Background of the Study
Poverty is a major determinant of maternal and child health, particularly in developing countries like Nigeria. Katsina State, located in northern Nigeria, has one of the highest poverty rates in the country, with a significant proportion of the population living below the poverty line (National Bureau of Statistics, 2024). This economic hardship has direct consequences on healthcare access, maternal nutrition, and child survival rates, leading to an increased risk of maternal mortality, infant mortality, and childhood diseases (WHO, 2023).
Maternal and child health is critically linked to socio-economic factors such as income, education, and access to healthcare services. Poor households in Katsina State often struggle to afford essential healthcare services, including antenatal care, skilled birth attendance, and immunization for children (UNICEF, 2023). As a result, many women resort to traditional birth attendants or home deliveries, which increases the risk of complications such as obstetric fistula, postpartum hemorrhage, and neonatal infections (Adewale et al., 2024). Additionally, undernutrition among pregnant women due to food insecurity contributes to low birth weight and stunted growth in children.
Another pressing issue is the high level of illiteracy among women in Katsina State, which affects their ability to seek and utilize healthcare services effectively. Many women lack awareness about maternal and child health interventions, leading to delays in seeking care (Eze & Yusuf, 2024). The combination of financial constraints, limited health infrastructure, and socio-cultural barriers creates a significant public health crisis that requires urgent attention.
This study seeks to examine the impact of poverty on maternal and child health in Katsina State, highlighting the barriers faced by low-income families and exploring potential solutions to improve health outcomes.
Statement of the Problem
Despite ongoing national and international efforts to improve maternal and child health in Nigeria, poor health outcomes persist in Katsina State. High maternal mortality rates, low immunization coverage, and widespread child malnutrition are indicative of the challenges faced by low-income families in accessing quality healthcare services (WHO, 2024). The financial burden of healthcare prevents many women from attending antenatal clinics, receiving skilled birth assistance, or accessing postnatal care, leading to avoidable maternal and child deaths.
A major gap in existing research is the lack of region-specific studies on how poverty affects maternal and child health in Katsina State. Most national health surveys provide aggregate data that fail to capture the unique challenges of different states (Okafor et al., 2023). Additionally, while government initiatives such as free maternal healthcare exist in some areas, their effectiveness and reach remain uncertain, especially in rural communities.
Given these issues, this study will provide an in-depth analysis of the relationship between poverty and maternal and child health in Katsina State. It will also explore the effectiveness of existing interventions and propose strategies for improving healthcare access for vulnerable populations.
Objectives of the Study
1. To assess the impact of poverty on maternal and child health outcomes in Katsina State.
2. To examine the barriers faced by low-income women in accessing maternal and child healthcare services.
3. To explore policy recommendations for improving maternal and child health among impoverished populations.
Research Questions
1. How does poverty influence maternal and child health outcomes in Katsina State?
2. What are the major barriers preventing low-income women from accessing healthcare services?
3. What policy measures can improve maternal and child health among poor households in Katsina State?
Research Hypotheses
1. Poverty has a significant negative effect on maternal and child health outcomes in Katsina State.
2. Socio-economic barriers such as income level and education limit healthcare access for low-income women.
3. Government interventions aimed at improving maternal and child health can mitigate the impact of poverty on health outcomes.
Scope and Limitations of the Study
This study will focus on maternal and child health among low-income families in Katsina State. The research will cover rural and urban areas to provide a comprehensive analysis. Limitations include challenges in obtaining accurate self-reported health data and variations in healthcare-seeking behavior among different communities.
Definition of Terms
• Maternal Health: The health of women during pregnancy, childbirth, and the postpartum period.
• Child Health: The overall well-being of children from infancy to adolescence.
• Poverty: A condition of economic deprivation characterized by insufficient resources to meet basic needs.
• Antenatal Care: Medical care provided to pregnant women to ensure a healthy pregnancy and safe delivery.
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