Choice of birth place among antenatal clinic attendees in rural mission hospitals in Ebonyi State, South-East Nigeria

English version

Autoři: Leonard O. Ajah ^aff001; Fidelis A. Onu ^aff002; Oliver C. Ogbuinya ^aff002; Monique I. Ajah ^aff003; Benjamin C. Ozumba ^aff001; Anthony T. Agbata ^aff002; Robinson C. Onoh ^aff002; Kenneth C. Ekwedigwe ^aff002
Působiště autorů: Department of Obstetrics and Gynaecology, Faculty of Medical Sciences, University of Nigeria, Ituku-Ozalla Campus, Enugu, Nigeria ^aff001; Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Nigeria ^aff002; Institute of Maternal and Childhealth, University of Nigeria, Ituku-Ozalla Campus, Enugu, Nigeria ^aff003
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0211306

Souhrn

Background

Low utilization of health facilities for delivery by pregnant women poses a public health challenge in Nigeria.

Aim

To determine the factors that influence the choice of birth place among antenatal clinic attendees.

Methodology

This was a cross-sectional study of the eligible antenatal clinic attendees recruited at Mater Misericordiae Hospital, Afikpo and Saint Vincent Hospital, Ndubia in Ebonyi State from February 1, 2016 to June 30, 2016. Analysis was done using EPI Info 7.21 software (CDC Atlanta Georgia).

Results

A total of 397(99.3%) completely filled questionnaires were collated and analysed. Approximately 71% of the health facilities closest to the respondents had maternity services. It took at least 1 hour for 80.9% of the respondents to access health facilities with maternity services. Most (60.2%) of the respondents had at least one antenatal clinic attendance and majority of them did so at public hospitals. Approximately 43.8% of the respondents were delivered by the skilled birth attendants. The respondents’ age and the couple’s educational level, history of antenatal clinic attendance, distance of the health facility and availability of transport fare had a significant effect on delivery by skilled birth attendants. The common determinants of birth place were nearness of the health facilities, familiarity of healthcare providers, improved services, sudden labour onset and cost. Also 61.7% of the respondents chose to deliver in public health facilities due to favourable reasons but this could be hampered by the rudeness of some healthcare providers at such facilities. A significant proportion of private health facilities had unskilled manpower and shortage of drugs.

Conclusion

A greater proportion of women will prefer to deliver in health facilities. However there are barriers to utilization of these facilities hence the need to address such barriers.

Klíčová slova:

Labor and delivery – Pregnancy – Public and occupational health – Socioeconomic aspects of health – Educational attainment – Nigeria – Antenatal care – Global health

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