Barriers to utilisation of maternal health services in a semi-urban community in northern Nigeria: The clients' perspective.
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It is recommended that while there is the need to raise awareness on the utilisation of maternal health services, bring it closer to the mothers and make it more affordable, there is a more pressing need to improve its quality, especially through the alleviation of negative attitude of health care providers.Abstract:
Background: Low level of utilisation of maternal health services is a major factor responsible for high maternal mortality in northwestern region of Nigeria This study was aimed at determining the barriers to utilisation of maternal health services from the perspective of mothers in northwestern Nigeria Materials and Methods: A cross-sectional study of 150 mothers, selected through multistage technique, was conducted Data were collected using a structured interviewer-administered questionnaire, and analysed using SPSS statistics 170 Results: Only 27% utilised preconception service, 987% antenatal care service (ANC), 240% delivery, 353% postnatal care and 140% utilised family planning service Major reasons for non-utilisation of delivery service were not having a delivery complication in the past (57% (CI = 474-661)) and negative provider attitude (237% (CI = 164-327)) For non-utilisation of postnatal care, the major reasons were also not having a postnatal complication in the past (608% (CI = 504-704)) and negative provider attitude (278% (CI = 194-380)) As for non-utilisation of family planning service, the major reason was desire to have more children (326% (CI = 247-414)) Reasons for non-use of preconception care and ANC were not computed because respondents to these questions were not enough; only 6 (40%) were aware of preconception care in the first place and only 2 (13%) were not using ANC Conclusion: Despite living near a health facility, most of the mothers were not using maternal health services It is recommended that while there is the need to raise awareness on the utilisation of maternal health services, bring it closer to the mothers and make it more affordable, there is a more pressing need to improve its quality, especially through the alleviation of negative attitude of health care providersread more
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Mistreatment of women during childbirth in Abuja, Nigeria: a qualitative study on perceptions and experiences of women and healthcare providers
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TL;DR: Any intervention to prevent mistreatment will need to be multifaceted, and implementers should consider lessons learned from related interventions, such as increasing audit and feedback including from women, promoting labor companionship and encouraging stress-coping training for providers.
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"By slapping their laps, the patient will know that you truly care for her": A qualitative study on social norms and acceptability of the mistreatment of women during childbirth in Abuja, Nigeria.
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TL;DR: Blaming women for mistreatment parallels the intimate partner violence literature, demonstrating how traditional practices and low status of women potentiate gender inequality.
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Women's knowledge and associated factors in preconception care in adet, west gojjam, northwest Ethiopia: a community based cross sectional study.
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References
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Trends in maternal mortality: 1990 to 2010. WHO UNICEF UNFPA and the World Bank estimates.
TL;DR: The MDG 5 Target 5A calls for the reduction of maternal mortality ratio by three quarters between 1990 and 2015 as mentioned in this paper, which has been a challenge to assess the extent of progress due to the lack of reliable and accurate maternal mortality data.
Journal ArticleDOI
Use pattern of maternal health services and determinants of skilled care during delivery in Southern Tanzania: implications for achievement of MDG-5 targets
Rose Nm Mpembeni,Japhet Killewo,Melkzedeck T Leshabari,Siriel Massawe,Albrecht Jahn,Declare Mushi,Hassan Mwakipa +6 more
TL;DR: Use of skilled care during delivery in this district is below the target set by ICPD + of attaining 80% of deliveries attended by skilled personnel by 2005, and the following are recommended in order to increase the pace towards achieving the MDG targets.
Journal ArticleDOI
Strategies for reducing maternal mortality in developing countries: what can we learn from the history of the industrialized West?
TL;DR: Analysis of the conditions under which the industrialized world has reduced maternal mortality over the last 100 years finds reduction in developing countries today is hindered by limited awareness of the magnitude and manageability of the problem, and ill‐informed professionalization strategies focusing on antenatal care and training of traditional birth attendants.
Journal ArticleDOI
Barriers to the use of antenatal and obstetric care services in rural Kano, Nigeria.
Y. Adamu,Hamisu M. Salihu +1 more
TL;DR: It is recommended that poverty reduction and economic empowerment of rural women are prerequisites for any tangible improvement in the utilisation of antenatal care and obstetric delivery services.
Journal ArticleDOI
Utilization of delivery services at the primary health care level in rural Vietnam.
TL;DR: The results show that client-perceived quality of services and socio-cultural and economic factors, rather than geographical access, can affect the utilization of delivery services.