ASSESSMENT OF THE FACTORS AFFECTING ACCESS AND UTILISATION OF SELECTED MATERNAL HEALTH CARE SERVICES IN KADUNA STATE, NIGERIA
- Project Research
- 1-5 Chapters
- Abstract : Available
- Table of Content: Available
- Reference Style: APA
- Recommended for : Student Researchers
- NGN 3000
ABSTRACT
The official policy which exempts women and their babies from out-of-pocket payment for their health care in Kaduna State is only in written paper because the study found that women are usually asked to pay some token whenever they go to hospital to utilise health care services. The study examined the challenges of maternal health among women of reproductive age (15-49 years) in Kaduna State. The main aim of the study is to assess the factors affecting access and utilisation of selected maternal health care services in Kaduna Sate. The specific objectives are: to assess women’s awareness of selected maternal health care services in the study area, to determine the extent of utilisation of selected maternal health care services among women in the study area, to identify factors affecting access to the selected maternal health care services among women in the study area, to determine strategies put in place by women to over-come barriers to utilisation of the selected maternal health care services in the study area. Literature was reviewed in line with the study objectives. The study utilised Anderson health behavioural model as the theoretical framework. The study was carried out in the three senatorial zones in Kaduna State. A total of three hundred and seventy-nine questionnaires were administered to women of reproductive age in selected Local Government Areas of Kaduna State using multistage sampling technique. In-depth interviews were also conducted among nineteen (19) key informants comprising orthodox health practitioners and traditional birth attendants. Twelve (12) Focus Group Discussions were conducted on both women and men in the study areas. Hospital records were also collected using documentary review. The mean age of the respondents was 32 years; they had an average of 5 children. Majority of the respondents were married and had formal education. The level of awareness of the selected maternal health care services was very high, utilisation of the services was however lower than awareness. For family planning 26.5% gave a history of ever using modern contraceptives while only 16.7% are currently using. Similarly 99.7% use antenatal care only very few deliver in health facility. While injectable method of family planning is the most preferred by the respondents husband not agreeing to it and love for many children were reasons for not using family planning. Also, ability to pay for maternal health care services significantly influenced utilisation of the services as women who earn above N30,000 monthly utilised delivery services than women who earn less. The findings revealed that there is a significant relationship between religion and use of family planning as majority of the Muslims has never used family planning whereas; some of the Christians have ever used family planning. The result shows that while about average of the respondents delivered their babies in government hospital, below average had home delivery. Majority of the women that delivered in private clinics have tertiary education. While majority of the respondents that earn N30,000 above delivered in private clinics, some of respondents that earn between N11,000 - N20,000 had home delivery. Majority of the respondents agreed that the staff reception at the maternal health care centers is either friendly or somewhat friendly. Documentary records from the hospitals shows that majority of the women do come for antenatal care across the zones but women from Kaduna north do not come for delivery in the hospital. The documentary also shows that antenatal is the most used maternal health care services while xv family planning is the least used across the zones. Regression results show that place of delivery is significant with educational level and age and has positive relationship with educational level, monthly income and age. Also ever used family planning is significant with religion, marital status, monthly income and age whereas it has positive relationship with only marital status. Access to antenatal care has no significant relationship with any of the socio-economic variable but has positive association with age, religion and monthly income. Also utilisation of antenatal care is significant with marital status, monthly income and age and has positive relationship with religion, marital status, educational level and age. The regression results also shows that utilisation of delivery service is significant with age and educational level and has positive association with marital status and monthly income. Utilisation of postnatal care is significant with religion, marital status, and monthly income and has positive association with marital status and monthly income. Factors found to be associated with use of maternal health care services were financial capability, education and male dominance. It is therefore recommended that there should be sensitization programmes to increase the awareness of all other services rendered in maternal health care centers. There should be adequate information about utilisation of family planning methods in other to dispel any misconceptions about family planning. Also, public enlightenment programme on maternal health service utilisation and male responsibilities should be effectively carried out in all communities especially among women in Kaduna North who hardly utilise delivery care, and family planning services. Government should make accessibility to maternal health care centers easy so as to encourage women to utilise the services.
Related Project Materials
ASSESSMENT OF THE ROLE OF ESTATE SURVEYOR AND VALUER IN THE MANAGEMENT OF FEDERAL HOUSING ESTATE
Background of the study
In the realm of real estate management, the role of estate surveyors and valuer...
AGRICULTURAL POLICIES AND ECONOMIC GROWTH IN NIGERIA
ABSTRACT
This study assesses the impact of agricultural policies and development on economic growth in Nigeria. The data...
FOREIGN AID AND ECONOMIC DEVELOPMENT IN SUB SAHARAN AFRICA: THE ROLE OF INSTITUTIONS (1996-2010)
ABSTRACT This study examined the relationship between foreign aid and economic development in sub Saharan Africa. The study seeks to examine the ro...
THE IMPACT SOCIAL INTERACTIONS ON THE PERFORMANCE OF ADULT LEARNERS
ABSTRACT
This ex-post facto research study determined the influence of social interaction on academ...
SOCIAL MEDIA AND POLITICAL PARTICIPATION AMONG UNDERGRADUATES IN NIGERIA
Background to the study
Democracy is widely acknowledged as the best form of government in most parts of the world today...
KNOWLEDGE AND UTILIZATION OF AUIO VISUAL AIDS AMONG ACADEMIC STAFF OF COLLEGE OF NURSING AND MIDWIFERY
ABSTRACT
This study was carried out to evaluate Knowledge and Utilization of Auio Visual Aids among Aca...
ENVIRONMENTAL IMPLICATION OF CHILD DEPRIVATION ACROSS NEIGHBORHOODS IN BIDA, NIGERIA
ABSTRACT
Child deprivation and how it can be reduced is a trending issue both at the global and national level especially in this 21st ce...
ASSESSMENT OF DOMESTIC VIOLENCE ON CHILDREN AND ITS EFFECT ON THEIR ACADEMIC PERFORMANCE
ABSTRACT
The main aim of the study is to find out the effects of domestic violence on performance of students in public...
THE ROLE OF LOGISTICS IN SUSTAINABLE SUPPLY CHAIN PRACTICES
Abstract: THE ROLE OF LOGISTICS IN SUSTAINABLE SUPPLY CHAIN PRACTICES
This study aims to explore the role of logistics in sustainable sup...
MATHEMATICAL MODELLING FOR ANALYSING FIRE SPREAD IN A REAL-TIME COUPLED ATMOSPHERIC WILDLAND FIRE
ABSTRACT
Wildland fire spread is one of the most challenging problems faced by reserved or unreserved vegetation in many developed and de...
