Influence of women’s empowerment indices on the utilization of skilled maternity care : evidence from rural Nigeria
This study assessed the association between indices of women’s empowerment and utilization of skilled antenatal, intrapartum and postnatal maternity care in two rural Local Government Areas in Edo State, Nigeria. Findings indicate that female education is a strong predisposing factor for utilization of maternal health services in the study area. Survey respondents’ education and participation in payment for their own health care positively predicted use of all three levels of skilled maternal care. Women who made decisions alone about major household purchases were twice as likely to use all three levels of services than when decisions were made by their partners or others.
Autor(es) : Ntoimo, Lorretta Favour C., Okonofua, Friday E., Aikpitanyi, Josephine, Yaya, Sanni, Johnson, Ermel, Sombie, Issiaka, Aina, Olabisi, Imongan, Wilson
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Effect of a multifaceted intervention on utilization of primary health care for maternal and child health care in rural Nigeria
The study included 2,819 women participants of reproductive age. Among other intervention strategies, the project improved access to transportation while reducing associated expenses, and created a community health fund, both of which address well known barriers to the use of primary health centres (PHC). The study was designed to determine the effectiveness of various interventions in increasing the uptake of skilled maternal and child care in two rural Local Government Areas (LGA) in Edo State, Nigeria. Removal of out-of-pocket payments, and increased public funding of primary health care need to be considered as matters of equity and social justice.
Autor(es) : Okonofua, Friday Ebhodaghe, Ntoimo, Lorretta Favour Chizomam, Yaya, Sanni, Brian, Igboin, Solanke, Ojuolape, Ekwo, Chioma, Johnson, Ermel Ameswue Kpogbe, Sombie, Issiaka, Imongan, Wilson
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Gender inequity as a barrier to women’s access to skilled pregnancy care in rural Nigeria : a qualitative study
Gendered intrahousehold power structures, gendered dynamics of resource allocation, and women’s limited ability in decision-making impact maternal health-seeking behaviour and overall health status. Using a gender lens, this study explores causes of women’s limited access to and utilisation of maternal healthcare services in rural areas of Edo State, Nigeria. Interventions geared towards supporting women’s financial independence are important for improving their access to skilled healthcare, as well as those that improve women’s decision-making capacities. A man’s financial status determines the type of care his spouse or partner sought. Approximately 58,000 Nigerian women die from pregnancy-related complications yearly.
Autor(es) : Yaya, Sanni, Okonofu, Friday, Ntoimo, Lorretta, Udenige, Ogochukwu, Bishwajita, Ghose
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A qualitative study of community elders’ perceptions about the underutilization of formal maternal care and maternal death in rural Nigeria
Many rural Nigerian women use local childbirth services that are unsafe. Community elders’ perceptions and opinions traditionally influence reproductive health decisions, such as the decision to seek hospital delivery methods. Elders believe underuse of maternal health services in health facilities are due to poor quality of care, difficulty getting to health facilities, high costs, and lack of knowledge about maternal health. Findings show they believe medical illnesses, poor availability of services, and poor awareness and reliance on native maternal care are causes of death. Increasing accessibility, promoting positive health behaviors, community support, and help from God were suggested as solutions.
Autor(es) : Fantaye, Arone Wondwossen, Okonofua, Friday, Ntoimo, Lorretta, Yaya, Sanni
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Maternal death review and outcomes : an assessment in Lagos State, Nigeria
Strong political will by hospital management and supervising government agencies are a prerequisite for effectively addressing the human and infrastructural deficits that predispose to maternal mortality in Lagos State. Failure to address the patients and facility-related causes of maternal mortality could account for the persistently high maternal mortality ratio (MMR) in the hospitals. Interventions aimed at redressing all causes identified in the reviews will likely reduce MMRs. The study investigates results of Maternal and Perinatal Death Surveillance and Response (MPDSR) conducted in three referral hospitals in Lagos State, Nigeria over a two-year period and reports outcomes and lessons learned.
Autor(es) : Okonofua, Friday, Imosemi, Donald, Igboin, Brian, Adeyemi, Adegboyega, Chibuko, Chioma, Idowu, Adewale, Imongan, Wilson
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Increasing women’s access to skilled pregnancy care to reduce maternal and perinatal mortality in rural Edo State, Nigeria : a randomized controlled trial
Based on the urgency for increased access to maternity care through Primary Health Care (PHC) the project intends to identify supply and demand factors that prevent Nigerian women from using PHCs for maternal and early new-born care, and to test innovative and community relevant interventions for improving women’s access to PHC services. Nigeria has the second highest absolute number of maternal deaths and perinatal deaths (stillbirth and neonatal deaths) in the world. The proposal outlines the study design and benefits of research. Recently, the Nigerian government has passed a bill providing a better funding strategy for PHCs.
Autor(es) : Sanni, Yaya, Okonofua, Friday, Ntoimo, Lorretta, Kadio, Bernard, Deuboue, Rodrigue, Imongan, Wilson, Balami, Wapada
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Predictors of women’s utilization of primary health care for skilled pregnancy care in rural Nigeria
The study identifies factors that lead pregnant women to use or not use existing primary health care (PHC) facilities for antenatal and delivery care. A total of 1408 randomly selected women of reproductive age were interviewed in their households using a pre-tested structured questionnaire. Findings indicate that addressing the limiting factors (distance, costs and poor quality of care) through innovative approaches will increase the utilization of skilled pregnancy care in PHCs and reduce maternal mortality in rural Nigeria.
Autor(es) : Okonofua, Friday, Ntoimo, Lorretta, Ogungbangbe, Julius, Anjorin, Seun, Imongan, Wilson, Yaya, Sanni
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Men’s perception of barriers to women’s use and access of skilled pregnancy care in rural Nigeria: a qualitative study
Despite evidence that male involvement increases uptake of maternal and child services, studies show that few men are participating in maternal, newborn, and child health (MNCH) programs in Nigeria. Men tend to have exclusive control of their household’s economic resources and are decision makers in all aspects of women’s reproductive health. The study indicates that male involvement is rooted in gender roles where men continue to be viewed as financial providers and decision makers. Nigeria is the second largest contributor to maternal mortality worldwide and has a birth rate of five children per woman.
Autor(es) : Yaya, Sanni, Okonofua, Friday, Ntoimo, Lorretta, Udenigwe, Ogochukwu, Bishwajit, Ghose
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