Determinants of Maternal Health Care Utilization in Nigeria: a multilevel approach

Ononokpono, Dorothy N.; Odimegwu, Clifford Obby

doi:10.11604/pamj.supp.2014.17.1.3596

Cited by 76 publications

(92 citation statements)

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“…Economic status of women is reported in many studies to have significant effects on the use of skilled delivery service (Moyer & Mustafa 2013) and some linkage has also been established with respect to women autonomy and utilization of skilled delivery services (Byford Richardson et al, 2013; Moyer and Mustafa, 2013). Women who have freedom to make decisions pertaining to their health are more likely to utilize delivery services (Ononokpono & Odimegwu 2013). These studies contradict the findings in this study which noted that the CHVs have a big effect on the women"s influence on choice of place of delivery 44.5% ( figure 3).…”

Section: Discussion:-contrasting

confidence: 74%

Health Facility Factors and Individual Factors as Predictors of Uptake of Skilled Birth Services in Lurambi Sub County, Kenya.

Mukaka¹

2019

IJAR

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Introduction: Factors determining maternity services utilization are diverse and yet interrelated. They can be grouped into five main factors namely socio cultural factors, Physical access, and economic access, past obstetric experience and perceived benefit or quality of care. Objective: To determine predictors of uptake of skilled birth services in Lurambi sub-County. Methodology: A descriptive cross-sectional study adopting Quantitative methods. The study was carried out in Kakamega County and Sampling frame consisting of all the 17 government facilities were used. A multistage stratified sampling strategy was used and Probability sampling technique of systematic sampling applied to select women seeking health facility delivery services in Lurambi sub county government facilities (n = 200). Data was analyzed through descriptive statistics, chi-square test and logistic regression. Results: The majority of the women were aged 20-35 years (70.5%) and 66% were married. About 40% had 1-2 children and majority had attained secondary education at 48.5% as the highest educational level. A majority of the women were business people at 25.5% and CHVs have a bigger role in deciding where the mothers deliver at 42%. Majority of the mothers 77.5% were less wealthy and a majority of them attended the ANC clinic at 98.5%. Chi square analysis showed that there was no statistically significant relationship between the skilled service delivery and age X2 (1, N=200) =0.22, p>0.05. Multinomial logistic regression was done, and the results showed people with one to two children were 1.7 times more likely (OR=1.17, 95% C.I, 0.4-3.8) to belong to the "poor birth service" group than the "good birth service" group compared to respondents who had seven children and above. With regards to marital status, respondents who were divorced from their spouses received good birth services (66.7%), while majority of the married people received poor birth services (55.6%). Results from chi square test showed that there was a statistically significant relationship between marital status and uptake of skilled birth service X2 (4, N=248) =39.109, p<0.05. Bivariate analysis on health facility related factors that are associated with uptake of skilled service delivery showed that there was a borderline

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Section: Discussion:-contrasting

confidence: 74%

Health Facility Factors and Individual Factors as Predictors of Uptake of Skilled Birth Services in Lurambi Sub County, Kenya.

Mukaka¹

2019

IJAR

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“…Women's individual responses were nested in communities. Communities were represented by DHS primary sampling units of about 20–200 people because they are the most consistent measure of community between DHS data sets and have been used to represent community in a number of multilevel studies using DHS data .…”

Section: Methodsmentioning

confidence: 99%

Context matters: a multicountry analysis of individual‐ and neighbourhood‐level factors associated with women's sanitation use in sub‐Saharan Africa

Winter

Dreibelbis

Barchi

2017

Tropical Med Int Health

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International development goals for sanitation are frequently framed in terms of availability, implicitly suggesting that if facilities are accessible, they will be used. A more nuanced view that takes into account not only the existence of facilities but also the factors influencing their use is needed to understand the dynamics of women's sanitation use in the region. Policies focused on availability may not yield the desired public health benefits from improved sanitation in sub-Saharan Africa. Context-relevant factors must be addressed concurrently to achieve sanitation development goals.

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“…Adamu (2011) found that the utilization of maternal health care service varied across the regions of Nigeria, and that education and family wealth index were strongly related to service utilization in all the regions. Although researchers have identified socioeconomic and demographic factors associated with the use of ANC and delivery care (Bullock, Bloom, Davis, Kilburn, & Curry, 2006;Ononokpono & Odimegwu, 2014;Rai, Singh, Singh, & Kumar, 2014), the role that IPV plays in the utilization of ANC and delivery assistance from a skilled health provider has received less attention. Nigeria is a culturally diverse country with institutionalized gender roles and structural power imbalances between women and men.…”

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confidence: 99%

Intimate Partner Violence and the Utilization of Maternal Health Care Services in Nigeria

Ononokpono

Azfredrick

2014

Health Care for Women International

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Our aim in this study is to examine the association between women's lifetime experiences of physical, sexual, and emotional intimate partner violence (IPV) and the use of maternal health care services. We used data from the 2008 Nigeria Demographic and Health Survey. Analysis was based on responses from 17,476 women (for antenatal care [ANC]) and 17,412 (for delivery assisted by a skilled health provider) who had had deliveries in the 5 years preceding the survey. We found an overall IPV prevalence rate of 33.4%. Physical IPV was associated with low use of ANC. Emotionally abused women were less likely to use delivery assistance from skilled health care providers. Based on our findings, we suggest the importance of designing interventions to address the health care needs of women who have experienced violence from their partners.

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Determinants of Maternal Health Care Utilization in Nigeria: a multilevel approach

Cited by 76 publications

References 0 publications

Health Facility Factors and Individual Factors as Predictors of Uptake of Skilled Birth Services in Lurambi Sub County, Kenya.

Health Facility Factors and Individual Factors as Predictors of Uptake of Skilled Birth Services in Lurambi Sub County, Kenya.

Context matters: a multicountry analysis of individual‐ and neighbourhood‐level factors associated with women's sanitation use in sub‐Saharan Africa

Intimate Partner Violence and the Utilization of Maternal Health Care Services in Nigeria

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