Maternal health-seeking Behavior and associated factors in a rural Nigerian community
Maternal health-seeking Behavior and associated factors in a rural Nigerian community
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DOI：
10.1007/s10995-005-0037-z
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发表时间：
2006-03-01
影响因子：
2.3
通讯作者：
Chiwuzie, J. C.
中科院分区：
文献类型：
--
作者：
Osubor, K. M.;Fatusi, Adesegun O.;Chiwuzie, J. C.
目的：为了解尼日利亚南部地区农村社区（Ologbo）孕产妇保健服务和就医行为，随机抽取225名15-49岁的母亲进行问卷调查，采用SPSS软件进行统计分析。六个焦点小组讨论会也进行了四个社区妇女和两个卫生工作者。结果：青少年构成的受访者的13.3%。每名妇女平均生育子女数从青少年的2.5个到45-49岁妇女的9.0个不等。80%的受访者至少知道一种孕产妇死亡的主要医学原因：提到的最常见原因是出血（31.8%）和难产（17.3%）。私人妇产中心是最受欢迎的分娩地点（37.3%），其次是传统助产士（25.5%）。只有15.7%的人更喜欢政府设施：不喜欢的原因包括工作人员工作不规范（31.4%）、服务质量差（24.3%）和费用高（19.2%）。在81名一年内分娩的妇女中，只有9.9%接受了产前护理，6.2%接受了两次破伤风类毒素注射，4.9%到产后诊所就诊。私人助产士和传统助产士分别接生了49.4%和42.0%。教育程度与分娩地点的选择显著相关（p < 0.05），但与年龄和婚姻状况无关。只有11.4%的母亲实行计划生育。结论：不良的就医行为是一个挑战，在农村尼日利亚，需要采取干预措施，以实现改善孕产妇健康状况。
Objectives: To assess maternal health services and health-seeking behavior in a rural community (Ologbo), located in the South-south zone of Nigeria.Methods: Structured questionnaire was administered to 225 randomly selected mothers (age 15-49 years), and was analyzed using SPSS. Six focus group discussion sessions were also conducted-four for community women and two for health workers.Results: Teenagers constituted 13.3% of the respondents. The average number of children per woman ranged from 2.5 for teenagers to 9.0 for women aged 45-49 years. Eighty percent of respondents knew at least one major medical cause of maternal mortality: the most common causes mentioned were hemorrhage (31.8%) and obstructed labor (17.3%). Private maternity center was the most preferred place for childbirth (37.3%), followed by traditional birth attendants (TBAs) (25.5%). Government facility was preferred by only 15.7%: reasons for the low preference included irregularity of staff at work (31.4%), poor quality of services (24.3%), and high costs (19.2%). Among the 81 women that delivered within a 1-year period, only 9.9% received antenatal care, 6.2% received two doses of tetanus toxoid, while 4.9% attended postnatal clinic. Private midwives and TBAs attended 49.4 and 42.0% of deliveries, respectively. Education was found to be significantly associated with choice of place for delivery (p < 0.05), but no association was found with respect to age and marital status. Only 11.4% of mothers were practicing family planning.Conclusions: Poor health-seeking behavior is a challenge in rural Nigeria, and interventions are needed to achieve improved maternal health status.