The Use of Maternal Health Services in Nigeria: Does Ethnicity and Religious Beliefs Matter?

Saeed, Umar

doi:10.15406/mojph.2017.06.00190

Cited by 5 publications

(6 citation statements)

References 23 publications

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“…This finding is consistent with a study in northeastern Ethiopia, where Christians were 2.2 times more likely to make fewer than the recommended number of ANC visits compared to Muslim women [41]. In Nigeria, Christian women were more likely to make the recommended number of ANC visits than fewer than the recommended number than Muslims [42]. The higher level of ANC use among women of certain religions could be attributed to theological differences and differences in lifestyle across various beliefs [12].…”

Section: Discussionsupporting

confidence: 90%

Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia

2020

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BackgroundIn Ethiopia, most women do not make the minimum number of antenatal care (ANC) visits recommended by WHO. This study modeled predisposing, enabling, need, and external environmental factors in the utilization of decentralized health facilities for ANC services in rural western Ethiopian communities. MethodsA community-based, cross-sectional study was conducted in Gida Ayana Woreda (District) among 454 women. Data were collected through structured questionnaires. Multinomial logistic regression was used to model the association between the explanatory variables and the use of recommended and fewer than recommended visits for ANC with reference to the base model, no ANC visits. ResultsOnly 15.2% of women made the recommended minimum number of ANC visits. Women with fewer than 2 children (AOR 10.7; 95% CI 3.0-8.4) were 10.7 times more likely received ANC service as recommended. Women with a delivery of 2 or more (AOR 9.7; 95% CI 3.7-5.2) home visits by health extension workers (HEWS) were 9.7 times more likely receiving minimum ANC services. Involvement in gainful activities had 4 times higher log odds of seeking recommended ANC (AOR 4.0; 95% CI 1.4-11.7). Women who experienced high fever were more likely to obtain the recommended ANC services (AOR 7.1; 95% CI 2.9-7.5). Residents of Ayana Kebele decentralization entity were 60% more likely to make the recommended number of visits to ANC (AOR 24.6; 95% CI 4.8-15.2).

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Section: Discussionsupporting

confidence: 90%

Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia

2020

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“…In addition, contrary to studies done in Nigeria, Ghana, Guinea and Bangladesh [ 42 – 45 ] that showed Muslim women to have lower odds of utilizing health facilities for childbirth compared to Christian women, our study showed Muslims to have higher odds of using health facilities for childbirth. Religious and ethnic cultural values and norms have been shown to influence choice of the place of childbirth [ 16 , 42 , 44 – 48 ]. Plausible explanations include differences in levels of literacy, empowerment, and autonomy among the different ethnic groups and differences in religious teachings and related preferences, and choices regarding the use of modern versus traditional medicine [ 44 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…Religious and ethnic cultural values and norms have been shown to influence choice of the place of childbirth [ 16 , 42 , 44 – 48 ]. Plausible explanations include differences in levels of literacy, empowerment, and autonomy among the different ethnic groups and differences in religious teachings and related preferences, and choices regarding the use of modern versus traditional medicine [ 44 , 45 ]. Rutaremwa et al showed that some cultural norms make women to adhere to very traditional childbirth practices and believe that pregnancy is a test of endurance [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…Rutaremwa et al showed that some cultural norms make women to adhere to very traditional childbirth practices and believe that pregnancy is a test of endurance [ 16 ]. Thus, in some Ugandan tribes, women are considered to be strong and independent if they can handle the childbirth process by themselves which discourages women from seeking professional maternity care and opt for childbirth outside health facilities [ 16 , 44 , 46 ]. However, there is need for further exploration of the impact of ethnicity and religion on the place of childbirth in Uganda.…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with health facility utilization during childbirth among 15 to 49-year-old women in Uganda: evidence from the Uganda demographic health survey 2016

Sserwanja¹,

Mukunya

Musaba

et al. 2021

BMC Health Serv Res

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Background Almost all maternal deaths and related morbidities occur in low-income countries. Childbirth supervised by a skilled provider in a health facility is a key intervention to prevent maternal and perinatal morbidity and mortality. Our study aimed to establish the factors associated with health facility utilization during childbirth in Uganda. Methods We used the Uganda Demographic and Health Survey 2016 data of 10,152 women aged 15 to 49 years. The study focused on their most recent live birth in 5 years preceding the survey. We applied multistage stratified sampling to select study participants and we conducted multivariable logistic regression to establish the factors associated with health facility utilization during childbirth, using SPSS (version 25). Results The proportion of women who gave birth at a health facility was 76.6% (7780/10,152: (95% confidence interval, CI, 75.8–77.5). The odds of women aged 15–19 years giving birth at health facilities were twice as those of women aged 40 to 49 years (adjusted odds ratio, AOR = 2.29; 95% CI: 1.71–3.07). Residing in urban areas and attending antenatal care (ANC) were associated with health facility use. The odds of women in the northern region of Uganda using health facilities were three times of those of women in the central region (AOR = 3.13; 95% CI: 2.15–4.56). Women with tertiary education (AOR = 4.96; 95% CI: 2.71–9.11) and those in the richest wealth quintile (AOR = 4.55; 95% CI: 3.27–6.32) had higher odds of using a health facility during child birth as compared to those with no education and those in the poorest wealth quintile, respectively. Muslims, Baganda, women exposed to mass media and having no problem with distance to health facility had higher odds of utilizing health facilities during childbirth as compared to Catholic, non Baganda, women not exposed to mass media and those having challenges with distance to access healthcare. Conclusion Health facility utilization during childbirth was high and it was associated with decreasing age, increasing level of education and wealth index, urban residence, Northern region of Uganda, ANC attendance, exposure to mass media, tribe, religion and distance to the nearby health facility. We recommend that interventions to promote health facility childbirths in Uganda target the poor, less educated, and older women especially those residing in rural areas with less exposure to mass media.

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“…In access to health, there has been an association between region (North and South Nigeria), ethnicity, religion and some socio-demographic characteristics of the mother, and the household. These associations have been attributed to the vast differences in regional and political environments, ethnicity and religion (Sadiq, 2017), cultural practices (Antai et al, 2009), health-seeking practices (Babalola and Fatusi, 2009) and socio-economic status IJSSP 41,5/6 between these two areas. Each ethnic group has its own peculiar cultural practices that may widen inequalities in child health and survival among ethnic groups.…”

Section: Stereotypes and Misconceptionsmentioning

confidence: 99%

Exploring the drivers of ethnic and religious exclusion from public services in Nigeria: implications for sustainable development goal 10

Uzochukwu

Okeke

Ogwezi

et al. 2020

IJSSP

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PurposeThe importance of social exclusion and the disadvantage experienced by many minority ethnic and religious populations are rooted in SDG 10. To address this exclusion effectively it is important to understand their key drivers. This paper aimed to establish the key drivers of exclusion and their outcomes in Nigeria.Design/methodology/approachThe methods involved a scoping review of literature and stakeholder workshops that focused on drivers of social exclusion of religious and ethnic minorities in public institutions.FindingsAt the macro level, the drivers include ineffective centralized federal State, competition for resources and power among groups, geographic developmental divide and socio-cultural/religious issues. At the meso-level are institutional rules and competition for resources, stereotypes and misconceptions, barriers to access and service provision. At the micro-level are socio-economic status and health-seeking behaviour. The perceived impact of social exclusion included increasing illiteracy, lack of employment, deteriorating health care services, increased social vices, communal clashes and insurgencies and vulnerability to exploitation and humiliation. These drivers must be taken into consideration in the development of interventions for preventing or reducing social exclusion of ethnic and religious minorities from public services.Originality/valueThis is a case of co-production by all the stakeholders and a novel way for the identification of drivers of social exclusion in public services in Nigeria. It is the first step towards solving the problem of exclusion and has implications for the achievement of SDG 10 in Nigeria.

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The Use of Maternal Health Services in Nigeria: Does Ethnicity and Religious Beliefs Matter?

Cited by 5 publications

References 23 publications

Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia

Using Andersen’s behavioral model of health care utilization in a decentralized program to examine the use of antenatal care in rural western Ethiopia

Factors associated with health facility utilization during childbirth among 15 to 49-year-old women in Uganda: evidence from the Uganda demographic health survey 2016

Exploring the drivers of ethnic and religious exclusion from public services in Nigeria: implications for sustainable development goal 10

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