ASSESSING THE NATURE OF PATRONAGE FOR TRADITIONAL MATERNAL HEALTH CARE SERVICES IN SOUTHWESTERN NIGERIA
DOI:
https://doi.org/10.46827/ejes.v11i8.5444Keywords:
traditional maternal health care, pregnant women, nursing mothers, nature, patronageAbstract
Background: The study assessed the nature of patronage for traditional maternal health care services in Southwestern Nigeria. These were in view of providing information on the nature of patronage of traditional maternal health care services (TMHCs) in Nigeria, thus assisting in meeting the 2030 target of the Sustainable Development Goals (SDGs). Methods: The study adopted a descriptive research design method approach. The study population was comprised of all pregnant women and nursing mothers attending TMHCs in Southwestern. The sample size consisted of 1020 pregnant women and nursing mothers. A self-designed questionnaire was used to gather information from the respondents. Data collected were analysed using frequency count, percentage, mean, standard deviation and ANOVA. Results: It showed that respondents patronized centre owned by a tradition and culture 351(41.1%), respondents attended their preferred TMHCs on Wednesdays (738), and respondents were introduced to using TMHCs by their in-laws, religious leaders and friends, respectively. However, a large number of the respondents agreed that they use TMHCs because of the passionate care shown towards them (28.9%), spiritual reasons (26.6%), belief in the efficacy of service (30.2%), accessibility (29.7%) and offer of good and quality service (31.2%). Also, the study shows that there is a significant influence of the husband's age (df=3,870, F=5.909, p<0.05), husband's income (df=4,869, F=3.747, p<0.05) and husband's education level (df=3,870, F=64.70, p<0.05) on the reasons for patronizing TMHCs in the study area. Conclusion: The study concluded that nature patronage is a contributing factor to the high usage of TMHCs, which encourages maternal mortality in Nigeria.
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References
Adeleke, O. R. (2017). Socio-Cultural factors responsible for women’s preference for traditional maternal health care services in Akoko North- East and North-West Local Government Area of Ondo State, Nigeria. An unpublished thesis was submitted to a postgraduate school at Obafemi Awolowo University.
Catherine, M., Amardeep, T., Bridget, R., & Amanda, T. (2019). Levels and determinants of maternal mortality in Northern and Southern Nigeria BMC Pregnancy and Childbirth (2019) 19:417. Retrieved from https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-019-2471-8
Chol, C., Negin, J., Agho, K. E., & Cumming, R. G. (2019). Women's autonomy and utilisation of maternal healthcare services in 31 Sub-Saharan African countries: results from the demographic and health surveys, 2010-2016. BMJ open, 9(3), e023128. https://doi.org/10.1136/bmjopen-2018-023128
Eshiet, U. I., Jackson, I. L., & Akwaowoh, A. E. (2016). High patronage of traditional birth homes: a report from Akwa Ibom, Southern Nigeria. AASCIT Journal of Health, 3(1), Retrieved from https://www.researchgate.net/publication/360485979_High_Patronage_of_Traditional_Birth_Homes_A_Report_from_Akwa_Ibom_Southern_Nigeria17-22.
Gilda, S., Henshaw, S., & Susheela, S. (2017). Induced abortion: estimated rates and trends worldwide. Lancet: 1338–45. https://doi.org/10.1016/s0140-6736(07)61575-x
Ntoimo, F. C., & Odusina, E. K. (2019). Family structure, women autonomy and utilization of maternal healthcare services in Nigeria. In Nwokocha, E. & Fayehun, O. (eds) Concise Demography of Nigeria. BumbleBee Publishing, Ibadan, Nigeria, pp. 124–143. Retrieved from https://scholar.google.com/scholar_lookup?title=Concise+Demography+of+Nigeria&author=Ntoimo+LFC&author=Odusina+EK&author=Nwokocha+E&author=Fayehun+O&publication+year=2019&pages=124-143
Okonofua, F. E., Ntoimo, L. F. C., Ogungbangbe, J., Anjorin, S., Imongan, W. & Yaya, S. (2018). Predictors of women’s utilization of primary health care for skilled pregnancy care in rural Nigeria. BMC Pregnancy and Childbirth 18, 106. https://doi.org/10.1186/s12884-018-1730-4
Ogbo, F. A., Trinh, F. F., Ahmed, K. Y., Senanayake, P., Rwabilimbo, A. G., Uwaibi, N. E. & Agho, K. (2020). Global Maternal and Child Health Research Collaboration GloMACH. Prevalence, Trends, and Drivers of the Utilization of Unskilled Birth Attendants during Democratic Governance in Nigeria from 1999 to 2018. Int J Environ Res Public Health. 6;17(1):372. doi: 10.3390/ijerph17010372.
Ogu, R. N., Agholor, K. N., & Okonofua, F. E. (2017). Engendering the Attainment of the SDG-3 in Africa: Overcoming the Socio-Cultural Factors Contributing to Maternal Mortality. African Journal of Reproductive Health 20(3): 62-74. https://doi.org/10.29063/ajrh2016/v20i3.11
Punch Newspaper (2022). Nigeria’s maternal deaths worry specialists, experts recommend adequate care, facilities. 14th August 2022. Retrieved from https://punchng.com/nigerias-maternal-deaths-worry-specialists-experts-recommend-adequate-care-facilities/
Premium Time Newspaper (2020). Despite having highest maternal mortality in Africa, Nigeria’s situation still underreported. December 3, 2020. Retrieved from https://www.premiumtimesng.com/news/headlines/429266-despite-having-highest-maternal-mortality-in-africa-nigerias-situation-still-underreported-report.html?tztc=1
Vandana, S., Willa, B., Muhammad, A. K., Jessica, L., & Martina, B. N. (2017). High maternal mortality in Jigawa State, Northern Nigeria estimated using the sisterhood method. BMC Pregnancy and Childbirth (2017) 17:163 DOI 10.1186/s12884-017-1341-5. Retrieved from https://doi.org/10.1186/s12884-017-1341-5
World Health Organization [WHO] (2010). WHO guidance for measuring maternal mortality from a census. Geneva: World Health Organization. Retrieved from https://www.who.int/publications/i/item/9789241506113
World Health Organisation [WHO], (2019). WHO global report on traditional and complementary medicine 2019. Geneva: World Health Organization. Retrieved from https://www.who.int/publications/i/item/978924151536
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