Influence Of Socio-Economic Factors On Choice Of Childbirth Place Among Women In Oyigbo, Rivers State, Nigeria



DOI: https://doi.org/10.25077/jom.7.2.66-76.2022


Author(s)

Ngozi Afulenu Obika-Ndiri (African centre of excellence for public health and Toxicological research (Ace-Putor), University of Port-Harcourt)
Chizoma Millicent Ndikom (Department of Nursing, College of Medicine, university of Ibadan)
Ogochukwu Immaculate Obika (Department of Pharmacognosy, College of Medicine, University of Lagos)

Abstract


Choices of childbirth places among women may influence the rate of maternal mortality which is still a major challenge especially in developing countries like Nigeria. Some of these choices could be influenced by social and economic factors and the commonest being home birth which increases maternal risks. This study aimed to find out the prevalent socio-economic factors that influence the birthplace choices among the women in a suburban community in Rivers State, Nigeria. The study utilized a descriptive, cross-sectional design. Respondents were selected through simple random sampling. A self-structured questionnaire was used to collect data for the study. The data were analyzed using frequency and percentage for descriptive statistics and chi-square for inferential statistics with the SPSS software at 0.05 level of significance. The result showed that most of the women had secondary education (57.1%) and choose health facility for childbirth (91.4%).There was significant association between distance (x²= 12.69, p= 0.005)and available finance (x²= 10.26, p= 0.016), and educational qualifications (x²= 18.75, p= 0.005)and the choices of childbirth places among the women, but there was no significant association between road access to health facility (x²= 5.47, p= 0.140)and unavailability of skilled birth personnel (x²= 6.23, p= 0.101) and income (x²= 8.38, p= 0.212) and choices of childbirth places among the women. This study has shown that there is influence of some socio-economic factors on the choices women make on childbirth places.


Keywords


Maternal Mortality, Childbirth places, Home birth, Traditional birth attendants, Social factors

Full Text:

PDF

References


Olonade, O, Olawande, TI,Alabi, OJ,&Imhonopi, D. Maternal Mortality and Maternal Health Care in Nigeria: Implications for Socio-Economic Development. Open Access Maced. J. Med. Sci. 2019;7(5):849–855. Doi: 10.3889/oamjms.2019.041

World Health Organization. Fact sheets.. Maternal mortality. WHO. Geneva2019. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality. Accessed 17 July 2020.

Kyei-Nimakoh M, Carolan-OlahM and Terence V. McCann. Millennium development Goal 5: progress and challenges in reducing maternal deaths in Ghana. BMC Pregnancy Childbirth. 2016;16:5. DOI: 10.1186/s12884-016-0840-0

Koblinsky, M, Chowdhury, ME, Moran, A,&Ronsmans, C. Maternal morbidity and disability and their consequences: neglected agenda in maternal health. J Health PopulNutr. 2012;30(2), 124–130. Doi: 10.3329/jhpn.v30i2.11294

Filippi V, Chou D, Ronsmans C, Graham W, and Say L. Levels and Causes of Maternal Mortality and Morbidity. In: Black RE, Laxminarayan R, Temmerman M, et al., editors. Reproductive, Maternal, Newborn, and Child Health: Disease Control Priorities.3rded (2). The International Bank for Reconstruction and Development / The World Bank. Washington (DC).2016;Ch3. Accessed from: https://www.ncbi.nlm.nih.gov/books/NBK361917/ doi: 10.1596/978-1-4648-0348-2_ch3

Aluko-Arowolo SO and Ademiluyi,I. A. Understanding Maternal Health in the Context of culture, Infrastructure and Development in Pluralististic Nigerian Society. Int.J. humanit. soc. sci.. 2015;5(4):151-158.

Cockrill, K and Nack A. I’m Not That Type of Person’: Managing the Stigma of Having an Abortion. Deviant Behav.2013;34 (12): 973–90.

World Health Organization. Maternal mortality: WHO fact sheet on maternal mortality with key facts and providing information on MDG 4, where deaths occur, causes, lack of care and WHO response. WHO. Geneva. 2018.

Ronsmans C and Graham WJ. Maternal mortality: who, when, where, and why. The Lancet.2006;368(9542):1189–200. Retrieved 28 November 2019from: https://www.thelancet.com/journals/lancet/a

Omideyi, AK. Poverty and development in Nigeria: trailing the MDGs?. Afr. J. Infect. Dis.. 2007;1(1): 3-17. Doi:10.4314/ajid.v1i1.42088.

Bukar M, Jauro YS. Home births and postnatal practices in madagali, North-Eastern Nigeria. Niger J ClinPract. 2013;16:232-7.

Ezeama, MC andEzeamah, I. Attitude and socio-cultural practice during pregnancy among women in Akinyele L. G. A. of Oyo State, Nigeria. J. Res. Nurs. Midwifery. 2014; 3(1):14-20

Aleni, M, Mbalinda, SN and Muhindo, R. Birth Intervals and Associated Factors among Women Attending Young Child Clinic in Yumbe Hospital, Uganda. Int. J. Reprod. Med 2020;1326596. https://doi.org/10.1155/2020/1326596

Ajiboye, OE and Adebayo, KA. Socio-cultural factors affecting pregnancy outcome among the Ogu speaking people of Badagry area of Lagos State, Nigeria. Int. j. humanit. soc. sci. 2012;2(4), 133-144.

Esienumoh, EE, Akpabio, II, Etowa, JB and Waterman, H. Cultural Diversity in Childbirth Practices in a Rural Community in Southern Nigeria. J Preg Child Health.2016;3: 280. doi:10.4172/2376-127X.1000280

Egharevba, J, Pharr, JR,Wyk, VB and Ezeanolue, E E. Factors influencing the choice of child delivery location among women attending antenatal care services and im- munization clinic in Southeastern Nigeria. Int J MCH AIDS.2017;6(1), 82–92.

World Health Organization.Antenatal care in developing countries: promises, achievements and opportunities: an analysis of trends, levels and differentials, Department of Reproductive Health and Research. WHO. Geneva, Switzerland.2015

Nayak MG, Sharada, George A. Socio-cultural perspectives on Health and Illness. NUJHS. 2012;2(3): 61-67

Liyew EF, Yalew AW, Afework MF, Essén B. Incidence and causes of maternal near-miss in selected hospitals of Addis Ababa, Ethiopia. PLoS ONE.2017;12(6): e0179013. doi:10.1371/journal.pone.0179013

Graham, WJ, Bell, JS andBullough, CHW. Can skilled attendance at delivery reduce maternal mortality in developing countries? In: De Brouwere,V, Van Lerberghe,W, editors.Safe Motherhood Strategies: A Review of the Evidence. Studies in Health Services Organisation and Policy. 2001.

Weitzman A. The effects of women's education on maternal health: Evidence from Peru. Soc Sci Med. 2017;180:1-9. doi:10.1016/j.socscimed.2017.03.004.

Okeshola, F.B., & Sadiq, I. Determinants of Home Delivery among Hausa in Kaduna South Local Government Area of Kaduna State, Nigeria. Am. Int. J. Contemp.2013; 3: 5.

Sharma S., Smith S., Sonnavelett E., Pine M., Dayaratna V., Sanders R. Formal and Informal Fees for Maternal Health Care Services in Five Countries: Policies and Perspectives. PolicyWorking Paper Series No.16, USAID, June2005.

Nwaji PO. "Peaceful Oyigbo". The Port Harcourt Telegraph.2009.http://www.thephctelegraph.com/stories/July%202009/2207news_07.html. Accessed 2 January 2020.

Charan, J., & Biswas, T. How to calculate sample size for different study designs in medical research?.Indian J. Psychol. Med.2013;35(2), 121–126. https://doi.org/10.4103/0253-7176.116232

Ugwu, N. U. anddeKok, B. (). Socio-cultural factors, gender roles and religious ideologies contributing to Caesarian-section refusal in Nigeria. Reprod. Health2015;12:70 DOI 10.1186/s12978-015-0050-7

Nigeria Demographic and Health Survey (NDHS). Preliminary Report. National Population Commission. Federal Republic of Nigeria, Abuja. 2018.


Article Metrics

This article has been read : 154 times
PDF file viewed/downloaded : 176 times

Copyright & License


Copyright (c) 2023 Ngozi Afulenu Obika-Ndiri, Chizoma Millicent Ndikom, Ogochukwu Immaculate Obika

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Published by:
Undergraduate Program of Midwifery
Faculty of Medicine - Universitas Andalas - Indonesia
Faculty of Medicine, Universitas Andalas

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.