Determinants of Choice of Facility-Based Delivery among Mothers in Kwara State, Nigeria.

Autor:	Ijaiya MA; Department of Obstetrics & Gynaecology, University of Ilorin, Ilorin, Kwara State, Nigeria.; Department of Obstetrics & Gynaecology, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Saka MJ; Department of Epidemiology & Community Health, University of Ilorin, Ilorin, Kwara State, Nigeria.; Department of Epidemiology & Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Aderibigbe SA; Department of Epidemiology & Community Health, University of Ilorin, Ilorin, Kwara State, Nigeria.; Department of Epidemiology & Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Raji HO; Department of Obstetrics & Gynaecology, University of Ilorin, Ilorin, Kwara State, Nigeria.; Department of Obstetrics & Gynaecology, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Adeniran AS; Department of Obstetrics & Gynaecology, University of Ilorin, Ilorin, Kwara State, Nigeria.; Department of Obstetrics & Gynaecology, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Ijaiya ZB; Department of Nursing Services, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Ameen HA; Department of Epidemiology & Community Health, University of Ilorin, Ilorin, Kwara State, Nigeria.; Department of Epidemiology & Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Uthman MMB; Department of Epidemiology & Community Health, University of Ilorin, Ilorin, Kwara State, Nigeria.; Department of Epidemiology & Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Kayode B; Department of Epidemiology & Community Health, University of Ilorin, Ilorin, Kwara State, Nigeria.; Department of Epidemiology & Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Abdulraheem I; Department of Epidemiology & Community Health, University of Ilorin, Ilorin, Kwara State, Nigeria.; Department of Epidemiology & Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Bolarinwa OA; Department of Epidemiology & Community Health, University of Ilorin, Ilorin, Kwara State, Nigeria.; Department of Epidemiology & Community Health, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria., Saidu R; University of Capetown, South Africa.
Jazyk:	angličtina
Zdroj:	West African journal of medicine [West Afr J Med] 2023 Jun 29; Vol. 40 (6), pp. 594-600.
Abstrakt:	Background: Nigeria has the highest number of maternal deaths in the world, which is a major public health problem. One of the major contributory factors is high prevalence of unskilled birth attendance from low facility delivery. However, the reasons for and against facility delivery are complex and not fully understood. Objective: The objective of this study was to identify the facilitators and barriers to facility based deliveries (FBD) among mothers in Kwara state, Nigeria. Methods: The study was carried out among 495 mothers that delivered in the five years prior to the study in three selected communities from the three senatorial districts of Kwara state using mixed methods. The study design consisted of a cross-sectional study with mixed data collection involving qualitative and quantitative methods. Multistage sampling technique was employed. Primary outcome measures were place of delivery, reasons for and against FBD. Results: Of the 495 respondents that had their last delivery during the study period, 410 respondents delivered in the hospital (83%). Common reasons for hospital delivery were ease and convenience (87.1%), safe delivery (73.6%) and faith in healthcare providers (22.4%). The common barriers to FBD included high cost of hospital delivery (85.9%), sudden birth (58.8%) and distance (18.8%). Other important barriers were availability of cheaper alternatives (traditional birth attendants and community health extension workers practising at home), unavailability of community health insurance and lack of family support. Parity, level of education of respondents and husband had significant influence on choice of delivery (p<0.05). Conclusion: These findings provided a good insight into the reasons for and against facility delivery among Kwara women, which can assist policy makers and program interventions that can improve facility deliveries and ultimately improve skilled birth attendance, reduce maternal and newborn morbidity and mortality. Competing Interests: The Authors declare that no competing interest exists. (Copyright © 2023 by West African Journal of Medicine.)
Databáze:	MEDLINE
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