Antenatal Care and Skilled Birth Attendance in Three Communities in Kaduna State, Nigeria
), Oladipo Aina(2), Muhammed . S. Ibrahim(3), Hajara S. Umar(4), Paige Passano(5),
(1)
(2)
(3)
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(5)
Corresponding Author
Abstract
This study assessed antenatal care (ANC) coverage, place of delivery and use of skilled birth assistants in three communities in Kaduna State, Nigeria. The sample included 332 women who had delivered within two years of the survey. ANC attendance rates were high, with 76.2% of women reporting at least one visit, and 63.3% receiving four or more. However, median gestational age at the first visit was four months and only 9.3% received all the recommended components. Health facility deliveries (11.7%) were far lower than ANC attendance. Educational status was found to be statistically significantly associated with all ANC and safe delivery outcomes. To make significant progress towards the fifth MDG in northern Nigeria, effective strategies to encourage women’s education paired with improvements in ANC quality (especially within communities) is essential. Most importantly, safer delivery options that would be acceptable in communities where women traditionally birth at home need to be explored (Afr. J. Reprod. Health 2010; 14[3]: 89-96).
Résumé
Soins prénatals et les accoucheuses qualifiées dans trois communautés dans l’état de Kaduna, Nigéria. Cette étude a évalué la couverture des soins prénatals CSP, la place de l’accouchement et l’emploi des accoucheuses qualifiées dans trois communautés dans l’état de Kaduna, Nigéria. L’échantillon comprenait 322 femmes qui avaient accouché au cours de deux ans qu’a duré l’enquête. Les taux d’assistance au niveau des CSP étaient élevés, 76,2% des femmes ayant signalé au moins une visite et 63,3% en ayant reçu quatre ou plus. Néanmoins, l’âge gestationnel médian à la première visite était quatre mois et seuls 9,3% ont reçu toutes les composantes recommandées. Les accouchements dans les établissements de santé (11,7%) étaient beaucoup moins nombreux que la fréquence à la CSP. Nous avons découvert que le niveau d’instruction était statistiquement et de manière significative liée aux résultats de la CSP et des résultats de l’accouchement sans danger. Pour faire du progrès significatif vers le cinquième OMD au nord du Nigéria, il est nécessaire de mettre en place les stratégies efficaces qui encourageront l’éducation de la femme ainsi que les améliorations dans la qualité des CSP (surtout au sein des communautés). Plus important encore, il faut explorer les options d’accouchement sans danger qui seront acceptables dans les communautés (Afr. J. Reprod. Health 2010; 14[3]: 89-96).
Key words: Antenatal care, skilled birth attendance, home deliveries.
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