ACCESS TO INFORMATION BY PRIMIGRAVIDA ON MATERNAL HEALTH SERVICES IN FATIMA VILLAGE IN ZARIA LOCAL GOVERNMENT AREA
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- NGN 3000
ABSTRACT
This study investigated access to information by primigravida on maternal health services in Fatima Village in Zaria Local Government Area of Kaduna State. The problem identified by the researcher is the under utilization of maternal healthcare services when there is a high rate of maternal mortality in Nigeria especially in the rural areas of northern Nigeria, hence the interest in Fatima village. The researcher focused on primigravida (first time pregnant women or women that delivered their first babies are less than forty two days). The aim of the study is to determine access to information on maternal healthcare services by these women. The objectives of this study are to identify the type of maternal healthcare services primigravida in Fatima village know about, to ascertain the sources of information on maternal health accessed by primigravida in Fatima village, to find out how primigravida in Fatima village accessed information on maternal health service, to find out the experiences of primigravida in Fatima villageand to identify barriers to access to maternal health services to primigravida in Fatima village in Zaria Local Government Area of Kaduna State. The research answered four questions:1. What are the experiences of primigravida in Fatima village on access to information on maternal health? 2. What maternal health services do primigravida in Fatima village know about? 3. What are the sources of information on maternal health services available to primigravida in Fatima village? 4. What are the barriers to primigravida in Fatima village to access to maternal health services? The methodology used for the research is hermeneutics (phenomenology) which investigated direct conscious experiences of phenomena as free as possible without theories, preconceptions and presuppositions. The population of the study is all reproductive women in Fatima village. Snowball sampling technique was used to find and recruit ten (10) primigravidas willing to participate in the study in their natural settings. The instruments for data collection were in-depth interview. An iterative analysis method was employed for coding the narratives which was manually done. This produced sixteen (16) categories, thirtyeight (38) sub-categories and ninety-three (93) open codes from the analysis. The study found out that primigravidas had challenges like irregular menstruation, spotting, cravings, altered sense of smell, morning sickness and frequent urination. Primigravida accessed information on maternal health services through informal sources which are their social networks and believed maternal health service are services accessed when there is complication in delivery. They rely on traditional birth attendants (TBAs) to deliver their babies and believed that maternal health services are for the elite. Sources of information on maternal health service they prefer are their social network and it is the only source they have access to. A major barrier to access to information on maternal health service that this study revealed is that primigravida do not know the benefits of maternal health services. The study recommended the use of information and communication technology (ICT) tools and posters by the ministry of health to disseminate information on the benefits of maternal health services to primigravidas in the rural areas.
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