Open Access
Utilization of Health Care Services by Pregnant Mothers during Delivery: A community based study in Nigeria.
B M Moore,BA Alex-Hart,I. O. George +2 more
- Vol. 2, Iss: 5, pp 864-867
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TLDR
In this article, the level of utilization of health care services by pregnant women during delivery in Gokana Local Government Area of River State Nigeria was determined by a cross-sectional questionnaire.Abstract:
Poor utilization of health facilities during delivery by pregnant mothers is still a major cause of maternal and childhood morbidity and mortality in Nigeria. The aim of this study was to determine the level of utilization of health care services by pregnant women during delivery in Gokana Local Government Area of River State Nigeria. This was a cross-sectional questionnaire; based study involving 112 mothers aged 15 years to 49 years from Gokana Local Government Area of Rivers State Nigeria. The local Government Area has 12 health centres and 6 health centres were selected by multistage sampling.112 were then selected by simple random sampling. Of the 112 mothers interviewed 91(81.3%) were married 13(11.6%) were single 5(4.5%) were widows 2(1.8%) divorced and 1(0.9%) separated. Ninety seven (86.6%) of these mothers (n=112) had formal education while 15 (13.4%) had no formal education. Most 42(37.5%) of the mothers were between 25-29 years. Sixty four (57.1%) of the 112 mothers in their recent delivery used a health facility while 48(42.9%) did not. Factors responsible for non utilization of health facility for delivery include: Long distance to health facility 33(68.7%) onset of labour at night 40(83.3%) unavailability of means of transportation 37(77.1%) Lack of money for transportation 26(54.2%) unsatisfactory services at health facility 26(54.2%) unfriendly attitude of staff of the health facility 34(70.8%) unavailability of staff at health facility 32(64.0%) lack of urgency at health facility 36(75.0%) previous uneventful delivery at the health facility 32(66.7%). Utilization of health care services during delivery in Nigeria is still poor. Concerted efforts should be made both at community and Government levels to improve utilization of health facility during delivery. This will go a long way in reducing maternal and child mortality.read more
Citations
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Why some women fail to give birth at health facilities: a qualitative study of women’s perceptions of perinatal care from rural Southern Malawi
TL;DR: Beliefs about labor and delivery that need to be addressed through provision of appropriate perinatal information to raise community awareness are revealed through face-to-face in-depth interviews.
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Disrespect and abuse of women during childbirth in Nigeria: A systematic review.
TL;DR: 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.
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Traditional beliefs and practices in pregnancy, childbirth and postpartum: A review of the evidence from Asian countries
TL;DR: Many Asian women continue to practice a wide range of traditional beliefs and practices during pregnancy, childbirth, and the postpartum period, which should understand, respect, and integrate cultural interpretations of childbirth and the needs of women and their families.
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Determinants of Maternal Health Care Utilization in Nigeria: a multilevel approach
TL;DR: Interventions aimed at promoting the use of health facility for childbirth should not only be implemented at the individual level but also tailored to the community level as interventions conceived without consideration for community context are likely to have limited impact.
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Do Malawian women critically assess the quality of care? A qualitative study on women’s perceptions of perinatal care at a district hospital in Malawi
TL;DR: Describing women’s perceptions on perinatal care among the women delivered at a district hospital in Malawi shows that women wanted to be well received at health facilities, respected, treated with kindness, dignity and not shouted at, and they were not critical of the care they received.
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Yusuf Çelik,David R. Hotchkiss +1 more
TL;DR: The results indicate that educational attainment, parity level, health insurance coverage, ethnicity, household wealth and geographic region are statistically significant factors that affect the use of health care services thought essential to reduce infant and child mortality rates.