DETERMINANTS OF ACCESS AND UTILIZATION OF MATERNAL HEALTH CARE AMONG DISPLACED PERSONS IN NORTH CENTRAL NIGERIA.
- National Bureau of statistics, Department of Demography and Social Statistics, Abuja Nigeria.
20 Downloads
88 Views
Abstract
This paper examined the influence of socio-demographic characteristics of displaced persons in flood affected States in Nigeria on their access and utilization of maternal health care services during displacement. A sample of 400 women who experienced displacement from their home during the 2012 flood disaster was purposively selected in Niger and Kogi State. The results showed that 98.0% of the displaced persons had health facilities close to their camp and most of these facilities were mainly Health Posts. The odds of a displaced person without education attending Antenatal clinic during displacement was 82.2% less than a displaced person with tertiary education while women with lower parity were less likely to attend antenatal clinic during their displacement. The study concluded that some background characteristics of the displaced persons had great influence on the use of maternal health care services during displacement which helped improve maternal health conditions in displaced setting.
Article Analytics
References
- Adamu, Y.M. & Salihu, H.M. (2002). Barriers to the use of antenatal and obstetric care services in rural Kano, Nigeria. Journal on Obstet Gynaecol. 2002; 22 (6): 600-603
- Addai, I. (2000). Determinants of use of maternal-child health services in rural Ghana. Journal of Biosocial Science 32(1): 1?15.
- Adekunle, C., Filippi, V., Graham, W., Onyemunwa, P. & Udjo, E. (1990). Patterns of maternity care among women in Ondo States, Nigeria. Determinants of health and mortality in Africa (Edited by: Allan G Hill). Demographic and Health Survey Further Analysis Series. New York: The Population Council 1990, (10):1?45.
- Awumbila,?M.,?Manuh,?T.,?Quartey,?P.,?Tagoe,?C.?A.?and?Bosiakoh,?T.?A. (2009)?Ghana?Migration?Country?Paper:?Trends,?Issues,?and?Emerging?Research?Gaps,?Legon,?Ghana:?Centre?for?Migration?Studies,?University?of?Ghana.
- Babalola, S. & Fatusi, A. (2009) Determinants of use of maternal health services in Nigeria- looking beyond individual and household factors. (9) 43
- Babalola, S. & Kincaid, D.L. (2009). New methods for estimating the impact of health communication programs.Commun Methods Meas 2009, 3:61?83.
- Becker, S., Peters, D. H., Gray, R. H., Gultiano, C. & Blake, R. E. (1993). The determinants of use of maternal and child health services in Metro Cebu, the Philippines. Health Transition Review, 3, 77?89.
- Birkeland, N. M. (2003). Peace in Angola? Return Home for IDPs? Cathrine Brun and Nina Birkeland (eds): Researching Internal Displacement: state of the Art. Conference Proceedings, Trondheim Norway, 7 ? 8 February 2003. Acta-Geographica Series A, No.6, NTNU, Trondheim.
- ?Birkmann, J., Buckle, P., Jaeger, J., Pelling, M., Setiadi, N., Garschagen, M., Fernando, N. & Kropp, J. (2008). Extreme events and disasters; a window of opportunity for change? Analysis of organizational, institutional and political changes, formal and informal responses after mega-disasters, Nat Hazards DOI 10.1007/s11069-008-9319-2
- Bloom, S.S., Wypij, D., & Gupta, M. (2001). Dimensions of women's autonomy and the influence on maternal health care utilization in a north Indian city. Demography 2001, 38:67?78.
- Bosmans, M. et al. (2002). Reproductive and Sexual Rights of Refugee and Internally Displaced Women as Cornerstone of Respect for Human Rights. International Centre for Reproductive Health, Ghent University, Belgium, 2002)
- Caravan, A. (2008).? Review of global literature on maternal health interventions and outcomes related to provision of skilled birth attendance. Amsterdam: Royal Tropical Institute Development Policy and Practice
- Casey, S. (2002). Assessment of Reproductive Health in Northern Sri Lanka. RHRC, December 2002). Cebu, the Philippines'. Studies in Family Planning, Vol. 29, No. 1 (Mar., 1998), pp. 69-78
- Celik, Y. & Hotchkiss, D.R. (2000). The socioeconomic determinants of maternal health care utilization in Turkey. Social Science and Medicine 50(12): 1797?1806.
- Claeson, M. et al. (2001). Poverty reduction and the health sector: The health, nutrition and population network?s chapter in the World Bank?s poverty reduction strategy source book. Washington, DC, IBRD/World Bank
- Cohen, M. & Sebstad, J. (2003). Reducing Vulnerability: The Demand for Microinsurance. MicroSave-Africa, Kampala CRED, Annual Disaster Statistical review 2009, Centre for Research on the Epidemiology of Disasters (CRED), Brussels
- Defra, (2005). Making Space for Water: Taking Forward a New Government Strategy for Flood and Coastal Erosion Risk Management in England. First Government Response to the Autumn 2004 Making Space for Water Consultation Exercise. London: Department for Environment, Food and Rural Affairs.
- UNFPA (2000). Making Pregnancy and Childbirth Safer [fact sheet]. EC/UNFPA Initiative for Reproductive Health in Asia in cooperation with the German Foundation for World Population. Educational Attainment and Maternal Healthcare Utilization in Bangladesh: Evidence from the 2005 Bangladesh Household Income and Expenditure Survey'. Research Journal of Medical Sciences 4(1): 33-37, 2010
- Elo, T. I. (1992). Utilization of maternal health-care services in Peru: the role of women's education. Health Transition Review, 2, 49?69.
- ?Eludoyin, A.O., Akinbode, M.O. & Okuku, E. (2007). Combating flood crisis with Geographical Information System: An Example from Akure Southwest Nigeria. International Symposium on New Direction in Urban water Management UNESCO, Paris 12-14 Epidemiology 1986, 16: 403-406.
- Fatusi, A.O. & Abioye-Kuteyi, E.A. (1998). Traditional birth attendants in Nigeria: what do we know about them? Defining the role of Traditional Birth Attendants in Nigeria. Proceedings of a National Workshop on the Roles of TBAs in Reproductive Health Lagos, United Nations Population Fund (UNFPA) 1998, 18?25.
- Fatusi, A.O. & Ijadunola, K.T. (2003). National Study on Essential Obstetric Care Facilities in Nigeria Abuja, Federal Ministry of Health & United Nations Population Fund (UNFPA) 2003.
- Fatusi, A.O. & Hindin, M.J. (2010). Adolescents and youth in developing countries: health and development issues in context. Journal of Adolescence 33(4): 499?508.
- Ferris, E. (2012). ?Internal Displacement in Africa: An Overview of Trends and Opportunities.? Presentation at the Ethiopian Community Development Council Annual Conference ?African Refugee and Immigrant Lives: Conflict, Consequences, and Contributions? 2-4 May 2012.
- Fosu, G. B. (1994). Childhood morbidity and health services utilization: cross-national comparisons of user-related factors from DHS data. Social Science and Medicine, 38, 1209?1220.
- Gage, A.J. & Calixte, M.G. (2006). Effects of the physical accessibility of maternal health services on their use in rural Haiti. Population Studies 60(3): 271?288.
- Gardner, R. & Blackburn, R. (1997). People who move: new reproductive health focus. Population Reports Series J, No. 45 (November 1997).
- Gertler, P., Rahman, O., Feifer, C. & Ashley, D. (1993). Determinants of pregnancy outcomes and targeting of maternal health services in Jamaica. Social Science Med 1993, 37:199?211.
- ?Gill, S. (2004). Literature Review: Impacts of Climate Change on Urban Environments. Centre for Urban and Regional Ecology, University of Manchester.
- Govender, V., McIntyre, D., & Loewenson, R. (2008). ?Progress towards the Abuja target for government spending on health care in East and Southern Africa,? EQUINET Discussion Paper Series 57. EQUINET: Harare.
- Haas, J.E., Kates, R.W., Bowden, M.J. (1977). Reconstruction following disaster, MIT Press, Cambridge.
- Hazarika, I. (2011). Factors that determine the use of skilled care during delivery in India: implications for achievement of MDG-5 targets. Maternal and Child Health Journal 15(8): 1381?1388.
- Heathwaite, A., Lane, S., Ward, N., Whatmore, S. & Donaldson, A. (2005). Capacity Building Project on Bringing Together Natural and Social Science Perspectives on Understanding Diffuse Pollution. Final Report to project stakeholders and the RELU programme on project workshops January 2005.
- Hill, K. and Haque, Y. (2007). 'Maternal Health and Care-Seeking Behavior in Bangladesh: Findings from a National Survey'. International Family Planning Perspectives, Vol. 33, No. 2 (Jun., 2007), pp. 75-82
- Hynes, M. et al. (2002). Reproductive health indicators and outcomes among refugee and internally displaced persons in post-emergency phase camps. Journal of the American Medical Association, 2002 288 (5): 595-603)
- Internal Displacement Monitoring Centre. (2002). Internally Displaced People. A Global Survey. Second Edition. IDMC, Geneva and Earthscan, London.
- Internal Displacement Monitoring Centre. (2004). Internal Displacement. Global Overview of Trends and Developments in 2003. IDMC, Geneva.
- Kausar, F., Griffiths, P. & Matthews, Z. (1999). Poverty and Maternal Healthcare Utilization in Maharashtra: Associated Influences on Infant Mortality and Morbidity
- Kesterton, A.J, Cleland, J., Sloggett, A. & Ronsmans, C. (2010). Institutional delivery in rural India: the relative importance of accessibility and economic status. BMC Pregnancy and Childbirth 10(30): 2?9.
- KHRC, (2011) Gains and Gaps: A Status Report on Internally Displaced Persons in Kenya 2008-2010 Nairobi: KHRC
- Knowles, J.C., Bales, S., Cuong, L.Q., Oanh, T.T. & Luon, D.H. (2009). Health equity in Viet Nam: a situation analysis focused on maternal and child mortality. Ha Long: United Nations Children?s Fund; 2009.
- Krause, S., Jones, R. & Purdin, S. (2000). Programmatic Responses to Refugees? Reproductive Health Needs. International Family Planning Perspectives, 2000, 26 (4): 181-187).
- Krause, S., Morris, C. & McGinn, T. (2003). Displaced and Desperate: Assessment of Reproductive Health for Colombia?s Internally Displaced Persons. RHRC, February 2003
- Ladan, M.T. (2003). ?Overview of Reproductive Rights and Health? Journal of Economic, Social and Cultural Rights vol. 1 No. 7 Lagos, Socio Economic Rights Initiative (SERI) p. 20
- Lederman, S. A. (2001). ?Pregnancy weight gain and postpartum weight loss: Avoiding obesity while optimizing the growth and development of the fetus?. Journal of the American Medical Women?s Association, 56: 53-58
- Leslie, J. & Gupta, G.R. (1989). Utilization of formal services for maternal nutrition and health care Washington DC, International Center for Research on Women 1989.
- Magadi, M.A., Agwanda, A.O. & Obare, F.O. (2007). A comparative analysis of the use of maternal health services between teenagers and older mothers in sub-Saharan Africa: evidence from Demographic and Health Surveys (DHS). Soc Sci Med 2007, 64:1311?1325.
- McCaw-Binns, A., Grenade, J. & Ashley, D. (2007). Under-users of antenatal care: a comparison of non-attenders and late attenders for antenatal care with early attenders. Soc Sci Med 2007, 40:1003?1012.
- McKinlay, J. B. (1972). Some approaches and problems in the study and use of services: an overview. Journal of Health and Social Behaviour, 13, 115?152. Medical Care Utilization in the United States'. The Milbank Quarterly, Vol. 83, No. 4, 2005 (pp. 1?28)
- Mekonnen, Y. & Mekonnen, A. (2003). Factors influencing the use of maternal healthcare services in Ethiopia. Journal on Health Popul Nutr 2003, 21:374?382.
- Meriwether, B., Jones, R. & McGinn, T. (2001). Assessment of Reproductive Health for IDPs, Angola. New York: RHRC, February 2001.
- Merlin, (2008). Case Study of Maternal mortality: Sudan All Parliamentary Group on Population Development and Reproductive Health
- Mpembeni, R.N., Killewo, J.Z. & Leshabari, M.T. (2007). Pattern of maternal health services and determinants of skilled care during delivery in Southern Tanzania: implication for achievement of MDG-5 targets, BMC preg and childbirth, 2007; 7: 1-7
- Mrisho, M., Obrist, B., Schellenberg, J.A., Haws, R.A., Mushi, A.K. (2009). 'The use of antenatal and postnatal care: perspectives and experiences of women and healthcare providers in rural Southern Tanzania'. BMC Pregnancy and Childbirth 2009, 9:10
- Mushi, D. and Mwakipa, H. (2007). 'Use pattern of maternal health services and determinants of skilled care during delivery in Southern Tanzania: implications for achievement of MDG-5 targets'. BMC Pregnancy and Childbirth 2007, 7:29
- Nai-Adjei, M. (2008). Factors Contributing to Low Utilization of Skilled Delivery in Ahafo Ano, South District, Ashanti Region, Ghana. Thesis submitted to the School of Graduate Studies.
- National Population Commission (NPC) [Nigeria] and ICF Macro (2009). Nigeria Demographic and Health Survey 2008. Abuja, Nigeria: National Population Commission and ICF Macro
- National Population Commission [Nigeria] and ORC Macro (2003). Nigeria Demographic and Health Survey 2003 Calverton, Maryland: NPC and ORC Macro 2004.
- Ngari, M. (2011). ?Rising Health costs take toll on families?: During launching of Kenya National Health Accounts 2009/10 Report, 6th December, 2011, Nairobi, in Daily Nation
- Obermeyer, C.M. & Potter, J.E. (1991). Maternal health care utilization in Jordan: a study of patterns and determinants. Studies Family Planning 1991, 22:177?187.
- Odimegwu, C. & Ononokpono, D. (2014). Determinants of maternal health care utilization in Nigeria: a multilevel approach: Pan African medical journal, 2014; 17(supp 1): Maternal Morbidity and Mortality in Nigeria. The use of maternal health services between teenagers and older mothers in sub-saharan Africa: Evidence from demographic health surveys'. Social Science & Medicine 64 (2007) 1311?1325
- Okafor, C.B. (1991). Availability and use of services for maternal and child health care in rural Nigeria. International Journal on Gynaecol Obstet 1991, 34:331?46.
- Onah, H.E., Ikeako, L.C. & Iloabachie, G.C. (2006). Factors associated with the use of maternity services in Enugu, south eastern Nigeria. Soc Sci Med 2006, 63:1870?1878.
- Orubuloye, I.O. & Caldwell, J.C. (1975). The impact of public health services on mortality: a study of mortality differentials in a rural area of Nigeria. Population Studies 1975, 29:259?272.
- Osubor, K.M., Fatusi, A.O., and Chiwuzie, J.C. (2006). 'Maternal HealthSeeking Behaviour and Associated Factors in a Rural Nigerian Community'. Maternal and Child Health Journal, Vol. 10, No. 2, March 2006
- Ram, F. & Singh, A. (2006). Is antenatal care effective in improving maternal health in rural Uttar Pradesh: evidence from a district level household survey. Journal of Biosocial Science 38(4): 433?448.
- Reynolds, H.W., Wong, E.L. & Tucker, H. (2006). Adolescents use of maternal and child health services in developing countries. International Family Planning Perspectives 32(1): 6?16.
- Ronsmans, C., Chowdhury, M.E., Koblinsky, M. & Ahmed, A. (2010). Care seeking at time of childbirth, and maternal and perinatal mortality in Matlab, Bangladesh. Bulletin of the World Health Organisation 88(4): 289?296.
- Saikia, N. & Singh, A. (2009). Does type of household affect maternal health? evidence from India. Journal of Biosocial Science 41(3): 329?353.
- Singh, L., Rai, R.K. & Singh, P.K. (2012). Assessing the utilization of maternal and child health care among married adolescent women: evidence from India. Journal of Biosocial Science 44(1): 1?26.
71.??? Smith, B.W. (1996). Coping as a predictor of outcomes following the 1993 Midwest flood. Journal of Social Behavior & Personality:11(2) June, 225-239. Social Science & Medicine 59 (2004) 1127?1146
- Stephenson R, Tsui AO (2002) Contextual influences on reproductive health service use in Uttar Pradesh, India. Studies in Family Planning 33(4): 309?320.
- Stewart, K. & Sommerfelt, A.E. (1991). Utilization of maternity care services: A comparative study using DHS data. Proceedings of the Demographic and Health Surveys World Conference. Washington, DC 1991, III:1645?1668.
- Titaley, C.R., Hunter, C.L., Heywood, P. and Dibley, M.J. (2010). 'Why do some women still prefer traditional birth attendants and home delivery: a qualitative study on delivery care services in West Java Province, Indonesia'. BMC Pregnancy and Childbirth 2010, 10:43
- Treffers, P.E., Olukoya, O.O., Ferguson, B.J. and Liljestrand, J. (2001). 'Care for adolescent pregnancy and childbirth'. International Journal of Gynaecol & Obstet 2001 Nov; 75(2): 111-21
- Tuddenham, S.A., Rahman, M.H., Singh, S., Barman, D. & Kanjilal, B. (2010). Care seeking for postpartum morbidities in Murshidabad, rural India. International Journal of Gynecology and Obstetrics 109(3): 245?254.
- United Nations High Commission for Refugees. (1999). Reproductive Health in Refugee Situations. An Inter-Agency Field Manual. Geneva: UNHCR (1999).
- van Eijk, A.M., Bles, H.M., Odhiambo, F., Ayisi, J.G., Blokland, I.E., Rosen, D.H., Adazu, K., Slutsker, L. & Lindblade, K.A. (2006). Use of antenatal services and delivery care among women in rural western Kenya: a community-based survey. Reproductive Health 2006, 3:2.
- Verma, K., Thomas, A., Sharma, A., Dhar, A. & Bhambri, V. (2001). Maternal mortality in rural India: a hospital based 10-year retrospective analysis. Journal of Obstetrics and Gynaecology Research 27(4): 183?187.
- Waage, J., Banerji, R., Campbell, O., Chirwa, E., Collender, G., & Dieltiens V. (2010). The Millennium Development Goals: a cross-sectoral analysis and principles for goal setting after 2015. Lancet 2010; 376: 991-1023
- Wagle, R., Sabroe, S. & Nielsen, B.B. (2004). Socio-economic and physical distance to the maternity hospital as predictors for place of delivery: an observation study from Nepal. BMC Pregnancy and Childbirth 4(1): 8?20.
- Wall, L.L. (1998). Dead Mothers and injured wives: the social context of maternal morbidity and mortality among the Hausa of Northern Nigeria. Studies Family Planning 1998, 29:341?359.
- Wong, E. L., Popkin, B. M., Gullkey, D. K. and Akin, J. S. (1987). Accessibility, quality of care and prenatal care use in the Philippines. Social Science and Medicine, 24, 927?944.
- World Bank. (2010) ?Trends in Maternal Mortality: 1990 to 2008. Geneva, Switzerland.
- World Health Organisation. (1998). Postpartum care of the mother and newborn: A practical guide. Maternal and Newborn Health/Safe Motherhood Unit, Division of Reproductive Health (Technical Support), Geneva, Switzerland.
- World Health Organisation. (2005). Provision of effective antenatal care: Integrated Management of Pregnancy and Child Birth (IMPAC). Standards for Maternal and Neonatal care (1.6), Department of Making Pregnancy Safer, Geneva, Switzerland.
- World Health Organisation. (2007). Maternal mortality in 2005: estimates developed by WHO, UNICEF, UNFPA, and the World Bank Geneva, WHO 2007.
- Wright, J.D., Rossi, P.H. Wright, S.R. & Weber-Burdin, E. (1979). After the clean-up: long range effects of natural disasters. ?Sage, Beverly Hills.
- Yadav, K., Jarhyan, P., Gupta, V. & Pandav, C.S. (2009). Revitalising rural health care delivery: can rural health practitioners be the answer. Indian Journal of Community Medicine 34(1): 3?5.
How to Cite This Article
Abolade Surajudeen Oladimeji. (2018); DETERMINANTS OF ACCESS AND UTILIZATION OF MATERNAL HEALTH CARE AMONG DISPLACED PERSONS IN NORTH CENTRAL NIGERIA., Int. J. of Adv. Res., 6 (06), 760-774, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/7274
Corresponding Author
This work is licensed under a Creative Commons Attribution 4.0 International License.





