Midwives as drivers of reproductive health commodity security in Kaduna State, Nigeria

Alayande, Audu; Mamman-Daura, Fatima; Adedeji, Olanike; Muhammad, Ado Zakari

doi:10.3109/13625187.2015.1137280

Cited by 8 publications

(8 citation statements)

References 2 publications

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“…Recognition of the unmet need for family planning has prompted the Nigerian government to collaborate with local and international partners in promoting modern contraceptive uptake (13, 28). For instance, with the support of the Reproductive Health Commodity Security Technical Working Group, the federal government of Nigeria developed a strategic plan for 2011–2015 and declared contraceptives free of charge at all public health facilities (29). …”

Section: Discussionmentioning

confidence: 99%

Association between Measures of Women’s Empowerment and Use of Modern Contraceptives: An Analysis of Nigeria’s Demographic and Health Surveys

Asaolu

Okafor

Ehiri

et al. 2017

Front. Public Health

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BackgroundWomen’s empowerment is hypothesized as a predictor of reproductive health outcomes. It is believed that empowered girls and women are more likely to delay marriage, plan their pregnancies, receive prenatal care, and have their childbirth attended by a skilled health provider. The objective of this study was to assess the association between women’s empowerment and use of modern contraception among a representative sample of Nigerian women.MethodsThis study used the 2003, 2008, and 2013 Nigeria Demographic and Health Survey data. The analytic sample was restricted to 35,633 women who expressed no desire to have children within 2 years following each survey, were undecided about timing for children, and who reported no desire for more children. Measures of women’s empowerment included their ability to partake in decisions pertaining to their healthcare, large household purchases, and visit to their family or relatives. Multivariable regression models adjusting for respondent’s age at first birth, religion, education, wealth status, number of children, and geopolitical region were used to measure the association between empowerment and use of modern contraceptives.ResultsThe proportion of women who participated in decisions to visit their relatives increased from 42.5% in 2003 to 50.6% in 2013. The prevalence of women involved in decision-making related to large household purchases increased from 24.3% in 2003 to 41.1% in 2013, while the proportion of those who partook in decision related to their health care increased from 28.4% in 2003 to 41.9% in 2013. Use of modern contraception was positively associated with women’s participation in decisions related to large household purchases [2008: adjusted OR (aOR) = 1.15; 95% CI = 1.01–1.31] and (2013; aOR = 1.60; 1.40–1.83), health care [2008: (aOR = 1.20; 1.04–1.39) and (2013; aOR = 1.39; 1.22–1.59)], and visiting family or relatives [2013; aOR = 1.58; 1.36–1.83]. The prevalence of modern contraceptive use among women with need for contraception increased marginally from 11.1% in 2003 to 12.8% in 2013.ConclusionAlthough there were marked improvements in all measures of women’s empowerment between 2003 and 2013 in Nigeria, the use of modern contraceptives increased only marginally during this period. Beyond women’s participation in household decision-making, further research is needed to elucidate how measures of women’s empowerment interact with cultural values and health system factors to influence women’s uptake of contraceptives.

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Section: Discussionmentioning

confidence: 99%

Association between Measures of Women’s Empowerment and Use of Modern Contraceptives: An Analysis of Nigeria’s Demographic and Health Surveys

Asaolu

Okafor

Ehiri

et al. 2017

Front. Public Health

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“…• Increased contraceptive prevalence rate (Nigeria) by engaging midwives in provision of family planning services [ 114 ]…”

Section: Resultsmentioning

confidence: 99%

A critical interpretive synthesis of the roles of midwives in health systems

Mattison¹,

Lavis

Wilson

et al. 2020

Health Res Policy Sys

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Background: Midwives' roles in sexual and reproductive health and rights continues to evolve. Understanding the profession's role and how midwives can be integrated into health systems is essential in creating evidenceinformed policies. Our objective was to develop a theoretical framework of how political system factors and health systems arrangements influence the roles of midwives within the health system. Methods: A critical interpretive synthesis was used to develop the theoretical framework. A range of electronic bibliographic databases (CINAHL, EMBASE, Global Health database, HealthSTAR, Health Systems Evidence, MEDLINE and Web of Science) was searched through to 14 May 2020 as were policy and health systems-related and midwifery organisation websites. A coding structure was created to guide the data extraction. Results: A total of 4533 unique documents were retrieved through electronic searches, of which 4132 were excluded using explicit criteria, leaving 401 potentially relevant records, in addition to the 29 records that were purposively sampled through grey literature. A total of 100 documents were included in the critical interpretive synthesis. The resulting theoretical framework identified the range of political and health system components that can work together to facilitate the integration of midwifery into health systems or act as barriers that restrict the roles of the profession. Conclusions: Any changes to the roles of midwives in health systems need to take into account the political system where decisions about their integration will be made as well as the nature of the health system in which they are being integrated. The theoretical framework, which can be thought of as a heuristic, identifies the core contextual factors that governments can use to best leverage their position when working to improve sexual and reproductive health and rights.

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“…An increasing of nurse/midwives health officers, the expected log number of modern contraceptive users was increased by 0.01 and 0.04 respectively. Several studies have confirmed to the key role of nurses/midwives and health officers in providing guidance and effective counseling, resulting in an increased number of modern contraceptive users [ 34 , 35 ]. Other studies have reported an increase in a couple–year protection following the engagement of midwives in family planning services in service delivery points [ 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have confirmed to the key role of nurses/midwives and health officers in providing guidance and effective counseling, resulting in an increased number of modern contraceptive users [ 34 , 35 ]. Other studies have reported an increase in a couple–year protection following the engagement of midwives in family planning services in service delivery points [ 34 , 35 ]. In Ethiopia, the involvement of health extension workers increased the contraceptive prevalence rate from 14 to 30% in 4 years [ 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Other studies have reported an increase in a couple–year protection following the engagement of midwives in family planning services in service delivery points [ 34 , 35 ]. In Ethiopia, the involvement of health extension workers increased the contraceptive prevalence rate from 14 to 30% in 4 years [ 34 , 35 ]. In Iran, increased community participation consequent to the involvement of midwives and other stakeholders resulted in the number of modern contraceptive users this intern a decline in total fertility rate.…”

Section: Discussionmentioning

confidence: 99%

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Weighted log-linear models for service delivery points in Ethiopia: a case of modern contraceptive users at health facilities

et al. 2018

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BackgroundEthiopia is among countries with low contraceptive usage prevalence rate and resulted in high total fertility rate and unwanted pregnancy which intern affects the maternal and child health status. This study aimed to investigate the major factors that affect the number of modern contraceptive users at service delivery point in Ethiopia.MethodsThe Performance Monitoring and Accountability2020/Ethiopia data collected between March and April 2016 at round-4 from 461 eligible service delivery points were in this study. The weighted log-linear negative binomial model applied to analyze the service delivery point’s data.ResultsFifty percent of service delivery points in Ethiopia given service for 61 modern contraceptive users with the interquartile range of 0.62. The expected log number of modern contraceptive users at rural was 1.05 (95% Wald CI: − 1.42 to − 0.68) lower than the expected log number of modern contraceptive users at urban. In addition, the expected log count of modern contraceptive users at others facility type was 0.58 lower than the expected log count of modern contraceptive users at the health center. The numbers of nurses/midwives were affecting the number of modern contraceptive users. Since, the incidence rate of modern contraceptive users increased by one due to an additional nurse in the delivery point.ConclusionAmong different factors considered in this study, residence, region, facility type, the number of days per week family planning offered, the number of nurses/midwives and number of medical assistants were to be associated with the number of modern contraceptive users. Thus, the Government of Ethiopia would take immediate steps to address causes of the number of modern contraceptive users in Ethiopia.

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Midwives as drivers of reproductive health commodity security in Kaduna State, Nigeria

Cited by 8 publications

References 2 publications

Association between Measures of Women’s Empowerment and Use of Modern Contraceptives: An Analysis of Nigeria’s Demographic and Health Surveys

Association between Measures of Women’s Empowerment and Use of Modern Contraceptives: An Analysis of Nigeria’s Demographic and Health Surveys

A critical interpretive synthesis of the roles of midwives in health systems

Weighted log-linear models for service delivery points in Ethiopia: a case of modern contraceptive users at health facilities

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