An Evaluation of Nurse-Led Interventions in Reducing Home Deliveries Among Expectant Mothers in Kebbi State
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Background of the Study
Home deliveries remain a significant public health concern in Nigeria, contributing to high maternal and neonatal mortality rates. The World Health Organization (WHO, 2024) emphasizes the importance of skilled birth attendance in reducing complications associated with childbirth. Despite global and national efforts to promote facility-based deliveries, many expectant mothers in Kebbi State still opt for home births due to cultural beliefs, lack of access to healthcare facilities, financial constraints, and distrust of modern healthcare services (Adeyemi & Musa, 2023).
Nurses play a vital role in addressing this issue by implementing targeted interventions, including antenatal education, community outreach programs, and collaboration with traditional birth attendants (TBAs) to encourage hospital deliveries. Nurse-led interventions, such as home visits, health education on the risks of home births, and provision of incentives for facility-based deliveries, have been implemented in various settings with promising results (Hassan & Usman, 2024). However, the effectiveness of such interventions in Kebbi State remains underexplored.
This study aims to evaluate the impact of nurse-led interventions in reducing home deliveries among expectant mothers in Kebbi State and to determine the factors influencing their effectiveness.
Statement of the Problem
Nigeria continues to record one of the highest maternal mortality rates globally, with home deliveries being a significant contributing factor. In Kebbi State, a large proportion of childbirths occur outside health facilities, increasing the risk of maternal and neonatal complications. Although nurses play a critical role in promoting facility-based deliveries, the effectiveness of their interventions in addressing this challenge has not been adequately assessed.
This study seeks to evaluate the impact of nurse-led interventions in reducing home deliveries and identify barriers that may limit their effectiveness. Understanding these challenges will help policymakers and healthcare providers improve strategies to ensure safer childbirth practices.
Objectives of the Study
- To assess the effectiveness of nurse-led interventions in reducing home deliveries among expectant mothers in Kebbi State.
- To examine the factors influencing the choice of home deliveries despite nurse-led interventions.
- To propose strategies for enhancing the effectiveness of nurse-led interventions in promoting facility-based deliveries.
Research Questions
- How effective are nurse-led interventions in reducing home deliveries among expectant mothers in Kebbi State?
- What factors influence the decision of expectant mothers to opt for home deliveries despite nurse-led interventions?
- What strategies can be adopted to improve nurse-led interventions in promoting facility-based deliveries?
Research Hypotheses
H₀: Nurse-led interventions do not significantly reduce home deliveries among expectant mothers in Kebbi State.
H₁: Nurse-led interventions significantly reduce home deliveries among expectant mothers in Kebbi State.
H₀: There are no significant factors influencing expectant mothers’ decisions to opt for home deliveries.
H₁: There are significant factors influencing expectant mothers’ decisions to opt for home deliveries.
H₀: There are no effective strategies for improving nurse-led interventions in promoting facility-based deliveries.
H₁: Effective strategies can be adopted to improve nurse-led interventions in promoting facility-based deliveries.
Scope and Limitations of the Study
This study focuses on expectant mothers in Kebbi State and the nurse-led interventions aimed at reducing home deliveries. Limitations may include variations in healthcare access across different communities and potential reluctance of respondents to disclose personal childbirth preferences.
Definitions of Terms
- Home Delivery – Childbirth that occurs outside a healthcare facility, usually in a home setting.
- Nurse-Led Interventions – Healthcare strategies and programs initiated and implemented primarily by nurses.
- Facility-Based Delivery – Childbirth that takes place in a healthcare facility with the assistance of skilled birth attendants.
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