Determinants of maternal healthcare services utilization in selected communities in Edo Central Senatorial District Nigeria

Authors

  • Christiana I. Elusoji Department of Nursing, Benson Idohosa University, Benin City, Edo State Nigeria
  • Chika G. Ugochukwu Department of Nursing Sciences, Faculty of Health Sciences and Technology, Ebonyi State University Abakaliki, Ebonyi State Nigeria
  • Clementina N. Eze Basic School of Midwifery, Alex Ekwueme Federal Teaching Hospital, Abakaliki, Ebonyi State Nigeria
  • Mary A. Udo Department of Nursing Sciences, Faculty of Health Sciences and Technology, Ebonyi State University Abakaliki, Ebonyi State Nigeria
  • Amauchechukwu V. Nwafor Department of Obstetrics and Gynecology, Faculty of Clinical Medicine, Alex Ekwueme, Federal Teaching Hospital
  • Victoria C. Azuogu Basic School Nursing, Alex Ekwueme Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria
  • Juliana O. Onyeabor Basic School of Midwifery, Alex Ekwueme Federal Teaching Hospital, Abakaliki, Ebonyi State Nigeria
  • Eugene Ohams Ohanme Department of Pharmacology and Therapeutics, Faculty of Basic Clinical Sciences, Alex Ekwueme Federal University, Ndufu-Alike, Ikwo, Ebonyi State, Nigeria

DOI:

https://doi.org/10.18203/2320-6012.ijrms20233009

Keywords:

Maternal healthcare services, Pregnancy, Reproductive age, Utilization

Abstract

Background: Throughout history, society has always employed several means to promote maternal healthcare services to save pregnant women and their unborn babies from expected or unexpected dangers during pregnancy, birth and after birth. This study investigated the determinants of maternal health care services utilization in selected communities.

Methods: A descriptive cross-sectional survey design was adopted for this study using a questionnaire as a quantitative tool. The population of the study comprised women of reproductive age group (15-49) Edo Central Senatorial District, Edo State Nigeria. A multi-stage sampling technique was used to select 561 study participants from the target population. A total of 561 copies of the questionnaire were administered but 490 of them were retrieved and found to meet criteria for analysis. Data was analyzed using SPSS version 25 and computed for descriptive statistics- frequency with percentage counts, mean and standard deviations. Additionally, inferential statistics chi-square used to test the stated hypotheses.

Results: The finding showed that the women’s mean age of 28±5.37. Residential location of the participants did not significantly influence their utilization of maternal healthcare services. Educational qualifications, were found to influence the utilization of maternal healthcare services than those of lower educational levels (p<0.05). In addition, 364 (74.2%) respondents agree that free or low cost of maternal health services would prompt and promote regular visits to clinic.

Conclusions: It is recommended that the government should provide freer or low-cost.

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References

Kifle D, Azale T, Gelaw YA, Melsew YA. Maternal health care service seeking behaviors and associated factors among women in rural Haramaya District, Eastern Ethiopia: a triangulated community-based cross-sectional study. Reprod Health. 2017;14(1):6.

Mannava P, Durrant K, Fisher J, Chersich M, Luchters S. Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review. Glob Health. 2015;11:36.

Nuamah GB, Agyei-Baffour P, Mensah KA, Boateng D, Quansah DY, Dobin D, et al. Access and utilization of maternal healthcare in a rural district in the forest belt of Ghana. BMC Pregnancy Childbirth. 2019;19(1):6.

Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387(10017):462-74.

Agan TU, Monjok E, Akpan UB, Omoronyia OE, Ekabua JE. Trend and causes of maternal mortality in a nigerian tertiary hospital: a 5-year retrospective study (2010-2014) at the University of Calabar Teaching Hospital, Calabar, Nigeria. Open Access Macedon J Med Sci. 2018;6(6):1153-8.

Bauserman M, Thorsten VR, Nolen TL, Patterson J, Lokangaka A, Tshefu A, et al. Maternal mortality in six low and lower-middle income countries from 2010 to 2018: risk factors and trends. Reprod Health. 2020;17(3):173.

Chinkhumba J, De Allegri M, Muula AS, Robberstad B. Maternal and perinatal mortality by place of delivery in sub-Saharan Africa: a meta-analysis of population-based cohort studies. BMC Public Health. 2014;14(1):1014.

Lawrence ER, Klein TJ, Beyuo TK. Maternal mortality in low and middle-income countries. Obstet Gynecol Clin North Am. 2022;49(4):713-33.

Olaitan T, Okafor IP, Onajole AT, Abosede OA. Ending preventable maternal and child deaths in western Nigeria: Do women utilize the life lines? PLoS One. 2017;12(5):e0176195.

Olonade O, Olawande TI, Alabi OJ, Imhonopi D. Maternal mortality and maternal health care in nigeria: implications for socio-economic development. Open Access Macedon J Med Sci. 2019;7(5):849-855.

Olarewaju OA. Insecurity in northern Nigeria: Implications for maternal and child health. Clin Epidemiol Glob Health. 2021;12:100869.

Caron RK, Özge T, Bela G, Ahmet Metin G, Group WM-AR. WHO multi-country survey on abortion-related morbidity and mortality in health facilities: study protocol. BMJ Glob Health. 2016;1(3):e000113.

Kana MA, Doctor HV, Peleteiro B, Lunet N, Barros H. Maternal and child health interventions in Nigeria: a systematic review of published studies from 1990 to 2014. BMC Public Health. 2015;15(1):334.

Tura G, Fantahun M, Worku A. The effect of health facility delivery on neonatal mortality: systematic review and meta-analysis. BMC Pregnancy Childbirth. 2013;13(1):18.

Okonofua F, Ntoimo L, Ogungbangbe J, Anjorin S, Imongan W, Yaya S. Predictors of women’s utilization of primary health care for skilled pregnancy care in rural Nigeria. BMC Pregnancy Childbirth. 2018;18(1):106.

Banke-Thomas OE, Banke-Thomas AO, Ameh CA. Factors influencing utilisation of maternal health services by adolescent mothers in Low-and middle-income countries: a systematic review. BMC Pregnancy Childbirth. 2017;17(1):65.

Ntoimo LFC, Okonofua FE, Igboin B, Ekwo C, Imongan W, Yaya S. Why rural women do not use primary health centres for pregnancy care: evidence from a qualitative study in Nigeria. BMC Pregnancy Childbirth. 2019;19(1):277.

Imo CK. Influence of women’s decision-making autonomy on antenatal care utilisation and institutional delivery services in Nigeria: evidence from the Nigeria Demographic and Health Survey 2018. BMC Pregnancy Childbirth. 2022;22(1):141.

Yaya S, Uthman OA, Amouzou A, Ekholuenetale M, Bishwajit G. Inequalities in maternal health care utilization in Benin: a population based cross-sectional study. BMC Pregnancy Childbirth. 2018;18(1):194.

Babalola S, Fatusi A. Determinants of use of maternal health services in Nigeria - looking beyond individual and household factors. BMC Pregnancy Childbirth. 2009;9(1):43.

Fantaye AW, Okonofua F, Ntoimo L, Yaya S. A qualitative study of community elders’ perceptions about the underutilization of formal maternal care and maternal death in rural Nigeria. Reprod Health. 2019;16(1):164.

Fulbrook P, Lawrence P, Miles S. Australian nurses’ knowledge of pressure injury prevention and management: a cross-sectional survey. J Wound Ostom Cont Nurs. 2019;46(2):106.

Nnebue C, Ebenebe U, Adogu P, Adinma E, Ifeadike C, Nwabueze A. Adequacy of resources for provision of maternal health services at the primary health care level in Nnewi, Nigeria. Niger Med J. 2014;55(3):235-41.

Bain LE, Aboagye RG, Dowou RK, Kongnyuy EJ, Memiah P, Amu H. Prevalence and determinants of maternal healthcare utilisation among young women in sub-Saharan Africa: cross-sectional analyses of demographic and health survey data. BMC Public Health. 2022;22(1):647.

Chinaeke EE, Fan-Osuala C, Bathnna M, Ozigbu CE, Olakunde B, Ramadhani HO, et al. Correlates of reported modern contraceptive use among postpartum HIV-positive women in rural Nigeria: an analysis from the MoMent prospective cohort study. Reprod Health. 2019;16:1-1.

Dassah E, Aldersey H, McColl MA, Davison C. Factors affecting access to primary health care services for persons with disabilities in rural areas: a “best-fit” framework synthesis. Glob Health Res Polic. 2018;3(1):36.

Osamor PE, Grady C. Women’s autonomy in health care decision-making in developing countries: a synthesis of the literature. Int J Women’s Health. 2016;8:191-202.

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Published

2023-09-29

How to Cite

Elusoji, C. I., Ugochukwu, C. G., Eze, C. N., Udo, M. A., Nwafor, A. V., Azuogu, V. C., Onyeabor, J. O., & Ohanme, E. O. (2023). Determinants of maternal healthcare services utilization in selected communities in Edo Central Senatorial District Nigeria. International Journal of Research in Medical Sciences, 11(10), 3609–3617. https://doi.org/10.18203/2320-6012.ijrms20233009

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Section

Original Research Articles