Urban-Rural differences of Maternal Healthcare Service Utilization in Abia South Senatorial District, Abia State, Nigeria

Authors

  • Omokwe MM University of Port harcourt
  • Mba O University of Port Harcourt, Nigeria
  • Maiyallaba LA University of Port Harcourt, Nigeria
  • Ifere JE University of Port Harcourt, Nigeria

DOI:

https://doi.org/10.60787/tnhj.v24i1.763

Keywords:

Maternal health, Health care utilization, Antenatal care, women of reproductive age., Delivery care

Abstract

Background: Maternal health is an indicator of the well-being of our future generation aimed at ensuring that maternal mortality and maternal morbidity are reduced to its barest minimum, however, there exist a difference in the uptake of these available services between the urban and rural communities. The aim of this study is to investigate the differences in the pattern of utilization maternal health services in Abia South Senatorial District.

Method: A comparative cross-sectional study design was employed which used a multistage sampling technique to recruit 438 women of reproductive age (15-49 years) in 2 of 6 Local Government Areas in the Senatorial District. A semi-structured, pre-tested, interviewer administered questionnaire was used for data collection. The pattern of utilization of services was assessed by frequencies and proportions of respondents who obtained antenatal and delivery care from a skilled health provider.

Result: The mean age of respondents for urban was 26.3±5.4 years while for rural was 25.5±4.0 years. Comparable proportions in urban, (95.0%) and rural, (68.5%) had good use of antenatal care services provided by a skilled health worker (P < 0.001). Comparable proportions in urban, (88%) had good use of delivery care services provided by a skilled delivery health worker (P < 0.001) while rural, (39%) showed low usage of skilled delivery care.

Conclusion: The level of utilization of antenatal care in health facilities in the study communities was above average.

Downloads

Download data is not yet available.

References

World Health Organization. Post-2015 development agenda. WHO Regional Office for South-East Asia; 2013.

Alenoghena IO, Isah EC, Isara AR. Maternal health services uptake and its determinants in public primary health care facilities in edo state, Nigeria. Nigerian Postgraduate Medical Journal. 2015 Jan 1;22(1):25-31.

Okeibunor JC, Onyeneho NG, Okonofua FE. Policy and programs for reducing maternal mortality in Enugu State, Nigeria. African Journal of Reproductive Health. 2010;14(3):19-30.

Adogu PO, Egenti BN, Ubajaka C, Onwasigwe C, Nnebue CC. Utilization of maternal health services in urban and rural communities of Anambra State, Nigeria. Nigerian Journal of Medicine. 2014;23(1):61-9.

Shrestha G. Factors Affecting Maternal Health Care Services Utilization in Nepal: Insight from the Nepal Demographic Health Survey 2006 and 2011. Nepalese Journal of Statistics. 2017; 1:55-72.

Treacy L, Sagbakken M. Exploration of perceptions and decision-making processes related to childbirth in rural Sierra Leone. BMC pregnancy and childbirth. 2015;15(1):1-2.

Choulagai B, Onta S, Subedi N, Mehata S, Bhandari GP, Poudyal A, Shrestha B, Mathai M, Petzold M, Krettek A. Barriers to using skilled birth attendants’ services in mid-and far-western Nepal: a cross-sectional study. BMC international health and human rights. 2013;13(1):1-9.

Gülmezoglu AM, Lawrie TA, Hezelgrave N, Oladapo OT, Souza JP, Gielen M, Lawn JE, Bahl R, Althabe F, Colaci D, Hofmeyr GJ. Interventions to reduce maternal and newborn morbidity and mortality. Reproductive, maternal, newborn, and child health. 2016; 2:115-36.

Kuruvilla S, Schweitzer J, Bishai D, Chowdhury S, Caramani D, Frost L, Cortez R, Daelmans B, Francisco AD, Adam T, Cohen R. Success factors for reducing maternal and child mortality. Bulletin of the World Health Organization. 2014; 92:533-44.

Harvey SA, Blandón YC, McCaw-Binns A, Sandino I, Urbina L, Rodríguez C, Gómez I, Ayabaca P, Djibrina S. Are skilled birth attendants really skilled? A measurement method, some disturbing results and a potential way forward. Bulletin of the World Health Organization. 2007; 85:783-90.

Gitonga E, Muiruri F. Determinants of health facility delivery among women in Tharaka Nithi county, Kenya. The Pan African Medical Journal. 2016;25(Suppl 2).

Yaya S, Bishwajit G, Ekholuenetale M, Shah V, Kadio B, Udenigwe O. Factors associated with maternal utilization of health facilities for delivery in Ethiopia. International Health. 2018;10(4):310-7.

Ossai E, Nwobi E, Uzochukwu B. Spatial differences in quality of maternal health service in primary health centers of Enugu state, Nigeria. British Journal of Medicine and Medical Research. 2015;10(10):1-4.

World Health Organization. Trends in maternal mortality: 1990-2015: estimates from WHO, UNICEF, UNFPA, world bank group and the United Nations population division. World Health Organization; 2015.

Izugbara CO, Wekesah FM, Adednini SA. Maternal health in Nigeria: a situation update. African Population and Health Research Center; 2016.

Creanga, A. A., Berg, C. J., Syverson, C., Seed, K., Bruce, F. C., & Callaghan, W. M. (2015). Pregnancy-related mortality in the United States, 2006–2010. Obstetrics & Gynecology, 125(1), 5-12.

Grobman WA, Bailit JL, Rice MM, Wapner RJ, Reddy UM, Varner MW, Thorp Jr JM, Leveno KJ, Caritis SN, Iams JD, Tita AT. Frequency of and factors associated with severe maternal morbidity. Obstetrics & Gynecology. 2014;123(4):804-10.

Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, Lopez AD, Lozano R, Murray CJ. Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5. The lancet. 2010 May 8;375(9726):1609-23.

Adewuyi EO, Auta A, Khanal V, Bamidele OD, Akuoko CP, Adefemi K, Tapshak SJ, Zhao Y. Prevalence and factors associated with underutilization of antenatal care services in Nigeria: A comparative study of rural and urban residences based on the 2013 Nigeria demographic and health survey. PloS one. 2018 May 21;13(5):e0197324.

Casagrande, J. T., Pike, M. C., & Smith, P. G. (1978). An improved approximate formula for calculating sample sizes for comparing two binomial distributions. Biometrics, 483-486.

Duru CB, Eke NO, Ifeadike CO, Diwe KC, Uwakwe KA, Nwosu BO, Chineke HN. Antenatal care services utilization among women of reproductive age in urban and rural communities of South East Nigeria: a comparative study. Afrimedic Journal. 2014 Oct 31;5(1):50-8.

Tran TK, Nguyen CT, Nguyen HD, Eriksson B, Bondjers G, Gottvall K, Ascher H, Petzold M. Urban-rural disparities in antenatal care utilization: a study of two cohorts of pregnant women in Vietnam. BMC health services research. 2011 Dec;11(1):1-9.

Gudu W, Addo B. Factors associated with utilization of skilled service delivery among women in rural Northern Ghana: a cross sectional study. BMC pregnancy and childbirth. 2017 Dec;17:1-0.

Emelumadu OF, Ukegbu AU, Ezeama NN, Kanu OO, Ifeadike CO, Onyeonoro UU. Socio-demographic determinants of maternal health-care service utilization among rural women in anambra state, South East Nigeria. Annals of medical and health sciences research. 2014;4(3):374-82.

Envuladu EA, Agbo HA, Lassa S, Kigbu JH, Zoakah AI. Factors determining the choice of a place of delivery among pregnant women in Russia village of Jos North, Nigeria: achieving the MDGs 4 and 5. International Journal of Medicine and Biomedical Research. 2013 Aug 7;2(1):23-7.

Idowu A, Olowookere SA, Abiola OO, Akinwumi AF, Adegbenro C. Determinants of skilled care utilization among pregnant women residents in an urban community in Kwara State, Northcentral Nigeria. Ethiopian journal of health sciences. 2017;27(3):291-8.

Okonofua F, Ntoimo L, Ogungbangbe J, Anjorin S, Imongan W, Yaya S. Predictors of women’s utilization of primary health care for skilled pregnancy care in rural Nigeria. BMC pregnancy and childbirth. 2018;18(1):1-5.

Begum N, Rahman M, Rahman MM, Nayan SK, Zinia SN, Khan SZ. Utilization of antenatal care services in a selected rural area in Bangladesh. Northern International Medical College Journal. 2015;6(1):25-8.

Stephen AA, Joshua AO. Determinants of maternal utilization of health services and nutritional status in a rural community in South-West Nigeria. African journal of reproductive health. 2016 ;20(2):72-85.

National Population Commission. ICF. Nigeria Demographic and Health Survey 2018. NPC/ICF; 2019.

Aliyu BM. Spatial location and utilization of maternal healthcare services by women in Niger East Senatorial Zone. African Research Review. 2018;12(4):50-64.

Shehu CE, Ibrahim MT, Oche MO, Nwobodo EI. Determinants of place of delivery: a comparison between an urban and a rural community in Nigeria. Journal of Public Health and Epidemiology. 2016;8(6):91-101.

Hanlon N, Kearns R. Health and rural places. InRoutledge international handbook of rural studies 2016 May 20 (pp. 62-70). Routledge.

Tsegay Y, Gebrehiwot T, Goicolea I, Edin K, Lemma H, Sebastian MS. Determinants of antenatal and delivery care utilization in Tigray region, Ethiopia: a cross-sectional study. International journal for equity in health. 2013;12:1-0.

Bhimani NR, Vachhani PV, Kartha GP. Utilization pattern of antenatal health care services among married women of reproductive age group in the rural area of Surendranagar district, Gujarat, India: A community based cross sectional study. International Journal of Research in Medical Sciences. 2016;4(1):252-61.

Iyaniwura CA, Yussuf Q. Utilization of antenatal care and delivery services in Sagamu, south western Nigeria. African journal of reproductive health. 2009;13(3):111-22.

Downloads

Published

2024-03-29

How to Cite

Omokwe, M. M., MBA, O., MAIYALLABA, L. A., & Ifere, J. E. (2024). Urban-Rural differences of Maternal Healthcare Service Utilization in Abia South Senatorial District, Abia State, Nigeria . The Nigerian Health Journal, 24(1), 1047 – 1057. https://doi.org/10.60787/tnhj.v24i1.763
Abtract Views | PDF Download | EPUB Download: 435 / 123 / 49

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.