Utilization of Non-Skilled Birth Attendants in Northern Nigeria: A Rough Terrain to the Health-Related MDGs
), Tukur Dahiru(2),
(1) Nairawebs Design
(2)
Corresponding Author
Abstract
Non-skilled birth attendants (NSBAs) are likely to deliver low quality maternity care compared with skilled health workers. A total of 6,809 women (15-49 years) were interviewed in a survey of which 5,091 had delivery information. Among women with a last live birth delivered anytime within the five years prior to the survey, 89% had been assisted by NSBAs. Compared to older women (35+), middle-aged women (20–34 years) were 21% more likely to be assisted by NSBAs. For women ≤20 years, the odds of being assisted by NSBAs more than doubled (AOR=2.14) when compared with older women. Residents of Yobe State were 42% more likely to be assisted by NSBA compared with residents of Katsina State. Key interventions should focus on strengthening health services delivery, radio messages and other communication channels to encourage supervised deliveries and intensifying provision of formal education to enable women better understand information given (Afr. J. Reprod. Health 2010; 14[2]: 3745).
RĖSUMĖ
Utilisation des accoucheurs traditionnels non-qualifiés au nord du Nigéria : Un terrain difficile pour les objectifs du millénaire liés à la santé. Les accoucheurs traditionnels non qualifiés (ATNQ) ont la possibilité d‘assurer des soins de maternité de basse qualité par rapport aux membres du personnel soignant qualifiés. Au total, 6809 femmes (15 – 49 ans) ont été interviewées dans une enquête à laquelle 5091 avaient l‘information sur l‘accouchement. Parmi les femmes dont la dernière naissance viable a eu lieu au cours de cinq ans avant l‘enquête, 89% ont été aidées par les ATNQs. Par rapport aux femmes plus âgées (35+), les femmes d‘âge moyen (20 – 34 ans) avaient 21% plus la possibilité d‘être aidées par les ATNQs. Pour les femmes qui ont ≤ 20 ans la possibilité d‘être assistées avait plus que doublée par rapport aux femmes plus âgées. Les habitantes de l‘état de Yobe avaient 42% plus la possibilité d‘être assistées par les SFNQs par rapport aux habitantes de l‘état de Katsina. Les interventions clé doivent concentrer sur le renforcement de la prestation de soins et l‘intensification de l‘assurance de l‘éducation formelle pour permettre aux femmes de mieux connaître l‘information donnée (Afr. J. Reprod. Health 2010; 14[2]:37-45).
KEYWORDS: Antenatal Care; Education Needs; Reproductive Health; Skilled Birth Attendants; Northern Nigeria
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