Prevalence, reasons and predictors for home births among pregnant women attending antenatal care in Birnin Kudu, North-west Nigeria

Ashimi, Adewale; Amole, Taiwo G.

doi:10.1016/j.srhc.2015.01.004

Cited by 33 publications

(39 citation statements)

References 16 publications

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“…This practice cuts across urban and rural communities hence the finding. Ashimi and Amole (2015), also reported similar findings in Birnin Kudu, North-West Nigeria. However, this finding may just be an association and not necessarily causal Distance to the health facility was also a statistically significant finding.…”

Section: Discussionsupporting

confidence: 70%

Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria

Shehu¹,

Ibrahim²,

Oche³

et al. 2016

J. Public Health Epidemiol.

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Child-birth is a risk producing event that requires timely and adequate medical intervention for women who experience obstetric complications. The provision of a health worker with midwifery skills at every birth, plus access to emergency hospital obstetric care, is the option to mitigate this risk. However, in sub Saharan Africa, most births take place outside health facilities and without skilled attendants. This study aimed to determine and compare the factors which influence the choice of place of delivery among women in an urban and a rural community in Sokoto. It was a cross-sectional comparative study of 600 randomly selected women of reproductive age, in Sokoto South and Gwadabawa Local Government Areas of Sokoto State, Nigeria using semi-structured interviewer administered questionnaires. The proportion of women who delivered in health facilities was 65.0 and 4.7% in the urban and rural groups, respectively; whereas the proportion that had skilled attendants at delivery was 70 and 4.3% in the urban and rural groups, respectively. Lack of consent from husband, no privacy in health facilities, distance to the health facility and non-availability of delivery wards were the reasons for home deliveries in the rural study group, while the emergency nature of labour was the reason in the urban group. Women residing in rural areas need health promotion interventions in order to meet the International Conference on Population and Development + target of achieving 90% births attended by skilled attendants by 2015.

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Section: Discussionsupporting

confidence: 70%

Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria

Shehu¹,

Ibrahim²,

Oche³

et al. 2016

J. Public Health Epidemiol.

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“…Ten studies were conducted in Southern [8, 33–41], and four in Northern Nigeria [42–45]. Five were done in rural settings [33–35, 42, 43] and nine in urban settings [8, 36–41, 44, 45]. Table 1 presents the summary results of the included studies.…”

Section: Resultsmentioning

confidence: 99%

“…Negative, poor and unfriendly provider attitude at their last delivery was reported by a range of 11.3% to 70.8% of women in eight cross-sectional surveys [8, 35–37, 39, 42, 43, 45]. Women reported insults without provocation and insensitiveness to patients [34].…”

Section: Resultsmentioning

confidence: 99%

“…The bad attitude of health workers was cited as one major motivation for women avoiding skilled delivery services [34, 36, 39, 42], and choosing to deliver at home or in spiritual church based centers [35, 43]. Some women reported presenting to the hospital was a last resort if they had not attended antenatal or previously booked in the hospital because the health staff were usually very rude and abusive [33, 42].…”

Section: Resultsmentioning

confidence: 99%

“…The existence of disrespect and abuse was essentially defined as ‘unfriendly, poor or negative staff attitude’ in many studies [35, 36, 43, 45]. This vague description is open to interpretation and difficult to address without context specific descriptions on what exactly was considered unfriendly or negative.…”

Section: Discussionmentioning

confidence: 99%

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Disrespect and abuse of women during childbirth in Nigeria: A systematic review

2017

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BackgroundPromoting respectful care at childbirth is important to improve quality of care and encourage women to utilize skilled delivery services. However, there has been a relative lack of public health research on this topic in Nigeria. A systematic review was conducted to synthesize current evidence on disrespect and abuse of women during childbirth in Nigeria in order to understand its nature and extent, contributing factors and consequences, and propose solutions.MethodsFive electronic databases were searched for relevant published studies, and five data sources for additional grey literature. A qualitative synthesis was conducted using the Bowser and Hill landscape analytical framework on disrespect and abuse of women during childbirth.ResultsFourteen studies were included in this review. Of these studies, eleven were cross sectional studies, one was a qualitative study and two used a mixed method approach. The type of abuse most frequently reported was non-dignified care in form of negative, poor and unfriendly provider attitude and the least frequent were physical abuse and detention in facilities. These behaviors were influenced by low socioeconomic status, lack of education and empowerment of women, poor provider training and supervision, weak health systems, lack of accountability and legal redress mechanisms. Overall, disrespectful and abusive behavior undermined the utilization of health facilities for delivery and created psychological distance between women and health providers.ConclusionThis systematic review documented a broad range of disrespectful and abusive behavior experienced by women during childbirth in Nigeria, their contributing factors and consequences. The nature of the factors influencing disrespectful and abusive behavior suggests that educating women on their rights, strengthening health systems to respond to specific needs of women at childbirth, improving providers training to encompass interpersonal aspects of care, and implementing and enforcing policies on respectful maternity care are important. This review has also shown that more robust research is needed to explore disrespect and abuse of women during childbirth in Nigeria and propose compelling interventions.

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Do the determinants of institutional delivery among childbearing women differ by health insurance enrolment? Findings from a population‐based study in Nigeria

Solanke

2021

Health Planning & Management

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Studies in Nigeria have identified several individual and contextual determinants of institutional delivery among childbearing women. However, it is not clear in literature whether these determinants are peculiar to women who enrolled or do not enrolled in health insurance schemes. This study compares the determinants of institutional delivery among childbearing women who either enrolled or do not enrolled in health insurance schemes in Nigeria. The study was based on women's data from the 2018 Nigeria Demographic and Health Survey. A weighted sample size of 17,465 women was analysed. Stata 14 was used to perform data analysis. Three binary logistic regression models were estimated. Results show higher prevalence of institutional delivery among women who enrolled in health insurance (39.3% vs. 70.5%). Result further reveal differences in the determinants of institutional delivery among the women with sex of head of household (adjusted odds ratio [AOR] ¼ 1.340, p < 0.05; 95% CI: 1.121-1.602), type of marriage (AOR ¼ 0.817, p < 0.05; 95%

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Prevalence, reasons and predictors for home births among pregnant women attending antenatal care in Birnin Kudu, North-west Nigeria

Cited by 33 publications

References 16 publications

Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria

Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria

Disrespect and abuse of women during childbirth in Nigeria: A systematic review

Do the determinants of institutional delivery among childbearing women differ by health insurance enrolment? Findings from a population‐based study in Nigeria

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