EDUCATIONAL AWARENESS OF FACTORS REDUCING MATERNAL MORTALITY IN RURAL COMMUNITIES IN OGUN STATE NIGERIA
Abstract
The study aimed at
educational awareness of non–medical factors associated with maternal mortality
reduction and to proffer policy guidelines for informed policy intervention. We
analyzed secondary data from the 2010 Covenant University project on
non-medical determinants of maternal mortality in Ado-Odo/Ota Local Government
Area, Ogun State. The study employed an informant approach questionnaire
design, and information on maternal mortality was recorded from 360 eligible
respondents which constituted the sample size and descriptive statistics and
regression analysis were further applied. The study shows among others that
majority of the respondents married between the ages of 25 and 44 with a
proportion of 64.2 percent. As for the deceased spouse, an overwhelming
proportion of the deceased spouses got married below 30 years (64.2%).
Employment status of respondents showed that those not working registered 22.5
percent and their deceased counter parts in the same working status accounts
for higher proportion (39.9). The highest level of education attained by
majority of the respondents interviewed was secondary education (48.1%),
followed by primary education (28.6%). For the education of their deceased
spouses, it was observed that 50% of them had only primary education followed
by those who attained secondary school (26.7%) and those who never went to
school (19.7%). The educational attainment of the deceased was very poor when
compared to their husbands in all categories. Distance is a very important
factor in the utilization of health facility. Slightly above three-fourths of
respondents (75.2%) have to travel 6 km and beyond to access or avail
themselves this facility. Treatment
costs was mainly born by the respondents (49.7%) and spouse’s relatives and
friends (36.7%) Regression analysis results showed that ‘person who pays
the treatment costs’ (p=0.003) and ‘place of consultation’ (p=0.000) were
non-medical significant factors influencing maternal mortality reduction. The study
recommends empowering and improving the status of women through better
education and paid out of home employment in order to reduce maternal mortality
and prompt better Safe Motherhood Initiative, Also providing educational
awareness of non–medical factors associated with maternal mortality to men is
likely to herald positive decision and better treatment to women from men
especially during the journey of pregnancy and child birth.
References
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Abstract
References
- Abe Eghe and Omo-Aghoja, L.O. (2008). Maternal Mortality at the Central Hospital, Benin City Nigeria: A Ten Year Review. African Journal of Reproductive Health Vol. 12(3). Akokuwebe, M.E. and Okafor, E. E.(2015).Maternal Health and the Implications for SustainableTransformation in Nigeria.Research on Humanities and Social Sciences, vol.5(6). Babalola, S. and Fatusi, A. (2009). Determinants of use of maternal healthservices in Nigeria – looking beyond individual and household factors. BMCPregnancy and Childbirth, vol. 9 (43). Doctor, H. V., Findley, S. E. and Afenyadu, G. Y. (2012). Estimating Maternal Mortality Level in Rural Northern Nigeria by the Sisterhood Method. International Journal of Population Research, vol. 2012.http://dx.doi.org/10.1155/2012/464657 Elo, I.T. (1992). Utilization of maternal health-care services in Peru: the role of women's education. Health Transition Review,vol. 2 (1). Fotso, J., Ezeh, A.C. and Essendi, H. (2009). Maternal health in resource-poor urban settings: how does women's autonomy influence the utilization of obstetric care services?Reproductive Health, vol. 6 (9).http://www.reproductive-health-journal.com/content/pdf/1742-4755-6-9.pdfAccessed: (August 24, 2010). Gabrysch, S. and Campbell, O.M.R. (2009). Still too far to walk: Literature review of the determinants of delivery service use. BMC Pregnancy andChildbirthvol.9(34)http://www.biomedcentral.com/content/pdf/1471-2393-9-34.pdf Accessed: (November 08, 2010). Ghbrehiwot, M. (2004). Measurement of Mortality in Eritrea. Ph.D Dissertation, John Hopkins Bloomberg School of public Health, Baltimore. Hogan, M. C., Foreman, K. J., Naghavi, M., Ahn, S. Y., Wang, M., Makela, S. M., Lopez, A. D., Lozano, R. & Jamison, D.T. et al (2006). Diseases and Mortality in sub-Saharan Africa. Washington DC: World Bank. McCarthy,I. and Maine, D. (1992). A Framework for Analyzing the Determinants of Maternal Mortality. Studies in Family Planning, vol. 23(1). National Population Commission (NPC) [Nigeria] and ICF Macro (2014). Nigeria Demographic and Health Survey 2013.Abuja, Nigeria: National PopulationCommission and ICF Macro. Ozumba,B.C. and Nwogu-Ikojo, E.E. (2008). Avoidable Maternal Mortality in Enugu, Nigeria. Public Health,vol. 122(4). Shah, I. H. and Say, L. (2007). Maternal Mortality and Maternal Care from 1990-2005: Uneven but Important Gains. Maternal Mortality and Morbidity: Is Pregnancy Getting Safer for Women? Reproductive Health Matters, vol. 15 (30). Singh, S., Darroch, J. E., Ashford, L. S. & Vlassoff, M. (2009). Adding it up: the costs and benefits of investing in family planning and maternal and newborn health”New York: Guttmacher Institute and United Nations Population Fund. UNICEF (2011). Situation Analysis of Children and Women in Nigeria, 2011 Update. Ujah, I.A.O., Aisien,O.A., Mutihir, J.T., Vanderagt,D.J.,Glew,R.H. and Uguru,V.E.(2005). Factors Contributing to Maternal Mortality in North-Central: A Seventeen-Year Review. African Journal of Reproductive Health, vol. 9 (3). UNFPA State of the World Population (2005). Reproductive Health: A Measure of Equity. http://www.unfpa.org/swp/2005/english/ch4/index.htm Accessed: (August 03, 2010). USAID (2001). USAID Congressional Budget Justification FY2002: Program, Performance and Prospects - The Global Health Pillar. http://www.usaid.gov/pubs/cbj2002/prog_pref2002.html Accessed: (August 25, 2010). WHO, UNICEF, UNFPA, World Bank and UN (2013). Trends in Maternal Mortality: 1990 to 2013 Estimates by World Health Organization, UNICEF, UNFPA, World Bank and UN. Executive Summary. Geneva: WHO.
Details
| Primary Language | English |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | December 27, 2017 |
| Submission Date | November 1, 2017 |
| Published in Issue | Year 2017Volume: 3 Issue: 9 |
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