28 Overall this indicates the freedom of movement by married women as a variable to assess her level of autonomy showed variation among cultures of different parts of the world. Several studies have been reported on the poor use of MHS in East 18,29 and West 28,[30][31][32][33][34] African countries had indirectly suggested significant proportion of women are fully dependent on their husband and family in order to pay for services rendered in health facilities. By extension the authors in our opinion have indicated that, these women lack financial independence, incapable to decide on where and when to go and to get medical services as they are dependent on financial and mind set of whoever is going to pay their health bills.…”

Section: Discussionmentioning

confidence: 99%

Women Autonomy and the Use of Antenatal and Delivery Services in Nigeria

Saeed¹

2017

MOJPH

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The ability of a woman to make independent decision and appropriate action on her reproductive desires is dependent on her level of autonomy. This study was undertaken to determine whether the level of autonomy of Nigerian women influences the use of antenatal and delivery services. A quantitative cross-sectional study using the Demographic and Health Survey (DHS) to determine whether an association exists between women's autonomy and the appropriate use of prenatal and delivery services. A total of 22,556 women aged 15-49 years were recruited using a stratified two stage proportionate to size cluster sampling from all parts of Nigeria. About 43% of respondents indicated that they do not independently take decision on health issues relating to their health, are not allowed to venture out of their matrimonial homes without seeking for permission and have no income and thus categorized as having no any form of autonomy. North East and South West zones had the lowest (18%) and highest (62%) proportion of women with full autonomy). Women with full autonomy are more likely to use prenatal (unadjusted odd ratio=2.229; CI 2.094-2.373) and delivery (Unadjusted Odd Ratio=3.795; CI 3.523-4.088)) services as recommended compared to women with no any form of autonomy (Adjusted Odd Ratio=1.129; CI 1.117-1.146; p<.05). This study demonstrated that autonomy influences the use of Maternal Health Services (MHS) in Nigeria. There is the need for policy change on girl's education and women employment as well as dialogue with relevant Sociocultural structure like religious and traditional leaders in order to improve the level of autonomy and ultimately high use of MHS.

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Determinants of utilization of maternity services in Gidan Igwe, Sokoto, Nigeria

Cited by 4 publications

References 0 publications

Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers

Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers

Effect of Health Education Intervention on Knowledge and Utilization of Health Facility Delivery Services by Pregnant Women in Sokoto State, Nigeria

Women Autonomy and the Use of Antenatal and Delivery Services in Nigeria

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