Exploring providers’ perceived barriers to utilization of antenatal and delivery services in urban and rural communities of Ebonyi state, Nigeria: A qualitative study

Eke, Pearl Chizobam; Ossai, Edmund Ndudi; Eze, Irene Ifeyinwa; Ogbonnaya, Lawrence Ulu

doi:10.1371/journal.pone.0252024

Cited by 12 publications

(13 citation statements)

References 44 publications

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“…All the participants in urban and rural communities agreed on their husbands accompanying them during delivery. This is similar to what was obtained from the providers of maternal health care in the study area [ 12 ]. However, the women in the rural communities preferred attending antenatal care alone so the money they receive from their husbands will not be decreased should their husbands accompany them.…”

Section: Discussionsupporting

confidence: 88%

“…This includes the provision of material and financial needs during this crucial period and to remind and encourage them to attend antenatal care. In a qualitative study involving providers of maternal health services in Ebonyi state southeast Nigeria, all the participants were in agreement that men should be involved in all matters related to maternal healthcare [ 12 ]. A community based study that involved couples in Ethiopia established that there is a relationship between male partners’ involvement in maternal healthcare and utilization of some maternal health care services by female partners [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…This quality of care is however defined mainly by the experiences of the women or based on the opinion of other women. In a study among providers of maternal health services in urban and rural communities of Ebonyi state, Nigeria, most of the providers attested that the good utilization of their respective health facilities for antenatal and delivery services was due to the good care that they provide [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…The data management process has been described in a previous publication [ 12 ]. Qualitative data analysis (QDA) Miner Lite v2.0.6 was used in the analysis.…”

Section: Methodsmentioning

confidence: 99%

“…In a study in southeast Nigeria, providers of maternal health services in urban and rural communities identified ignorance on the values of antenatal care and delivery with a skilled provider as the main obstacle to the use of health facilities for such services [ 12 ]. Another study in north-central Nigeria concluded that even community members did not have knowledge of the benefits of health facility delivery [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Where, why and who delivers our babies? Examining the perspectives of women on utilization of antenatal and delivery services in a developing country

Ossai

Eze

Eke

et al. 2023

BMC Pregnancy Childbirth

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Background The differences in maternal mortality between developed and developing countries is due to differences in use of antenatal and delivery services. The study was designed to determine the views of women on utilization of antenatal and delivery services in urban and rural communities of Ebonyi state, Nigeria. Methods Community based descriptive exploratory study design was employed. Qualitative data was collected through use of pre-tested focus group discussion (FGD) guide. Eight FGDs were conducted among women who were pregnant and others who have delivered babies one year prior to the study. Four FGDs each were conducted in urban and rural communities. QDA Miner Lite v2.0.6 was used in the analysis of the data. Results Most of the participants in urban and rural areas prefer the man and woman deciding on where to receive antenatal and deliver care. All the participants in urban and rural communities wish for the support of their husbands when pregnant. Perceived quality of care is the major reason the women choose a facility for antenatal and delivery services. Others reasons included cost of services and proximity to a facility. Participants in rural communities were of the opinion that traditional birth attendants deliver unique services including helping women to achieve conception. For participants in urban, traditional birth attendants are very friendly and perhaps on divine assignment. These reasons explain why women still patronize their services. The major criticism of services of traditional birth attendants is their inability to manage complications associated with pregnancy and delivery. The major reasons why women delivery at home included poverty and cultural beliefs. Conclusions All efforts should be made to reduce the huge maternal death burden in Nigeria. This may necessitate the involvement of men and by extension communities in antenatal and delivery matters. There is need to train health workers in orthodox health facilities on delivery of quality healthcare. Public enlightenment on importance of health facility delivery will be of essence. Encouraging women to deliver in health facilities should be prioritized. This may entail the provision of free or subsidized delivery services. The deficiencies of primary health centers especially in rural communities should be addressed.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The data management process has been described in a previous publication [ 12 ]. Qualitative data analysis (QDA) Miner Lite v2.0.6 was used in the analysis.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Where, why and who delivers our babies? Examining the perspectives of women on utilization of antenatal and delivery services in a developing country

Ossai

Eze

Eke

et al. 2023

BMC Pregnancy Childbirth

Self Cite

View full text Add to dashboard Cite

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The “African Time” Syndrome: Understanding Lateness among Nigerian Public Service Workers

Onyishi

Ugwu

Ujoatuonu

et al. 2022

Journal of Social Service Research

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Unveiling Women’s Experiences Amidst the COVID-19 Pandemic in Nigeria: An Interpretive phenomenological analysis

Ndu

Teachman

Martin

et al. 2023

Preprint

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Background The past three years have seen an increasing gap in health inequalities in Nigeria’s health systems, with many women having trouble accessing health care due to persistent social determinants of health. Studies indicate that the amplified impact of the pandemic is due to the lack of contextual focus on response plans. This study used an interpretive phenomenological analysis to analyze women’s experiences with healthcare as the pandemic progressed in Nigeria. Methods Semi-structured interviews were conducted between August to November 2022. It was supplemented with three focus group discussions with mothers. The mothers were purposively recruited for their experiences with health care during the pandemic. The analysis of the interviews followed the interpretive phenomenological analysis approach. Results Twenty-four women aged 15 to 49 years with children between 0 and 5 years participated in this study. These women reported mixed experiences during the pandemic, with many attributing positive health behaviours to the pandemic. Following analysis, four themes emerged: i) Influence of diversity of Healthcare Practices and Beliefs on health-seeking behaviour; ii) Unpacking Systemic Barriers to Seeking Timely and Appropriate Health Care Services; iii) Women’s fear of contracting COVID-19; iv) Socioeconomic Burden for Holistic Health Care Delivery. Conclusion Health planners must examine contextual factors that drive health usage, especially potentially changing gender dynamics ahead of the next pandemic. This paper examined women’s decision to seek or not seek care, the type of care they received, and where they went for care. Women felt that the pandemic affected their decision to seek or not seek care. However, while they learned new behaviours that are now integrated into their daily lives, they also indicate that some behaviours are habitual and have persisted through the pandemic.

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Exploring providers’ perceived barriers to utilization of antenatal and delivery services in urban and rural communities of Ebonyi state, Nigeria: A qualitative study

Cited by 12 publications

References 44 publications

Where, why and who delivers our babies? Examining the perspectives of women on utilization of antenatal and delivery services in a developing country

Where, why and who delivers our babies? Examining the perspectives of women on utilization of antenatal and delivery services in a developing country

The “African Time” Syndrome: Understanding Lateness among Nigerian Public Service Workers

Unveiling Women’s Experiences Amidst the COVID-19 Pandemic in Nigeria: An Interpretive phenomenological analysis

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