UNDERSTANDING ACCESS TO MATERNAL HEALTH SERVICES IN FUNTUA, NIGERIA
Keywords:pregnant, maternal mortality, independent income, healthcare, Antenatal care
The study aimed at analysing the extent to which women access maternal health services in Funtua, Nigeria. Most births take place outside health facilities and without the presence of skilled attendants. Katsina State records a high level of maternal mortality with an estimated maternal mortality rate of over 1,000 maternal deaths per 100,000 live births, because a high percentage of births take place outside health facilities. This cross-sectional study sampled 384 mothers of under-fives through a quantitative method. The study found that 55.2% of the respondents found it challenging to access maternal health services, and 38% pointed out long waiting-time as the major problem they faced during their antenatal care visits. The tested hypotheses indicated a relationship between maternal education, independent income and antenatal care attendance. The study recommends women empowerment and improved political will to expand the coverage of maternal health services. Outreach programs to provide vital information on the importance of facility based deliveries should be reinforced.
Addisse, M. (2003). Maternal and child healthcare [Lecture notes]. University of Gondar. Ethiopia.
Adjiwanou, V. and LeGrand, T. (2013). Does Antenatal Care Matter in the Use of Skilled Birth Attendance in Rural Africa: A Multi-Country Analysis. Social Science & Medicine, 86, 26-34.
Amzat, J. (2015). The question of autonomy in maternal health in Africa: A rights-based consideration. Bioethical Inquiry, 12, 283-293. doi: 10.1007/s11673-015-9607-y
Darmstadt, G. L., Lee, A. C. and Cousens, S. (2009). 60 Million Non-facility Births: Who Can Deliver in Community Settings to Reduce Intrapartum-related Deaths? International Journal of Gynecology & Obstetrics, 107, S89-S112.
Ekele, B. A., and Tunau, K. A. (2007). Place of delivery among women who had antenatal care in a teaching hospital. Acta Obstetricia et Gynecoogica Scandinavica,86(5), 627-630. Katsina State Government. (2012). Katsina state profile. Retrieved from http://www.katsinastate.lgac.com on June 2012.
Mallick, L., Tukur, D. and Kerry, L. D. M. (2016). Trends in Maternal Health in Nigeria, 2003-2013. DHS Further Analysis Reports No 102. Rockville, Maryland, USA: ICF International.
National Bureau of Statistics. (2010). National Literacy Survey. Retrieved from http://www.nigeriastat.gov.ng on September 2013.
National Population Commission (NPC) [Nigeria] and ICF International. (2014). Nigeria Demographic and Health Survey 2013. Abuja: Nigeria, and Rockville, Maryland, USA: NPC and ICF International.
National Population Commission [NPC]. (2016). Population of Katsina State, Funtua Local Government Area Projection June 2016.
Perry, B. and Gesler, W. (2000). Physical access to primary healthcare in Andean. Social Science and Medicine, 50(9),1177-88.
Pervin, J., Moran, A., Rahman, M., Razzaque, A., Sibley, L., Streatfield, P. K., Reichenbach, L. J., Koblinsky, M., Hruschka, D. and Rahman, A. (2012). Association of antenatal care with facility delivery and perinatal survival - a population-based study in Bangladesh. BMC Pregnancy and
Childbirth, 16(12), 111.
Primary Healthcare [PHC]. (2016). Funtua: National health management information system, monthly summary for health facilities: October 2016.
Raosoft sample size calculator. (2004). Retrieved from http://www.raosoft.com/samplesize.html on 05/02/2017.
Shehu, C. E., Ibrahim, M. T. O., Oche, M. O., and Nwobodo, E. I. (2016). Determinants of place of delivery: A comparison between and urban and a rural community in Nigeria. Journal of Public Health and Epidemiology, 8(6), 91-101. DOI: 10.5897/JPHE2016.0817.
Singh, A., Kumar, A. and Pranjali, P. (2014). Utilization of maternal healthcare among adolescent mothers in urban India: evidence from DLHS-3. Peer J,2:e592.
United Nations Population Fund [UNFPA]. (2011). Main Report: State of the World’s Midwifery 2011. UNFPA. Retrieved from http://www.unfpa.org/sowmy/resources/en/main.htm on 27/03/2017 World Health Organization (WHO). UNICEF, UNFPA, the World Bank (2014). Trends in maternal mortality: 1990 to 2013. WHO, UNICEF, UNFPA and The World Bank estimates. Geneva: WorldHealth Organisation.
Yar’zever, I. S. and Said, I. Y. (2013). Knowledge and barriers in utilization of maternal health care services in Kano State, Northern Nigeria. European Journal of Biology and Medical Science Research,1(1), 1 – 14.