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Maternal Health-Seeking Behavior and Associated Factors in a Rural Nigerian Community

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Objectives: To assess maternal health services and health-seeking behavior in a rural community (Ologbo), located in the South–south zone of Nigeria. Methods: Structured questionnaire was administered to 225 randomly selected mothers (age 15–49 years), and was analyzed using SPSS. Six focus group discussion sessions were also conducted—four for community women and two for health workers. Results: Teenagers constituted 13.3% of the respondents. The average number of children per woman ranged from 2.5 for teenagers to 9.0 for women aged 45–49 years. Eighty percent of respondents knew at least one major medical cause of maternal mortality: the most common causes mentioned were hemorrhage (31.8%) and obstructed labor (17.3%). Private maternity center was the most preferred place for childbirth (37.3%), followed by traditional birth attendants (TBAs) (25.5%). Government facility was preferred by only 15.7%: reasons for the low preference included irregularity of staff at work (31.4%), poor quality of services (24.3%), and high costs (19.2%). Among the 81 women that delivered within a 1-year period, only 9.9% received antenatal care, 6.2% received two doses of tetanus toxoid, while 4.9% attended postnatal clinic. Private midwives and TBAs attended 49.4 and 42.0% of deliveries, respectively. Education was found to be significantly associated with choice of place for delivery (p < 0.05), but no association was found with respect to age and marital status. Only 11.4% of mothers were practicing family planning. Conclusions: Poor health-seeking behavior is a challenge in rural Nigeria, and interventions are needed to achieve improved maternal health status.

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REFERENCES

  1. United Nations. Millennium Declaration. 2000. A/RES/55/2. September 18, New York. http://www.un.org/millennium/declaration/are5552e.pdf. Accessed March 30, 2003.

  2. World Health Organization. Maternal Mortality in 2000: Estimates Developed by WHO, UNICEF, and UNFPA. Geneva: World Health Organization, 2004.

  3. National Population Commission. 1991 Population Census of the Federal Republic of Nigeria. Analytical Report at the National Level. Abuja, Nigeria: National Population Commission, 1998.

  4. Federal Office of Statistics (FOS) and United Nations Children Fund (UNICEF). Multiple Cluster Indicator Survey 1999. Lagos, Nigeria: FOS and UNICEF, 2000.

  5. World Health Organization. Reduction of Maternal Mortality: A Joint WHO/UNFPA/UNICEF/World Bank Statement. Geneva: World Health Organization, 1999.

  6. Wagstaff A. Poverty and health sector inequalities. Bull World Health Organ 2002;80:99–105.

    Google Scholar 

  7. Federal Ministry of Health. Studies in Reproductive Health in Nigeria: A Book of Abstracts and Author (1980–1998). Lagos, Nigeria: Department of Community Development and Population Activities, Federal Ministry of Health and UNFPA (Nigeria), 1998.

  8. Health Department, Oredo Local Government Area and National Population Commission. Projected Population Figures. Benin City, Benin: Oredo Local Government and National Population Commission, 1998.

  9. National Population Commission (Nigeria). Nigeria Demographic and Health Survey 2003. Abuja (and Calverton), Nigeria: National Population Commission, Federal Republic of Nigeria and MEASURE DHS+ ORC Macro, 2004.

  10. Fatusi AO. Maternal Mortality Situation and Determinants in Nigeria. A review commissioned by the Federal Ministry of Health. Abuja, Nigeria: Federal Ministry of Health, 2004.

  11. Okonofua F. Infertility and women's reproductive health in Africa. Afr J Reprod Health 1999;3:7–9.

    Article  Google Scholar 

  12. Okolocha C, Chiwuzie J, Braimoh S, Unuigbe J, Olumeko P. Sociocultural factors in maternal morbidity and mortality: A study of a semiurban community in Southern Nigeria. J Epidemiol Community Health 1998;52:293–7.

    Article  PubMed  CAS  Google Scholar 

  13. Chiwuzie J, Okolocha C, Okojie O, Ande T, Onoguwe B. Sociocultural aspects of hemorrhage in pregnancy. World Health Forum 1997;18:185–8.

    PubMed  CAS  Google Scholar 

  14. Asowa-Omorodion FI. Women's perception of the complications of pregnancy and childbirth in two Esan communities, Edo State, Nigeria. Soc Sci Med 1997;44:1817–24.

    Article  PubMed  CAS  Google Scholar 

  15. Unuigbe JA, Orhue AA, Orisaye AU. Maternal mortality at the University of Benin Teaching Hospital, Benin City, Nigeria. Trop J Obstet Gynecol 1998;27:13–8.

    Google Scholar 

  16. Okonta PI, Okali UK, Otoide VO, Twomey D. Exploring the causes of and risk factors for maternal deaths in a rural Nigerian referral hospital. J Obstet Gynecol 2002;22:626–9.

    CAS  Google Scholar 

  17. Ayangade SO. Maternal mortality in a semiurban Nigerian community. J Natl Med Assoc 1981;73:137–40.

    PubMed  CAS  Google Scholar 

  18. Ogunniyi SO, Faleyimu BL. Trends in maternal deaths in Ilesa, Nigeria. 1977–1988. West Afr J Med 1991;10:400–4.

    PubMed  CAS  Google Scholar 

  19. Chukwudebelu WO, Ozumba BC. Maternal mortality in Anambra state of Nigeria. Int J Gynecol Obstet 1998;27:365–70.

    Article  Google Scholar 

  20. Fatusi AO, Ijadunola KT. National Study on Essential Obstetric Care Facilities in Nigeria. Abuja, Nigeria: Federal Ministry of Health. 2003.

  21. Duley L. Maternal mortality associated with hypertensive disorders of pregnancy in Africa, Asia, Latin America, and the Caribbean. Br J Obstet 1992;99:547–53.

    CAS  Google Scholar 

  22. Briggs ND. Maternal death in the booked and unbooked patients: University of Port-Harcourt Teaching Hospital experience. Trop J Obstet Gynecol 1988;1:26–29.

    CAS  Google Scholar 

  23. Adamu YM, Salimu HM, Sathiakumar N, Alexander GR. Maternal mortality in Northern Nigeria: A population-based study. Eur J Obstet Gynecol Reprod Biol 2003;109:153–9.

    Article  PubMed  Google Scholar 

  24. Federal Office of Statistics. Draft Poverty Profile for Nigeria. Lagos, Nigeria: Federal Office of Statistics, 2005.

  25. Fatusi AO, Abioye-Kuteyi EA. Defining the traditional birth attendants: What we know about TBAs in Nigeria. In: Defining the Future Role of Traditional Birth Attendants in Reproductive Healthcare in Nigeria. Benin, Nigeria: Women Health and Action Research Center, 1998.

    Google Scholar 

  26. Federal Ministry of Health and Society for Family Health. National HIV/AIDS and Reproductive Health Survey. Abuja, Nigeria: Federal Ministry of Health and Society for Family Health, 2003.

  27. Okafor CB, Rizzuto RR. Women's and healthcare providers' view of maternal practices and services in rural Nigeria. Stud Fam Plann 1994;25:353–61.

    Article  PubMed  CAS  Google Scholar 

  28. Fatusi AO. Health-seeking behavior of nigerians, audience research and existing communication strategies with respect to selected health conditions: A review. Report prepared for partnership for transforming health systems (PATHS), Abuja, Nigeria, 2004.

  29. Mensch BS, Arends-Kuenning M, Jain A, Garate MR. Avoiding unintended pregnancy in Peru: Does the quality of family planning matter? Int Fam Plann Perspect 1997;23(1):21–7.

    Article  Google Scholar 

  30. Thaddeus S, Maine D. Too far to walk: Maternal mortality in context. Soc Sci Med 1994;38:1091–110.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Community Medicine, University of Benin Teaching Hospital, Benin city, Nigeria

    K. M. Osubor & J. C. Chiwuzie

  2. Canadian International Development Agency, Abuja, Nigeria

    K. M. Osubor

  3. Department of Community Health, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria

    Adesegun O. Fatusi

  4. Department of Community Health, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria

    Adesegun O. Fatusi

Authors
  1. K. M. Osubor
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  2. Adesegun O. Fatusi
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  3. J. C. Chiwuzie
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Correspondence to Adesegun O. Fatusi.

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Osubor, K.M., Fatusi, A.O. & Chiwuzie, J.C. Maternal Health-Seeking Behavior and Associated Factors in a Rural Nigerian Community. Matern Child Health J 10, 159–169 (2006). https://doi.org/10.1007/s10995-005-0037-z

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