Research Article
KNOWLEDGE OF SOCIO-DEMOGRAPHIC FACTORS INFLUENCING HEALTH SERVICE USAGE AMONG PREGNANT MOTHERS IN NIGERIA
Abstract
Poor knowledge of
socio-demographic factors limit access and utilization of health care services
among pregnant women. The objectives of this paper are to examine the factors
which influence health care usage and to suggest policy guidelines to boost the
use of healthcare particularly among antenatal women. The study covers five (5)
rural political wards of Ado-Odo/Ota Local Government Area in Ogun State,
Nigeria. A
stratified sampling technique was adopted in selecting the respondents who were
ever married women in child bearing age (15-49) years who had at least one
live-birth in the last three years preceding the survey. Stratified sampling technique was
employed because the study was based on different political wards. It enabled
more consistent responses within each political ward. This technique consists
in taking random samples within each selected ward and combining it with
samples proportionate to the size of each ward to ensure representative of the
population for wider generalization of findings. On
the whole, 260 female respondents were randomly selected from five wards out of
the sixteen wards. Data were gathered through questionnaire instrument
and analyzed statistically using statistical package
for social sciences. Regression analysis showed that treatment decision
and distance to health facility are negatively related to health program usage
by pregnant mothers. Educational attainments, payment of treatment bills,
respondent’s age and husband’s perception about pregnancy are positively associated
to antennal care (ANC) use. Also,
since the F- statistics calculated is greater than the F- tabulated thereby
validating the hypothesis that the socio-demographic characteristics of the
respondents are significantly related to the health program usage by pregnant
mothers. The above findings show that education, husband’s perception about
pregnancy, treatment decision and payment of treatment cost weigh more on the
use of modern health care services. Hence,
Costs
alleviation for women seeking antenatal care and delivery services should be
put in place to encourage women to use health services and government should
give priority to women education and empowerment. In addition, effort should be
made to revitalize rural health facilities and establish mid-way service
delivery points to reduce the problem of distance.
References
- Abdoulaye, Diallo (2006). Maternal mortality in Africa. The Internet Journal of Health, vol. 5(1). Addai, I. (2000). Determinants of use of maternal-child health services in rural Ghana. Journal of Biosocial Science, 32 (1). Andemariyam Yohannes Moges, Tamene Naba Yaya. Determinants of Safe Delivery Service Utilization among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. Science Journal of Public Health. Vol. 5, No. 6, 2017, pp. 411-418. Azuh, D. E., Azuh, A. E., Iweala, E. J., Adeloye, D., Akanbi, M., & Mordi, R. C. (2017).. Factors influencing maternal mortality among rural communities in southwestern Nigeria. International Journal of Women’s Health, 9, 179–188. Azuh, D., Fayomi, O., & Ajayi, L. (2015). Socio-cultural factors of gender roles in women’s health care utilization in Southwest Nigeria, Open Journal of Social Sciences, Vol. 3, 105–117. Azuh, D., Nwaubani, O. O. and Ugwuanyi, B. E. (2014). Socio-demographic Determinants of Health Care Program Usage by Women during Pregnancy and Child-birth in Ado-Odo/Ota Local Government Area of Ogun State, Nigeria. International Journal of Scientific Research. Vol. 3(6), 16-21. Bredensen, J. A. (2013). Women’s use of healthcare services and their perspective on healthcare utilization during pregnancy and childbirth in a small village in Northern India, American International Journal of Contemporary Research, Vol. 3(6), 1–9. Caldwell, J (1979). Education as a Factor in Mortality Decline: An Examination of Nigerian Data. Population Studies 33. Celik, Y. and Hotchkiss, D. R. (2000). The Socioeconomic determinants of Maternal Health Care Utilization in Turkey. Social Science and Medicine, 509 (12). Coimbra, L. C., Figueredo, F. P., Silva, A. A. M., Barbien, M. A., Bettoil, H. Caldas, A. J. M., Mochel, E. G., & Ribero, V. S. (2007). Inadequate utilization of prenatal care in two Brazilian birth cohorts, Braz J Med Boil Res, Vol. 40(9), 1195–1202. Elo, T. Irma (1992). Utilization of Maternal Health –care Services in Peru: The R of Women’s Education. Health Transition Review, vol 2 (1). Eze, B. U., & Adhure, H. (2014).Hindrances to effective usage of family planning methods among women in Adankolo Lokoja urban area of Kogi State, International Journal of Current Research and Academic Review, Vol. 2(10), 182–190. Federal Ministry of Health (2007). Integrated Maternal, Newborn and Child Health Strategy. Abuja: FMOH. Federal Ministry of Health (2003). National Study on Essential Obstetric care Facilities in Nigeria. Abuja: FMOH. Halle-Ekane, G. E., Obinchemti, T. E., Nzang, J. L. N., Mokube, M. N., Njie, M. M., & Njamen, T. N. (2014). Assessment of the content and utilization of antenatal care services in a rural community in Cameroon: A cross sectional study, Open Journal of Obstetrics and Gynecology, Vol. 4, 846–856. Harvey, Vickita Akosua Antwiwaa, "Socio-economic and Cultural Determinants of Health Care Services Utilization in Ghana" (2014). UNLV Theses, Dissertations, Professional Papers, and Capstones. 2266. Ishmael Kalule-Sabiti, Acheampong Yaw Amoateng and Mirriam Ngake (2014). The Effect of Socio-demographic Factors on the Utilization of Maternal Health Care Services in Uganda. African Population Studies, Vol. 28, No. 1. 515-525. Jemisenia John Oluwaseyi, Ezenagu Nnedinma Roseline, Adejoh Arome (2017). Socio-Economic Status and Women’s Healthcare Utilization: A Study of Selected Areas in Nigeria. Rom. Jour. of Sociological Studies, New Series, No. 1, p. 25–48. Leslie, J. and Gupta, G.R (1989). Utilization of formal services for Maternal Nutrition and Health Care. Washington, D C: International Centre for Research on Women. Nai-Peng Tey and Siow-li Lai (2013). Correlates of and Barriers to the Utilization of Health Services for Delivery in South Asia and Sub-Saharan Africa. The Scientific World Journal Volume 2013, pp.1-11. National Population Commission (2014) Nigeria Demographic and Health Survey 2013. Calverton, Maryland: National Population Commission and ORC/Macro. Nigeria Federal Ministry of Health (2003). Technical Report on Study on Essential Obstetric care facilities in Nigeria. Abuja: FMOH. Ochako, R., Fotso, J.-C., Ikamari, L., & Khasakhala, A. (2011). Utilisation of maternal health services among young women in Kenya: Insights from the Kenya Demographic and Health Survey, 2003, BMC Pregnancy &Childbirth, 11. Okutu, D. 2011. Access to and utilization of antenatal care services in Uganda. Uaps 2011.princeton.edu/papers/110707. Owens, G. M. (2008). Gender differences in health care expenditure, resources utilization and quality care, J. Manag Care Pharm, Vol. 14(3), 2–6. UNICEF (2005). The State of World’s Children. New York: Oxford University Press. World Health Organization (1998). Improved Access to Maternal Health Services. WHO 98 (7). Geneva: WHO. 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. World Health Organization (2001). Maternal mortality Estimates Geneva: Switzerland, World Health Organization.
Year 2017,
Volume: 3 Issue: 9, 1043 - 1050, 27.12.2017
Abstract
References
- Abdoulaye, Diallo (2006). Maternal mortality in Africa. The Internet Journal of Health, vol. 5(1). Addai, I. (2000). Determinants of use of maternal-child health services in rural Ghana. Journal of Biosocial Science, 32 (1). Andemariyam Yohannes Moges, Tamene Naba Yaya. Determinants of Safe Delivery Service Utilization among Women of Childbearing Age in Egela Sub-Woreda, Tigray, Northern Ethiopia. Science Journal of Public Health. Vol. 5, No. 6, 2017, pp. 411-418. Azuh, D. E., Azuh, A. E., Iweala, E. J., Adeloye, D., Akanbi, M., & Mordi, R. C. (2017).. Factors influencing maternal mortality among rural communities in southwestern Nigeria. International Journal of Women’s Health, 9, 179–188. Azuh, D., Fayomi, O., & Ajayi, L. (2015). Socio-cultural factors of gender roles in women’s health care utilization in Southwest Nigeria, Open Journal of Social Sciences, Vol. 3, 105–117. Azuh, D., Nwaubani, O. O. and Ugwuanyi, B. E. (2014). Socio-demographic Determinants of Health Care Program Usage by Women during Pregnancy and Child-birth in Ado-Odo/Ota Local Government Area of Ogun State, Nigeria. International Journal of Scientific Research. Vol. 3(6), 16-21. Bredensen, J. A. (2013). Women’s use of healthcare services and their perspective on healthcare utilization during pregnancy and childbirth in a small village in Northern India, American International Journal of Contemporary Research, Vol. 3(6), 1–9. Caldwell, J (1979). Education as a Factor in Mortality Decline: An Examination of Nigerian Data. Population Studies 33. Celik, Y. and Hotchkiss, D. R. (2000). The Socioeconomic determinants of Maternal Health Care Utilization in Turkey. Social Science and Medicine, 509 (12). Coimbra, L. C., Figueredo, F. P., Silva, A. A. M., Barbien, M. A., Bettoil, H. Caldas, A. J. M., Mochel, E. G., & Ribero, V. S. (2007). Inadequate utilization of prenatal care in two Brazilian birth cohorts, Braz J Med Boil Res, Vol. 40(9), 1195–1202. Elo, T. Irma (1992). Utilization of Maternal Health –care Services in Peru: The R of Women’s Education. Health Transition Review, vol 2 (1). Eze, B. U., & Adhure, H. (2014).Hindrances to effective usage of family planning methods among women in Adankolo Lokoja urban area of Kogi State, International Journal of Current Research and Academic Review, Vol. 2(10), 182–190. Federal Ministry of Health (2007). Integrated Maternal, Newborn and Child Health Strategy. Abuja: FMOH. Federal Ministry of Health (2003). National Study on Essential Obstetric care Facilities in Nigeria. Abuja: FMOH. Halle-Ekane, G. E., Obinchemti, T. E., Nzang, J. L. N., Mokube, M. N., Njie, M. M., & Njamen, T. N. (2014). Assessment of the content and utilization of antenatal care services in a rural community in Cameroon: A cross sectional study, Open Journal of Obstetrics and Gynecology, Vol. 4, 846–856. Harvey, Vickita Akosua Antwiwaa, "Socio-economic and Cultural Determinants of Health Care Services Utilization in Ghana" (2014). UNLV Theses, Dissertations, Professional Papers, and Capstones. 2266. Ishmael Kalule-Sabiti, Acheampong Yaw Amoateng and Mirriam Ngake (2014). The Effect of Socio-demographic Factors on the Utilization of Maternal Health Care Services in Uganda. African Population Studies, Vol. 28, No. 1. 515-525. Jemisenia John Oluwaseyi, Ezenagu Nnedinma Roseline, Adejoh Arome (2017). Socio-Economic Status and Women’s Healthcare Utilization: A Study of Selected Areas in Nigeria. Rom. Jour. of Sociological Studies, New Series, No. 1, p. 25–48. Leslie, J. and Gupta, G.R (1989). Utilization of formal services for Maternal Nutrition and Health Care. Washington, D C: International Centre for Research on Women. Nai-Peng Tey and Siow-li Lai (2013). Correlates of and Barriers to the Utilization of Health Services for Delivery in South Asia and Sub-Saharan Africa. The Scientific World Journal Volume 2013, pp.1-11. National Population Commission (2014) Nigeria Demographic and Health Survey 2013. Calverton, Maryland: National Population Commission and ORC/Macro. Nigeria Federal Ministry of Health (2003). Technical Report on Study on Essential Obstetric care facilities in Nigeria. Abuja: FMOH. Ochako, R., Fotso, J.-C., Ikamari, L., & Khasakhala, A. (2011). Utilisation of maternal health services among young women in Kenya: Insights from the Kenya Demographic and Health Survey, 2003, BMC Pregnancy &Childbirth, 11. Okutu, D. 2011. Access to and utilization of antenatal care services in Uganda. Uaps 2011.princeton.edu/papers/110707. Owens, G. M. (2008). Gender differences in health care expenditure, resources utilization and quality care, J. Manag Care Pharm, Vol. 14(3), 2–6. UNICEF (2005). The State of World’s Children. New York: Oxford University Press. World Health Organization (1998). Improved Access to Maternal Health Services. WHO 98 (7). Geneva: WHO. 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. World Health Organization (2001). Maternal mortality Estimates Geneva: Switzerland, World Health Organization.
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Details
| Journal Section | Articles |
|---|---|
| Authors | |
| Publication Date | December 27, 2017 |
| Submission Date | October 1, 2017 |
| Published in Issue | Year 2017Volume: 3 Issue: 9 |
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