Barriers to utilisation of maternal health services in a semi-urban community in northern Nigeria: The clients′ perspective

Idris, Suleiman; Sambo, Mohammed Nasir; Ibrahim, Muhammed Sani

doi:10.4103/0300-1652.108890

Cited by 94 publications

(136 citation statements)

References 14 publications

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“…Non past complications and negative Researchers andReviewers, 2006-2017: www.afrrevjo.net. Indexed African Journals Online: www.ajol.info provider attitude were reasons mothers gave for non utilization of maternal health services in northwestern Nigeria (Idris et al, 2013). Poor health seeking behaviours in terms of low antenatal care use, postnatal care use, and skilled birth attendant at delivery exist in rural Nigeria (Osubor, 2006).…”

Section: Introductionmentioning

confidence: 99%

Determinants of Maternal Healthcare Utilization in Nigeria

Ovikuomagbe¹

2017

Afr. Res. Rev.

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Reproductive healthcare has remained a point of concern in sub-Saharan Africa due to the prevailing high maternal mortality rate. Despite the fact that the utilization of maternal healthcare services is a curbing solution, the records of utilization still remains low. This paper examined the determinants of the decision to use healthcare services by women within the reproductive ages of 15 to 49 with at least a child. Logit models of the use of prenatal care only and the non-use of both prenatal and postnatal care were estimated. A probit regression was also estimated for the probability of child delivery in a hospital or maternity home. Urban and rural differentials were also estimated. Education significantly increased the utilization of prenatal care, postnatal care and a hospital or maternity home for delivery among both urban and rural women. Mothers' age and urban residence also significantly increased the utilization of prenatal and postnatal care but not the use of a hospital or maternity home for delivery. Shorter distance to clinics discouraged non-utilization of both prenatal and postnatal care. Acquiring at least a primary education, discouraging child marriages and early childbearing, and improving rural health infrastructures should be priority goals for policy.

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Section: Introductionmentioning

confidence: 99%

Determinants of Maternal Healthcare Utilization in Nigeria

Ovikuomagbe¹

2017

Afr. Res. Rev.

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“…In another baseline survey by UNFPA of UNFPA Assisted States in Nigeria, the proportion of women who delivered in a health facility was found to be high in Anambra (87.9%), Abia (82.8%), Osun (76.4%) and Ogun (74.2%) states, while in Sokoto (5.7%), Kebbi (8.2%) and Katsina (7.5%) states, the proportions were extremely low (UNFPA, 2010). Furthermore, a cross-sectional study carried out among women in a semi-urban settlement in Giwa, Northwestern Nigeria revealed that majority (76%) of the women had their deliveries at home and were not supervised by skilled personnel (Idris et al, 2013), while another study of women attending antenatal care at the Usmanu Danfodiyo University Teaching Hospital Sokoto showed that despite the fact that these women received antenatal care at the Tertiary Institution, 31.5% delivered elsewhere and majority (15.3%) of the deliveries elsewhere took place at the woman's home (Ekele and Tunau, 2007).…”

Section: Introductionmentioning

confidence: 99%

Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria

Shehu¹,

Ibrahim²,

Oche³

et al. 2016

J. Public Health Epidemiol.

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Child-birth is a risk producing event that requires timely and adequate medical intervention for women who experience obstetric complications. The provision of a health worker with midwifery skills at every birth, plus access to emergency hospital obstetric care, is the option to mitigate this risk. However, in sub Saharan Africa, most births take place outside health facilities and without skilled attendants. This study aimed to determine and compare the factors which influence the choice of place of delivery among women in an urban and a rural community in Sokoto. It was a cross-sectional comparative study of 600 randomly selected women of reproductive age, in Sokoto South and Gwadabawa Local Government Areas of Sokoto State, Nigeria using semi-structured interviewer administered questionnaires. The proportion of women who delivered in health facilities was 65.0 and 4.7% in the urban and rural groups, respectively; whereas the proportion that had skilled attendants at delivery was 70 and 4.3% in the urban and rural groups, respectively. Lack of consent from husband, no privacy in health facilities, distance to the health facility and non-availability of delivery wards were the reasons for home deliveries in the rural study group, while the emergency nature of labour was the reason in the urban group. Women residing in rural areas need health promotion interventions in order to meet the International Conference on Population and Development + target of achieving 90% births attended by skilled attendants by 2015.

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“…A 1991 national study found that most Muslim participants followed the religious injunction to procreate with a prevailing belief that children constitute a continuous flow of gifts from divine providence, and, as such, none should be refused 12 . Focus group discussions conducted with men and women in 2007 and 2013 showed that in Kano State, for example, this very literal interpretation of the scriptures still prevailed [13][14][15] . People wanted to have many children also so that their lineage is continued and their prestige improves.…”

Section: Demand For Family Planning Servicesmentioning

confidence: 99%

“…Couples in northern Nigeria desire many children, and therefore do not wish to use contraception [12][13][14][15] . Several religious and cultural norms contribute to this phenomenon.…”

Section: Demand For Family Planning Servicesmentioning

confidence: 99%

Demand for Women’s Health Services in Northern Nigeria: A Review of the Literature

Sinaï

Anyanti

Khan³

et al. 2017

Afr J Reprod Health

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Demand for and utilization of women's health services in northern Nigeria are consistently low and health indicators in the region are among the poorest in the world. This literature review focuses on social and cultural barriers to contraceptive use, antenatal care, and facility births in northern Nigeria, and influencers of young women's health-seeking behavior. A thorough search of peer reviewed and grey literature yielded 41 publications that were synthesized and analyzed. The region's population is predominantly Muslim, practicing Islam as a complete way of life. While northern Nigerian society is slowly changing, most women still lack formal education, with a significant proportion married in their teens, and the majority neither socially nor economically empowered. The husband largely makes most household decisions, including utilization of healthcare services by members of his household. These practices directly impact women's health-seeking behaviors for themselves and for their children. Programs seeking to improve women's health outcomes in northern Nigeria should involve women's influencers to affect behavior change, including husbands, religious leaders, and others. More research is needed to identify pathways of information that can be utilized by programs designed to increase demand for health services. RésuméLa demande et l'utilisation des services de santé des femmes dans le nord du Nigeria sont toujours faibles et les indicateurs de santé dans la région sont parmi les plus pauvres du monde. Cette revue de la documentation se concentre sur les obstacles sociaux et culturels à l'utilisation de contraceptifs, les soins prénatals et les naissances dans des établissements dans le nord du Nigéria, et les influences du comportement de recherche de la santé des jeunes femmes. Une recherche approfondie de la documentation grise et évaluée par les pairs a permis d'obtenir 41 publications synthétisées et analysées. La population de la région est majoritairement musulmane, pratiquant l'islam comme toute une mode de vie. Tandis que la société au nord du Nigeria évolue lentement, la plupart des femmes manquent encore d'éducation formelle, avec une proportion importante mariée dans leur adolescence et la majorité n'étant ni socialement ni économiquement habilitée. Le mari prend en grande partie la plupart des décisions du ménage, y compris l'utilisation des services de santé par les membres de son ménage. Ces pratiques influent directement sur les comportements de recherche de la santé des femmes pour eux-mêmes et pour leurs enfants. Les programmes visant à améliorer les résultats de la santé des femmes dans le nord du Nigeria devraient impliquer les gens qui influencent des femmes pour affecter le changement de comportement, y compris les maris, les chefs religieux et d'autres. De plus amples recherches sont nécessaires pour identifier les voies d'information qui peuvent être utilisées par des programmes conçus pour accroître la demande de services de santé dans la région. (Afr J Reprod Health 2017;...

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Barriers to utilisation of maternal health services in a semi-urban community in northern Nigeria: The clients′ perspective

Cited by 94 publications

References 14 publications

Determinants of Maternal Healthcare Utilization in Nigeria

Determinants of Maternal Healthcare Utilization in Nigeria

Determinants of place of delivery: A comparison between an urban and a rural community in Nigeria

Demand for Women’s Health Services in Northern Nigeria: A Review of the Literature

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