2021
DOI: 10.1186/s12913-021-06204-x
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Gender discrimination as a barrier to high-quality maternal and newborn health care in Nigeria: findings from a cross-sectional quality of care assessment

Abstract: Background Poor reproductive, maternal, newborn, child, and adolescent health outcomes in Nigeria can be attributed to several factors, not limited to low health service coverage, a lack of quality care, and gender inequity. Providers’ gender-discriminatory attitudes, and men’s limited positive involvement correlate with poor utilization and quality of services. We conducted a study at the beginning of a large family planning (FP) and maternal, newborn, child, and adolescent health program in K… Show more

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Cited by 8 publications
(10 citation statements)
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“…In accord with our results, a study in Ethiopia did not demonstrate education as a predictor of good practice of ENC. 32 …”
Section: Discussionmentioning
confidence: 99%
“…In accord with our results, a study in Ethiopia did not demonstrate education as a predictor of good practice of ENC. 32 …”
Section: Discussionmentioning
confidence: 99%
“…(37)(38)(39)(40)(41)(42)(43)(44) In addition, we did not include unmet need for family planning such as reproductive health services and use of contraceptives as a control variable because of its strong correlation with self-reported GBD. (13,40,61) It is important to note that as an ecological study, we found an association between proportions of women who reported having experienced GBD and the regional MMR, but we did not investigate the relationship between a single woman being exposed to discrimination and the probability of her dying due to maternal health causes. Finally, we could not rule out endogeneity, as the same set of independent variables that are responsible for self-reported GBD may also be responsible for MMR.…”
Section: Discussionmentioning
confidence: 92%
“…In addition, given that disrespectful maternal health care provision at health facilities has been widely reported in SSA, targeted training of health care providers on topics such as GBD and genderbased violence could contribute to improving the situation. (11,13,14,64) Second, the limitations of our study points to the importance of better understanding and measuring the different dimensions and sources of GBD. While existing research has focused on associations between single dimensions of GBD, such as male-dominated intra-household resource allocation, and maternal health care outcomes, (11,14) limited evidence is available on the multidimensional effects of GBD on maternal health.…”
Section: Discussionmentioning
confidence: 99%
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