Uterine fibroids are the most common benign tumors and one of the foremost causes of infertility among women. While there are several clinic-based studies on the biological context of fibroid, very few had examined its socio-cultural context in a community study in Nigeria. This paper, therefore, examined health seeking behaviour of women living with fibroid in Tiv communities in Benue State, Nigeria. The study participants were selected from 4 Tiv speaking local government areas (Gboko, Makurdi, Ukum and Vandeikya) in Benue State through multi stage sampling technique. Sequential explanatory mixed method of data collection was used. Fibroid occurrence is common among women in age categories 30-39 (51%). All the respondents living fibroid sought treatment, however, 60% of the respondents prefer orthodox medical treatment while the remaining 40% prefer the traditional healing process. Income, proximity to healthcare facility, influence of relatives, friends, and health professionals have stronger influence on the health seeking behaviour of women living with fibroid. The health seeking is combination of both traditional and modern medicines while surgical procedure is less utilised. The study recommends an increased sensitization and awareness about fibroid.
In many sub-Saharan African countries, including Nigeria, pregnancy and childbirth complications are among the leading causes of mortality and morbidities among women of reproductive age especially in rural communities. This paper examined how women in rural Benue State prepare for births especially as it relates to utilization of maternal healthcare services to avoid potential pregnancy and childbirth related complications. It specifically investigated the factors that hinder rural women from birth preparedness and complication readiness (BPCR). The study which was anchored on Rational Choice Theory utilized intra method triangulation to elicit qualitative data from women of reproductive age (15-49), Woman leaders and community health personnel from 6 rural communities drawn from 3 local government areas in Benue State. Focus Group Discussions (FGDs) and In-depth Interviews (IDIs) were the main instruments used for data collection in order to capture the nuances involved. Findings indicate that utilization of maternal health services in preparation for births among rural women is poor. Cost of transportation, poor knowledge and concerns over cost of service were key barriers to BPCR. The study recommends that policy makers and all stake holders should intensify awareness on the needs and importance of BPCR, and that government should consider complete removal of user-fees on maternal healthcare services in order to improve BPCR.
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