Relative Contributions of Socio-Cultural Variables to the Prediction of Maternal Mortality in Edo South Senatorial District, Nigeria
), Francisca Chika Anyanwu(2),
(1)
(2)
Corresponding Author
Abstract
The study examined the extent of contributions of socio-cultural factors to maternal mortality (through survey method). Two thousand one hundred and fifty seven (2,157) females of reproductive age were selected using multi-stage sampling technique. The instrument was a self developed structured and validated questionnaire with a reliability of 0.82. Focus Group Discussion (FGD) and In-depth interview guide were used to complement the instrument. Inferential statistics of multiple regression was employed to test the hypothesis at 0.05 level of significance. The result showed that the most relevant variables across the two locations (rural and urban) was early marriage/early child bearing (R2 = 0.200; F = 401.40; P = 0.001) followed by educational attainment. Others in descending order were: women decision making power; traditional obstetric care services; female genital mutilation ; economic status and access to health care service. This indicates the importance of formulating policies that would focus on attaining high level of literacy among girls (Afr J Reprod Health 2009; 13[2]:109-115).
RĖSUMĖ
Contributions relatives des variables socio-culturels à la prédiction de la mortalité maternelle dans le district sénatorial du sud de l’état d’Edo, Nigéria. L’étude a examiné l’importance des contributions des facteurs socio-culturels à la mortalité maternelle (à travers la méthode de l’enquête). Deux mille cent cinquante sept (2,157) femmes en âge d’avoir des enfants ont été sélectionnées à l’aide de la technique d’échantillage à stade multiple. L’instrument était une structure auto-développée et un questionnaire valide ayant une confiance de 0,82. L’instrument a été complété à l’aide des Discussions à Groupe Cible (DGC) et un guide des interviews en profondeur. Des statistiques déductives de la régression multiple ont été utilisées pour vérifier l’hypothèse à un niveau de signification de 0,05. Le résultat a montré les variables les plus pertinents a travers les deux milieux (rural et urbain) étaient le mariage précoce/l’accouchement précoce (R2 = 0,200 ; F= 401,40 ; P = 0,001) et ensuite l’acquis éducatif. Les autres d’un ordre descendant étaient : le pouvoir de la femme de prendre des décisions ; les services de soins obstétriques traditionnels ; la mutilation génitale féminine ; la situation économique et l’accès au service des soins médicaux. Ceci montre l’importance de la formulation des politiques qui mettront l’attention sur l’acquisition d’un haut niveau d’alphabétisation chez les filles (Afr J Reprod Health 2009; 13[2]:109-115).
KEYWORDS: Socio-cultural, Edo South Senatorial District, maternal mortality, Edo State, Nigeria
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