Maternal Care Utilization in Primary Healthcare Centers in Nigerian Communities

Ahuru, Rolle Remi

doi:10.1177/0272684x20983956

Cited by 2 publications

(7 citation statements)

References 13 publications

(25 reference statements)

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“…Urhobo is the mother tongue of the dwellers in the communities. As it is a rural community, poverty and illiteracy rates are high ( 16 ). Though statistics on maternal mortality rate are not available, documented evidence shows that the rate of maternal care utilization is poor, and that several mothers still deliver outside health institutions ( 16 ).…”

Section: Methodsmentioning

confidence: 99%

“…The scheme covered free ANC services including drugs and ANC card, free vaginal and assisted vaginal delivery (forceps and vacuum), free post-abortion services, free management of ectopic pregnancy, free cesarean section (elective and emergency), and free laparotomy for obstetric complications ( 15 ). The aim of the scheme is to resolve financial barriers to maternal care utilization for all women in the state ( 16 ).…”

Section: Introductionmentioning

confidence: 99%

“…Household socioeconomic status is the main focus because we believe that in the era of free maternal care policy, the household socioeconomic status will have no significant impact on ANC utilization, since the free maternal care policy will resolve financial barriers and issues relating to the affordability of maternal care services (11,19). The study focuses on rural communities in Nigeria due to the fact that maternal mortality is higher among rural Nigerian women, and evidence shows that several barriers to maternal care utilization confront rural Nigerian women (12,16,20). The study undertook the following research objectives: (i) It examined the effect of household socioeconomic status on a minimum of eight ANC contacts (ii) It examined the effect of other sociodemographic factors on a minimum of eight antenatal contacts (iii) It compared the determinants of the new recommended ≥ 8 ANC contacts and that of the focused ANC of ≥ 4.…”

Section: Introductionmentioning

confidence: 99%

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Household Socioeconomic Status and Antenatal Care Utilization Among Women in the Reproductive-Age

Sui

Ahuru

Huang

et al. 2021

Front. Public Health

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The study examined the effect of household socioeconomic status and other socio-demographic characteristics on antenatal care (ANC) utilization among 819 women within the reproductive ages across eight rural communities in Delta State, Southern part of Nigeria. Characteristics of the women were described using simple proportion and frequency. The chi-square test was used to examine factors that were significantly associated with a minimum of four (≥4) and eight (≥8) antenatal care contacts, which were respectively in line with the focused ANC and WHO's new guideline. The multivariable logistic regression was used to examine the determinants of a minimum of four and eight ANC. Statistical analyses were set at 5%. The results showed that 31.4% (257/819) and 2.2% (18/819) of mothers, respectively, made ≥ 4 and ≥ 8 ANC contacts in the course of their last pregnancies. According to the results, the odds for reporting 4≥ and ≥ 8 ANC improved with both wealth and educational attainment. Distance to the health center and cost are barriers to maternal care utilization and they reduce the odds for undertaking ≥ 4 and ≥8 ANC contacts. Women on higher media exposure were more likely to undertake ≥ 4 and ≥8 ANC contacts, and those on the highest media exposure were more likely to undertake ≥8 ANC contacts. Financing maternal care through health insurance and free maternal care significantly improves the odds to undertake ≥ 4 and ≥ 8 ANC contacts. Intervention programs should be designed to improve access to maternal care services and should expand education opportunities for mothers, improve household socioeconomic conditions, and encourage enrolment in health insurance and free maternal care in the study area.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Household Socioeconomic Status and Antenatal Care Utilization Among Women in the Reproductive-Age

Sui

Ahuru

Huang

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

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“…Recent reports showed that annually 295,000 women die from pregnancy-related complications [2]. According to the World Health Organization (WHO), approximately 90 -95% of maternal deaths occur among resource-poor countries [2][3][4]. In 2016, it was reported that the proportion of maternal mortality ratio between resource-constrained settings and the developed world was 239 and 12 per 100,000 live births respectively [5].…”

Section: Introductionmentioning

confidence: 99%

“…Nigeria accounts for a disproportionate share of the global maternal mortality burden. Annually between 56,000 and 58,000 Nigerian women die from pregnancy-related complications [6][7][8]. Nigeria's maternal mortality rate (MMR) is one of the highest in the world.…”

Section: Introductionmentioning

confidence: 99%

Correlates of birth preparedness practices and complication readiness among women in eight communities in Delta State, Nigeria.

2021

HSI Journal

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Background: Birth preparedness helps women avert possible complications associated with delivery, hence promoting safe motherhood. Objective: In this paper, we assessed the magnitude of birth preparedness and complication readiness and its determinants among women within the reproductive ages selected from four rural communities in Delta State, Southern Nigeria. Methods: The study was a cross-sectional household survey. The study included a sample size of 400 women within the reproductive ages. Analyses were undertaken at two levels at univariate and multivariate. At univariate, simple percentages and frequencies were used to describe the feature of respondents. Multivariable logistic regression was used to determine the predictors of birth preparedness and complication readiness among the women. The results were presented as odds ratios at a 95%confidence interval. A p <0.05 was used to determine statistical significance. Results: The results revealed that 48.7% of the respondents were prepared for birth and 42.9% were prepared for complications. About 36.7% saved money for delivery expenses, 28.1% knew the signs for the onset of labour, 35.2% bought all the materials they needed and made them available for delivery, 24.7% reported they knew the exact date for their delivery and 26.6% saved funds for emergency complications. In addition, 52.1% of respondents had overall knowledge of obstetric complications. The logistic regression revealed that employment status, number of living children and set of communities were the significant predictors of birth preparedness plan and complication readiness among the study participants. Conclusion: The study concluded that the level of birth preparedness and complication readiness was low among women in Delta State, Nigeria. In addition, knowledge of danger signs was low. It is recommended that intervention programs that educate rural women on danger signs of complications and also on the benefits of birth preparedness should be implemented in a rural part of Nigeria.

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Maternal Care Utilization in Primary Healthcare Centers in Nigerian Communities

Cited by 2 publications

References 13 publications

Household Socioeconomic Status and Antenatal Care Utilization Among Women in the Reproductive-Age

Household Socioeconomic Status and Antenatal Care Utilization Among Women in the Reproductive-Age

Correlates of birth preparedness practices and complication readiness among women in eight communities in Delta State, Nigeria.

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