Women's and Health-Care Providers' Views of Maternal Practices and Services in Rural Nigeria

Okafor, Chinyelu B.; Rizzuto, R

doi:10.2307/2137879

Cited by 47 publications

(46 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Extant literature revealed a few studies in Nigeria based on single maternity units that address women’s concerns about maternal health care services [18–20]. The major strength of this study is its nation-wide focus with women in four geo-political zones and from different socio-cultural backgrounds being provided the opportunity to offer their views in a value-free manner.…”

Section: Discussionmentioning

confidence: 99%

Qualitative assessment of women’s satisfaction with maternal health care in referral hospitals in Nigeria

et al. 2017

View full text Add to dashboard Cite

BackgroundAvailable evidence suggests that the low use of antenatal, delivery, and post-natal services by Nigerian women may be due to their perceptions of low quality of care in health facilities. This study investigated the perceptions of women regarding their satisfaction with the maternity services offered in secondary and tertiary hospitals in Nigeria.MethodsFive focus group discussions (FGDs) were held with women in eight secondary and tertiary hospitals in four of the six geo-political zones of the country. In all, 40 FGDs were held with women attending antenatal and post-natal clinics in the hospitals. The questions assessed women’s level of satisfaction with the care they received in the hospitals, their views on what needed to be done to improve patients’ satisfaction, and the overall quality of maternity services in the hospitals. The discussions were audio-taped, transcribed, and analyzed by themes using Atlas ti computer software.ResultsFew of the participants expressed satisfaction with the quality of care they received during antenatal, intrapartum, and postnatal care. Many had areas of dissatisfaction, or were not satisfied at all with the quality of care. Reasons for dissatisfaction included poor staff attitude, long waiting time, poor attention to women in labour, high cost of services, and sub-standard facilities. These sources of dissatisfaction were given as the reasons why women often preferred traditional rather than modern facility based maternity care. The recommendations they made for improving maternity care were also consistent with their perceptions of the gaps and inadequacies. These included the improvement of hospital facilities, re-organization of services to eliminate delays, the training and re-training of health workers, and feedback/counseling and education of women.ConclusionA women-friendly approach to delivery of maternal health care based on adequate response to women’s concerns and experiences of health care will be critical to curbing women’s dissatisfaction with modern facility based health care, improving access to maternal health, and reducing maternal morbidity and mortality in Nigeria.Trial registrationTrial Registration Number NCTR No: 91540209. Nigeria Clinical Trials Registry. http://www.nctr.nhrec.net/. Registered April 14th 2016.

show abstract

Section: Discussionmentioning

confidence: 99%

Qualitative assessment of women’s satisfaction with maternal health care in referral hospitals in Nigeria

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In a recent study in rural Tanzania, Leonard et al concluded that households collect information related to clinicians and facilities in their area through informal social interactions with their community [33]. Other research has pointed to the importance of peer advice and social networks on decisions on use of contraception, adherence to exclusive breastfeeding, and decisions to request a Caesarian section in low-and middle-income countries [34][35][36][37]. This finding is also consistent with the literature on trust and confidence in the health system, in which community interactions are a key source of information about the ability of the health system to meet individuals' needs [14,15,38,39].…”

Section: Discussionmentioning

confidence: 99%

Community and health system factors associated with facility delivery in rural Tanzania: A multilevel analysis

et al. 2010

View full text Add to dashboard Cite

“…In a hospital study in Southeastern Nigeria, Dim and Onah [12] reported that 40.4 % of the pregnant women registered with the antenatal unit were anemic (hemoglobin [Hb] <11.0 g/dl). Okafor and Rizzuto had earlier warned that hospital estimates of any pregnancy-related problem are often an under-estimation of the true prevalence given that most women deliver outside the health facilities in Nigeria [13]. …”

Section: Introductionmentioning

confidence: 99%

Factors associated with compliance to recommended micronutrients uptake for prevention of anemia during pregnancy in urban, peri-urban, and rural communities in Southeast Nigeria

Onyeneho

I’Aronu

Chukwu

et al. 2016

J Health Popul Nutr

View full text Add to dashboard Cite

BackgroundThe study investigated the factors associated with compliance to the recommended ≥90-day uptake of micronutrients for prevention of iron-deficiency anemia during pregnancy in Nigeria.MethodsA cross-sectional study of 1500 women who had babies within 6 months prior to the survey, drawn from six urban, peri-urban, and rural local government areas in Enugu and Imo States of Nigeria, was conducted, using a structured questionnaire. A focus group discussion was held with grandmothers and fathers of the new baby. In-depth interviews were held with health workers.ResultsThere were six demographic factors in the bivariate analysis: living in an urban center and close to health facility, and being wealthy, with post-secondary education as well as older and engaged in civil service showed significant association with compliance. The urban residents complied more than the peri-urban and rural residents (χ 2 = 12.749; p = 0.002). Those living close to the health facilities complied more than those living far away (χ 2 = 24.638; p < 0.001). Those in higher wealth quintile complied more (χ 2 = 13.216; p < 0.010). Utilization of antenatal clinics during pregnancy showed statistically significant association with compliance. Those who used the ANC services complied more than those that did not (χ 2 = 6.324; p = 0.010) and the more frequent the use of ANC services the more the compliance (χ 2 = 14.771; p < 0.001). These results were confirmed when the opinions expressed in the urban, peri-urban, and rural communities are compared. However, the multivariate binary logistic regression highlighted only urban residence, closeness to health facilities, and utilization of ANC services as positively associated with compliance.ConclusionThese findings could help in targeting health education program to increase compliance to the recommended uptake of micronutrients in prevention of anemia during pregnancy.

show abstract

Women's and Health-Care Providers' Views of Maternal Practices and Services in Rural Nigeria

Cited by 47 publications

References 3 publications

Qualitative assessment of women’s satisfaction with maternal health care in referral hospitals in Nigeria

Qualitative assessment of women’s satisfaction with maternal health care in referral hospitals in Nigeria

Community and health system factors associated with facility delivery in rural Tanzania: A multilevel analysis

Factors associated with compliance to recommended micronutrients uptake for prevention of anemia during pregnancy in urban, peri-urban, and rural communities in Southeast Nigeria

Contact Info

Product

Resources

About