Rural-urban differences in utilization of antenatal and delivery services in Ebonyi State, Nigeria

Eke, P C; Ossai, Edmund Ndudi; Azuogu, BN; Agu, PA; Ogbonnaya, Lawrence Ulu

doi:10.4103/njcp.njcp_629_19

Cited by 9 publications

(9 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Respondents with a family history of breast cancer had more BSE practices than respondents without a family history of breast cancer. This nding is in line with a study conducted on female undergraduate students in Nigeria [35] and Addis Ababa University [31]. This may be because individuals with a family history of breast cancer may be more likely to discuss their risk of developing breast cancer with healthcare providers, who may recommend regular BSE.…”

Section: Discussionsupporting

confidence: 86%

“…Studies carried out in Ethiopia on these population groups suggest the need for an intervention to increase BSE practices [21,[31][32][33][34]. Variables identi ed in previous studies as having a signi cant association with BSE practices among female university students were family history of breast cancer [31,32,35], college (medical and nonmedical) status [36,37], year of study [33], discussion with someone on BSE [32], information about BSE practices [38], knowledge about BSE [31][32][33]35], and positive attitudes toward BSE [31].…”

Section: Introduction Backgroundmentioning

confidence: 96%

See 1 more Smart Citation

Application of protection motivation theory to identify factors associated with breast self-examination behavior among female students at the University of Gondar: Structural equation modeling approach

Semagn,

Bisetegn,

Wolde

2023

Preprint

View full text Add to dashboard Cite

Background Most Ethiopian women with breast cancer present late-stage disease, and the majority of breast cancer cases occur at an early age. Promoting breast self-examination is one of the high priorities of health education and behavioral change communication interventions in Ethiopia. This study aimed to assess the magnitude and factors associated with breast self-examination behavior among undergraduate female students at the University of Gondar using protection motivation theory. Methods An institution-based cross-sectional study was conducted from May 20-June 15/2022. After the study participants were selected through a stratified simple random sampling technique, a self-administered questionnaire was used to collect data from 849 students. The data were entered into Epi Data version 4.6 and exported to STATA 14 and SPSS AMOS 26 for further data management and analysis. A descriptive analysis was performed. The path coefficient and the relationship between the variables were tested by structural equation modeling (SEM). A P value less than 0.05 was considered to indicate statistical significance. Results Only 6.77% (95% CI 5.20%, 8.78%) of female university students reported engaging in regular breast self-examination. Among the protection motivation theory constructs, response cost (β= -0.34; 95% CI, -0.84,0) and protection motivation (β = 0.34; 95% CI, 0.13,0.58) were found to have statistically significant direct associations with BSE behavior, whereas self-efficacy (β = 0.15; 95% CI, 0.05, 0.28), response efficacy (β = 0.05; 95% CI, 0.01, 0.13), and fear of breast cancer (β = 0.02; 95% CI,0, 0.07) had statistically significant indirect associations. Among the other covariates ever discussed about breast self-examination (β = 0.83; 95% CI = 0.44, 1.26), family history of breast cancer (β = 0.61; 95% CI = 0.07, 1.37), ever noticing a lump in a breast (β = 0.81; 95% CI = 0.38, 1.35), father educational status (β=-0.19; 95% CI=-0.38, -0.04), and knowledge about breast self-examination (β = 0.12; 95% CI = 0.05, 0.19) were found to have a statistically significant direct association with breast self-examination behavior. Conclusion Regular breast self-examination is very infrequent among undergraduate female university students. The coping appraisal component of protection motivation theory was significantly associated with breast self-examination behavior.

show abstract

Section: Discussionsupporting

confidence: 86%

Section: Introduction Backgroundmentioning

confidence: 96%

Application of protection motivation theory to identify factors associated with breast self-examination behavior among female students at the University of Gondar: Structural equation modeling approach

Semagn,

Bisetegn,

Wolde

2023

Preprint

View full text Add to dashboard Cite

show abstract

“…BSE and CBE play important roles in detection of breast cancer in its initial state which could increase survival rate and subsequently reduced diagnosis and treatment cost (5,6). According to a study done by Ossai et al in Nigeria, majority of their respondents had good knowledge, which was due to high level of awareness of BSE (10). The high percentage of moderate knowledge in our study was maybe due to the location of the study conducted in an urban area where healthcare facilities are widely available, and information can be easily accessed through the internet and television as illustrated in fig 1.…”

Section: Discussionmentioning

confidence: 53%

“…A self-administered questionnaire was used to collect the information from the respondents. The questionnaire was adapted from similar studies by Ossai et al, Al-Dubai et al, and Latiff Ismail et al (9,10,11). A pilot study was carried out beforehand among 24 women who underwent breast imaging examination to test the validity and reliability of the questionnaire.…”

Section: Instrumentmentioning

confidence: 99%

Evaluation of Knowledge, Practice, and Barriers Towards Breast Self-Examination (BSE)

Ismail¹,

Azman²,

Sudin³

et al. 2022

MJMHS

View full text Add to dashboard Cite

Introduction: Breast cancer affects 2.1 million women each year and causes the highest number of cancer-related deaths among women. Several modalities such as mammography, ultrasound, magnetic resonance imaging & biopsy are used for diagnostic purposes; clinical breast examination (CBE) & breast self-examination (BSE) are performed as part of screening approaches. The objective of this research is to evaluate knowledge, practices, and barriers to breast cancer. Methods: A cross-sectional study was carried out among 235 women in a tertiary hospital, from March to June 2020. Data were collected using a validated questionnaire adapted from previous study and distributed by hand. Results: Most of the respondents were single (68.9%), university graduate (82.6%) and students (39.6%). There was a significant difference between BSE performers and non-performers correlated to education level, marital status, occupation, family history of breast cancer, and knowledge level of BSE. BSE performers had lower mean scores for barriers compared to non-performers. Conclusion: Overall findings indicate respondents have a moderate knowledge level of BSE with 64.7% (n = 152). Other than that, 57.0% (n = 134) of women practice BSE. Thus, BSE educational programs should be carried out in society for the early detection of breast cancer.

show abstract

“…In this study, therefore, an attempt is made to determine measures that will foster optimal utilization of maternal and reproductive healthcare services among women in low-resourced Nigerian settings. The study becomes important in Nsukka Local Government Area (L.G.A), against the background that there is a bias about rural areas in the implementation and monitoring of institutional healthcare facilities (Eke et al, 2021). It is given the bias implicated in poor healthcare delivery, particularly in rural communities; that the study is anchored on the health service utilization model.…”

Section: Resultsmentioning

confidence: 99%

Optimizing the Utilization of Maternal and Reproductive Healthcare Services among Women in Low-Resourced Nigerian Settings

Ene

Ajibo

2023

Preprint

View full text Add to dashboard Cite

Introduction Quality care delivery is an essential lifesaving intervention for maternal healthcare and reduction in mortality from preventable reproductive conditions. In African countries like Nigeria, numerous perceptions and militating factors present unique challenges in optimizing the utilization of maternal and reproductive healthcare services. As women continuously evolve away from the utilization of healthcare services, achieving universal health coverage for all emerges as a matter of concern. Method A phenomenological and descriptive research design was used. The study participants comprised a total of 38 women including those in anti-natal care, postal-natal and two medical social workers. They were purposively selected from four healthcare institutions in Nsukka, Enugu State, Nigeria. Result Findings revealed that most rural women at the prenatal stage, utilize maternal healthcare services, but at the postnatal stage, they reject reproductive healthcare services owing to certain perceptions. Concerns about sub-optimal utilization of maternal and reproductive healthcare services were found under enabling, predisposing and need factors. Evidence-based interventions were instituting health insurance policies, improving the healthcare sector, personnel, collaboration among stakeholders, and grass-roots community education. Participants showed little knowledge of social workers’ engagement in healthcare institutions. Conclusion Functional network of care between private and public healthcare systems is the key to optimizing maternal and reproductive healthcare utilization. The study recommends stakeholder and community engagement in achieving functional networks of care, strengthening relational linkages between frontline health workers and equipping rural women with better knowledge on optimal utilization of maternal and reproductive healthcare services among women in low-and middle-income societies.

show abstract

Rural-urban differences in utilization of antenatal and delivery services in Ebonyi State, Nigeria

Cited by 9 publications

References 1 publication

Application of protection motivation theory to identify factors associated with breast self-examination behavior among female students at the University of Gondar: Structural equation modeling approach

Application of protection motivation theory to identify factors associated with breast self-examination behavior among female students at the University of Gondar: Structural equation modeling approach

Evaluation of Knowledge, Practice, and Barriers Towards Breast Self-Examination (BSE)

Optimizing the Utilization of Maternal and Reproductive Healthcare Services among Women in Low-Resourced Nigerian Settings

Contact Info

Product

Resources

About