DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20172894

Determinants of utilisation of traditional birth attendant services by pregnant women in Ogbomoso, Nigeria

Awotunde O. T., Awotunde T. A., Fehintola F. O., Adesina Adesina S. A., Oladeji O. A., Fehintola A. O., Ajala D. E.

Abstract


Background: This study was designed to assess the determinants of utilization of Traditional Birth Attendants (TBAs) services by pregnant women in different communities in Ogbomoso, Nigeria.

Methods: This was a community- based cross-sectional study. Fisher's formula was used to calculate the sample size and a total of 270 eligible pregnant women were enrolled for the study using multistage sampling technique. Data was collected using pretested structured interviewer-administered questionnaire. Data analysis was done using SPSS version 20 and results were presented in frequencies and percentages.

Results: Factors found to have a significant influence on the utilization of TBA services in this study include: low educational status (p <0.001), lower socioeconomic status (p <0.001), and compassionate care given by the TBAs (p=0.004). Other factors include service proximity and lower cost of TBA services.

Conclusions: The impact of TBAs and their services cannot be overemphasized in the present state of maternal and child health in Nigeria.  Lower educational status among others has been found to be a strong predictor of utilization of TBA services. There is, therefore, the need to improve the educational and socioeconomic status of women in order to allow them to access quality health care services that will safeguard their well-being. Inculcating compassionate care into orthodox healthcare delivery will go a long way to improve patronage and discourage TBA utilization.


Keywords


Determinants, Pregnant women, TBA utilization

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References


REFERENCES

Bryce J, Daelmans B, Dwivedi A, Fauveau V, Lawn J, Mason E, et al. Countdown Coverage Writing Group; Countdown to 2015 Core Group. Countdown to 2015 for maternal, newborn, and child survival: the 2008 report on tracking coverage of interventions. Lancet. 2008;371(9620):1247-58.

Ebuehi OM, Akintujoye I. Perception, and utilization of traditional birth attendants by pregnant women attending primary health care clinics in a rural Local Government Area in Ogun State, Nigeria. Int J Womens Health. 2012;4:25-34.

Chou D, Inoue M, Mathers C, Moller A, Oestergaard M, Say L, et al. Trends in maternal mortality: 1990 to 2010. WHO-UNICEF UNFPA and the World Bank estimates. 2012.

Lawn JE, Lee AC, Kinney M, Sibley L, Carlo WA, Paul VK, et al. Two million intrapartum-related stillbirths and neonatal deaths: where, why, and what can be done? International Journal of Gynecology & Obstetrics. 2009;107: S5-S19.

Monjok E, Essien E, Smesny A, Okpokam S. A training need for rural primary care in Nigeria. Journal of Obstetrics and Gynaecology. 2010;30(8):833-5.

Opiah M, Osayi T, Afolayan J, AdeyanjuAB UA. FACTORS INFLUENCING PATRONAGE OF TRADITIONAL BIRTH ATTENDANTS FOR DELIVERY AND NEWBORN CARE IN AMASSOMA COMMUNITY, SOUTHERN IJAW LOCAL GOVERNMENT AREA, BAYELSA STATE. Bull Sci Assoc Nigeria. 2010;29:27-32.

Ofili A, Okojie O. Assessment of the role of traditional birth attendants in maternal health care in Oredo Local Government Area, Edo State, Nigeria. Journal of Community Medicine and Primary Health Care. 2005;17(1):55-60.

M’Cormack-Hale FA, Beoku-Betts J. General Introduction. African and Asian Studies. 2015;14(1-2):8-17.

Abuja N. National Population Commission and ICF Macro; 2009. National Population Commission (NPC)[Nigeria] and ICF Macro Nigeria Demographic and Health Survey. 2008.

Abimbola S, Okoli U, Olubajo O, Abdullahi MJ, Pate MA. The midwives service scheme in Nigeria. PLoS Med. 2012;9(5):e1001211.

Titaley CR, Hunter CL, Dibley MJ, Heywood P. 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(1):1.

Commission NNP. Legal notice on the publication of 2006 Census final results In: Federal Republic of Nigeria official Gazette No 2. Abuja; 2009.

Araoye MO. Research Methodology with Statistics for Health and Social Sciences. Ilorin, Nigeria: Nathadex Publishers; 2004.

Kirchengast S, Hartmann B. Advanced maternal age is not only associated with newborn somatometric but also with the mode of delivery. Annals of human biology. 2003;30(1):1-12.

Okafor CB. Availability and use of services for maternal and child health care in rural Nigeria. International Journal of Gynecology & Obstetrics. 1991;34(4):331-46.

Akenzua GI, Akpovi SU, OGBEIDE O. Maternal and child care in rural areas: the role of traditional birth attendants in the Bendel State of Nigeria. Journal of tropical pediatrics. 1981;27(4):210-4.

Salako A. Letter to the Editor: The traditional birth attendant and the high Nigeria's maternal mortality. Nigerian Journal of Clinical Practice.5(1):69-70.

Doctor HV, Dahiru T. Utilization of non-skilled birth attendants in Northern Nigeria: a rough terrain to the health-related MDGs. African Journal of Reproductive Health. 2010;14(2):37-45.

Onah HE, Ikeako LC, Iloabachie GC. Factors associated with the use of maternity services in Enugu, southeastern Nigeria. Social science & medicine. 2006;63(7):1870-8.

Oshonwoh E, Nwakwuo G, Ekiyor C. Traditional birth attendants and women’s health practices: A case study of Patani in Southern Nigeria. Journal of Community Health. 2014;38(2):349-56.

Mpembeni RN, Killewo JZ, Leshabari MT, Massawe SN, Jahn A, Mushi D, et al. 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(1):1.

Dorwie FM, Pacquiao DF. Practices of traditional birth attendants in Sierra Leone and perceptions by mothers and health professionals familiar with their care. Journal of Transcultural Nursing. 2013:1043659613503874.

Ewa E, Lasisi C, Maduka S, Ita A, Ibor U, Anjorin O. Perceived Factors Influencing the Choice of Antenatal Care and Delivery Centres among Childbearing Women in Ibadan North South-Western, Nigeria. Ethiopian Journal of Environmental Studies and Management. 2012;5(4):373-83.

Mbonye AK, Neema S, Magnussen P. Preventing malaria in pregnancy: a study of perceptions and policy implications in Mukono district, Uganda. Health policy and planning. 2006;21(1):17-26.