Utilization of Antenatal care and Delivery services in Sagamu, South Western Nigeria
), Q Yussuf(2),
(1)
(2)
Corresponding Author
Abstract
A survey of 392 women who had carried at least one pregnancy to term in Sagamu, South-Western Nigeria was conducted to determine the pattern of use of maternity services and assess factors that may influence the observed pattern. Majority of the women received antenatal care (84.6%) during their last pregnancy. Four-fifth of those who received ANC first attended the clinic during the second trimester (79.6%). The places of delivery were government facilities (54.8%), private hospital (24.5%), traditional birth attendants (13.5%) and spiritual healing homes (5.6%). Higher educational status and higher level of income positively affected the pattern of use of these services (p<0.05). Perceived quality of service was the most important factor which influenced the choice of facility for obstetric care. A considerable proportion of those who used traditional birth attendants (36.1%) used it to please their husbands. Our findings suggest that improving the socioeconomic status of men and women in the community is a key factor to improving utilization of maternity care services (Afr J Reprod Health 2009; 13[3]:111-122).
RĖSUMĖ
Utilisation des services prénatals et d’accouchements à Sagamu, au sud-ouest du Nigéria. Une enquête sur 392 femmes qui ont eu au moins un accouchement à terme à Sagamu au sud-ouest du Nigéria a été menée. Ceci pour déterminer la tendance de l’utilisation des services de gynécologieobstétrique et pour évaluer les tendances observées. La plupart des femmes ont obtenu des soins prénatals (84,6%) pendant leur grossesse. 4/5 de celles qui ont obtenu les soins prénatals se sont présentées à la Clinique pour la première fois au cours du second trimestre (79,6%). Les lieux d’accouchement étaient des établissements gouvernementaux (54,8%), les hôpitaux privés (24,5%), chez les sages-femmes traditionnelles (13,5%) et dans les maisons de guérison spirituelle (5,6%). L’utilisation de ces services est influencée positivement par le niveau supérieur de l’instruction acquise et un niveau élevé de revenu (p<0,05). La qualité perçue du service était le facteur le plus important qui a influencé le choix de l’établissement pour les soins obstétriques. Une proportion considérable de celles qui se sont servies des sages-femmes traditionnelles (36,1%) le faisant pour faire plaisir à leurs maris. Notre étude a montré que si la situation socio-économique des hommes et des femmes dans la communauté est améliorée, cela sera un facteur clé pour l’utilisation des services des soins gynécologie-obstétrique (Afr J Reprod Health 2009; 13[3]:111-122).
KEYWORDS: Utilization, Antenatal care, Delivery services, Sagamu, South Western Nigeria
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