Utilisation of a community-based health facility in a low-income urban community in Ibadan, Nigeria

Adebayo, Ayodeji Matthew; Asuzu, Michael C.

doi:10.4102/phcfm.v7i1.735

Cited by 15 publications

(26 citation statements)

References 14 publications

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“…Specifically, the result in this study shows that one major reason why women failed to patronize health facility was the lack of confidence in healthcare system. This result is important against the backdrop of previous findings that implicated cost, distance, cultural values and education as determinants of patronage [23][24]. Thus, this study highlights the importance of confidence-building as a core component for achieving improved patronage of primary health care services and maternal and child survival.…”

Section: Discussionsupporting

confidence: 53%

Engendering maternal and child health care services in cross river state health agenda in Nigeria: what worked well in a pilot study

Salami¹,

Akeju²

2017

Res J of Womens Health

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Objective: This study assessed the performance of maternal and child health (MCH) services launched between 2009 and 2012, as a pilot program in two local government areas (LGAs) of Cross River State, Nigeria. Design: Interventions included: rebuilding existing staff capacity; regular supply of vaccines; improved work environment; enhancing community participation in promotion of MCH services; and strengthening the staff size by recruiting medical officers for supervision of activities and prompt response to complications. Methods: Through a 30 cluster sampling technique, a house-to-house survey approach was adopted to sample three categories of participants from 1,171 households at baseline and compare with performance of respondents from 1,299 households at end-line. Results: Results showed a 2.3% (from 11.2% to 8.9%) decrease in under-five mortality. Also, an 8% decrease in immunization rate was observed during the intervention year. There was significant improvement in the population of women who delivered babies at a health centre at baseline (30.7%) relative to the population who delivered during the intervention year (45.2%); showing a 15% impact attributable to the intervention programme. Results also show that the prevalence of diarrhea and malaria among under-fives reduced from 49% to 45% and 62.2% to 52.5% respectively. Primary health centre recorded the most increase in patronage from 21.9% at baseline to 40.7% at end-line. Conclusion: These results suggest the possibility of high rate of success for sustainable Development Goals (SDGs) pertaining to MCH in Nigeria if all stakeholders across the 774 LGAs provide the minimum inputs required to enhance the Primary Health Care (PHC) services.

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Section: Discussionsupporting

confidence: 53%

Engendering maternal and child health care services in cross river state health agenda in Nigeria: what worked well in a pilot study

Salami¹,

Akeju²

2017

Res J of Womens Health

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“…The high level of awareness of self-medication (98.4%) among the respondents in this study could be due to the fact that the respondents reside in urban communities, where most of the pharmacies and patent medicine stores are concentrated; and these drug outlets not only promote self-medication, but also threatens utilization of health facilities, as they mostly provide uncontrolled access of the populace to drugs. 28 The high prevalence of self-medication (67.9%) among the respondents in this study could be related to their low perception of the risks associated with the practice, as less than half of them (47.3%) perceived it as a serious threat to their health and the health of their unborn baby. In addition, perception of the risks of selfmedication was found to be a determinant of the practice in this study, with those that perceived self-medication as a threat to their health and the health of their unborn baby being 51.2% (aOR: 0.488, 95% CI: 0.274 -0.869, p = 0.015) less likely to self-medicate as compared to those who did not.…”

Section: Discussionmentioning

confidence: 75%

Awareness, Risk Perception and Practice of Self-Medication Among Pregnant Women Attending Ante-Natal Clinics in Sokoto, Nigeria

Attahiru

Awosan

Hassan

et al. 2018

J. Drug Delivery Ther.

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Background: In addition to its adverse health effects on mother and fetus, self-medication is believed to be one of the main driving forces behind the increasing burden of antimicrobial resistance worldwide. This study aimed to assess the awareness, risk perception and practice of self-medication among pregnant women attending antenatal clinics in Sokoto, Nigeria. Materials and Methods: A cross-sectional study was conducted among 315 pregnant women (selected by a two-stage sampling technique) attending the antenatal clinics of the Primary Healthcare Centres in Sokoto metropolis, Nigeria. Data were collected with a set of pretested, interviewer-administered, structured questionnaire. Data analysis was done using IBM SPSS version 20 statistical package. Results: Whereas, almost all the respondents (98.4%) were aware of self-medication, less than half of them (47.3%) perceived it as a serious threat to their health and the health of their unborn baby. Majority of respondents (67.9%) had self-medicated, with the most commonly self-medicated drugs being analgesics/antipyretics (35.1%), antimalarials (31.3%) and antibiotics (24.3%). The most commonly cited reasons for self-medicating were financial problems (28.5%), lack of the required drugs in the hospital (16.8%), lack of time (12.6%), and sickness being mild (9.8%). Self-medication practice was influenced by respondents' age, marital status, educational background and perception of risk. Conclusion: This study showed low risk perception and high prevalence of self-medication among pregnant women in Sokoto, Nigeria. Sensitization of members of the public on the hazards of self-medication, poverty alleviation, and provision of comprehensive healthcare services at subsidized prices for pregnant women are hereby suggested.

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“…Accordingly, the role of health facility delivery in preventing/treating pregnancy related complications and reducing maternal and neonatal mortality is indisputable. Despite this the utilization of health facilities and the rate of health facility delivery remains low in Nigeria with nearly one fifth of the deliveries occurring without anyone present during delivery [ 11 , 12 ]. Health facility delivery service utilization remains low in Ethiopia as well and as per one of the studies 85% of women in Ethiopia still deliver at home [ 13 ]…”

Section: Introductionmentioning

confidence: 99%

Why some women fail to give birth at health facilities: A comparative study between Ethiopia and Nigeria

et al. 2018

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BackgroundObstetric complications and maternal deaths can be prevented through safe delivery process. Facility based delivery significantly reduces maternal mortality by increasing women’s access to skilled personnel attendance. However, in sub-Saharan Africa, most deliveries take place without skilled attendants and outside health facilities. Utilization of facility-based delivery is affected by socio-cultural norms and several other factors including cost, long distance, accessibility and availability of quality services. This study examined country-level variations of the self-reported causes of not choosing to deliver at a health facility.MethodsCross-sectional data on 37,086 community dwelling women aged between 15–49 years were collected from DHS surveys in Ethiopia (n = 13,053) and Nigeria (n = 24,033). Outcome variables were the self-reported causes of not delivering at health facilities which were regressed against selected sociodemographic and community level determinants. In total eight items complaints were identified for non-use of facility delivery: 1) Cost too much 2) Facility not open, 3) Too far/no transport, 4) don’t trust facility/poor service, 5) No female provider, 6) Husband/family didn’t allow, 7) Not necessary, 8) Not customary. Multivariable regression methods were used for measuring the associations.ResultsIn both countries a large proportion of the women mentioned facility delivery as not necessary, 54.9% (52.3–57.9) in Nigeria and 45.4% (42.0–47.5) in Ethiopia. Significant urban-rural variations were observed in the prevalence of the self-reported causes of non-utilisation. Women in the rural areas are more likely to report delivering at health facility as not customary/not necessary and healthy facility too far/no transport. However, urban women were more likely to complain that husband/family did not allow and that the costs were too high.ConclusionWomen in the rural were more likely to regard facility delivery as unnecessary and complain about transportation and financial difficulties. In order to achieving the maternal mortality related targets, addressing regional disparities in accessing maternal healthcare services should be regarded as a priority of health promotion programs in Nigeria and Ethiopia.

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Utilisation of a community-based health facility in a low-income urban community in Ibadan, Nigeria

Cited by 15 publications

References 14 publications

Engendering maternal and child health care services in cross river state health agenda in Nigeria: what worked well in a pilot study

Engendering maternal and child health care services in cross river state health agenda in Nigeria: what worked well in a pilot study

Awareness, Risk Perception and Practice of Self-Medication Among Pregnant Women Attending Ante-Natal Clinics in Sokoto, Nigeria

Why some women fail to give birth at health facilities: A comparative study between Ethiopia and Nigeria

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