Utilization of Delivery Services Among Mothers in Aluu Community, Ikwere Local Government Area, Rivers State. https://doi.org/10.60787/NMJ-64-5-345

Main Article Content

Jane Uju Onotai
Ibidabo Alabere
Lucky Obukowho Onotai

Keywords

Utilization, delivery services, Aluu, community

Abstract

Background: Utilization of delivery services is paramount to achieving a safe delivery outcome and preventing maternal mortality/morbidity among mothers. In semi-urban communities, delivery services are provided by both health and non-health facilities and are influenced by either socio-demographic or economic factors. This study aims to evaluate the utilization of delivery services across various places that provide such care and to identify the factors that influence the utilization of delivery services in the Aluu community.


Methodology: A community-based cross-sectional study was conducted in 5 out of 9 villages in the Aluu community. A total of 415 respondents were recruited for the study.  The study was carried out between April 2021 and October 2021. A multistage sampling method was used, and data was collected using an interviewer-administered structured questionnaire. The data was analyzed using SPSS version 25. The Chi-square test was used for inferential analysis and a significant level was set at p≤ 0.05 at 95% confidence interval.


Results: Out of 415 respondents, 44.03% were delivered in a healthcare facility while 55.97% were delivered in a non-health care facility. tribe, religion, educational status, occupation, and Obstetrics and gynecological factors were found to influence the utilization of delivery services.


Conclusion: More than half of women utilized delivery services provided by non-health facilities and there was a significant relationship between tribe, religion, educational status, occupation, and Obstetrics and gynecological factors and the utilization of delivery services in the Aluu community.

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References

1. Gabrysch S, Campbell OM. Still too far to walk, literature review of the determinants of delivery service use. BMC preg childbirth. 2009; 9(1):1-8.

2. Kifle D, Azale T, Gelaw YA, Melsew YA. Maternal healthcare 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(6):1-1.

3. Adedokun ST, Uthman OA. Women who have not utilized health Service for Delivery in Nigeria: who are they and where do they live? BMC Preg childbirth. 2019;19(1):1-4.

4. Igyuse S, Van Hout MC, Khatri RJ. Factors influencing maternal health services utilization in a semi-urban community in North-Central part of Nigeria. J Sustain Dev Afr. 2020; 22(4):32-44.

5. Oyovwe P, Woolhead G. Exploring health care professionals' and women's perspectives on the barriers to maternal health services: a qualitative study in Eku Town of Delta State, Nigeria. AIMS Public Health. 2021;8(1):154.

6. Onua AA, Chukwuka IO. Prevalence of dry eye disease in a rural Niger delta community, southern Nigeria. Open J Ophthalmol. 2017;7(2):95-102.

7. Moore BM, Alex-Hart BA, George IO. Utilization of health care services by pregnant mothers during delivery: a community-based study in Nigeria. East Afr J Public Health. 2011; 8(1):49-51.

8. Nuamah GB, Agyei-Baffour P, Mensah KA, Boateng D, Quansah DY, Dobin D, Addai-Donkor K. Access, and utilization of maternal healthcare in a rural district in the forest belt of Ghana. BMC preg childbirth. 2019; 19(6):1-1.

9. D’Aloisio AA, DeRoo LA, Baird DD, Weinberg CR, Sandler DP. Prenatal and infant exposures and age at menarche. Epid (Cambridge, Mass.). 2013;(2):277.

10. Oghenetega OB, Ojengbede OA, Ana GR. Perception determinants of women and healthcare providers on the effects of oil pollution on maternal and newborn outcomes in the Niger Delta, Nigeria. Int J Womens Health 2020; (12):197-205.

11. Ordinioha B, Seiyefa B. Improving skilled attendants at birth: Experience in a primary health care facility in Rivers State, South-South Nigeria. J Comm Med Prim Health Care. 2013;25(2):59-66.

12. Ahuru RR. Maternal Care Utilization in Primary Healthcare Centers in Nigerian Communities. Int Q Community Health Educ. 2020;272684X20983956. doi:

13. Johnson OE, Obidike PC, Eroh MU, Okpon AA, Bassey EI, Patrick PC, Ebong PE, Ojumah E. Choices, and determinants of delivery location among mothers attending a primary health facility in Southern Nigeria. Niger Postgrad Med J. 2020; (1):42-48.

14. Fabusiwa OF, Adejugbagbe AM, Akinboboye O. Preference for church-based maternity centers among women seeking delivery services in Akoko Southwest Local Government Area of Ondo State, Nigeria. Int J Sci. 2016;5(3).1-4

15. Umar AS. The use of maternal health services in Nigeria: does ethnicity and religious beliefs matter? MOJ Public Health. 2017;6(6):442-447.

16. Fasiku MM, Durowade KA, Osinubi MO, Akande TM, Osagbemi GK, Salaudeen AG, Oloyede TA, Ayoola VO. Utilization of maternal health services and its determinants among mothers attending primary health care clinics in Kwara State, Nigeria. Res. J. of Health Sci. 2018;6(3):121-32.

17. Emmanuel NK, Gladys EN, Cosmas UU. Consumer knowledge and availability of maternal and child health services: a challenge for achieving MDG 4 and 5 in Southeast Nigeria. BMC Health Serv Res 2013; 13, 53.

18. Eyassu Mathewos Oridanigo, Belete Kassa, "Utilization of Skilled Birth Attendance among Mothers Who Gave Birth in the Last 12 Months in Kembata Tembaro Zone", Advances in Medicine 2022; 1-10

19. Mitikie KA, Wassie GT, Beyene MB. Institutional delivery services utilization and associated factors among mothers who gave birth in the last year in Mandura district, Northwest Ethiopia. PloS ONE 2020;15(12)1-3.

20. Zelalem Ayele D, Belayihun B, Teji K, Admassu Ayana D. Factors affecting utilization of maternal health Care Services in Kombolcha District, eastern Hararghe zone, Oromia regional state, eastern Ethiopia. Int Sch Res Notices. 2014;2014.

21. Ibitoye M, Choi C, Tai H, Lee G, Sommer M. Early menarche: A systematic review of its effect on sexual and reproductive health in low-and middle-income countries. PloS ONE. 2017;12(6)

22. Manyeh A.K., Akpakli D.E., Kukula V., Ekey R.A., Narh-Bana S., Adjei A., Gyapong M. Socio-demographic determinants of skilled birth attendant at delivery in rural southern Ghana. BMC Res. Notes. 2017;10(1):268.

23. Damian DJ, Tibelerwa JY, John B, Philemon R, Mahande MJ, Msuya SE. Factors influencing utilization of skilled birth attendant during childbirth in the Southern highlands, Tanzania: a multilevel analysis. BMC preg childbirth. 2020; (1):1-1.

24. Fagbamigbe AF, Idemudia ES. Barriers to antenatal care use in Nigeria: evidence from non-users and implications for maternal health programming. BMC preg childbirth. 2015;(1):1-0.

25. Schliep KC, Mitchell EM, Mumford SL, Radin RG, Zarek SM, Sjaarda L, Schisterman EF. Trying to conceive after an early pregnancy loss: an assessment on how long couples should wait. Obstet Gynecol. 2016;127(2): 204–212.