Midwives’ And Mothers’ Perception Of Midwives Service Scheme

Midwives’ And Mothers’ Perception Of Midwives Service Scheme

Abstract

The significance of professed birth attendants in the reduction of motherly and invigorated morbidity and mortality worldwide can not beover-emphasized. The midwives service scheme was established by the National Primary Health Care Development Agency( NPHCDA) in collaboration with the Nursing and Midwifery Council of Nigeria in 2009 to achieve reduction in motherly, invigorated and under- five mortality in Nigeria, especially in pastoral communities. The purpose of the study was to determine how maters and midwives in named Area Councils in Abuja perceive the midwives service scheme. Five objects and three null suppositions were raised to guide the study. Quantitative descriptive check design was used to study the midwives ’ perception while both quantitative and qualitative styles were espoused for the study of maters ’ perception. The whole MSS midwives( 32) in the studied Area Councils were used for the study while a sample size of 381 maters was drawn from the population of 1483. Two sets of experimenter- developed questionnaires were used to induce data from the midwives and maters ; while eight focus group discussion sessions with 83 maters were also used as a back- over instrument for generating data from the maters . The instruments were certified valid and dependable, r = 0.85 and0.89 using split half trustability test for midwives ’ and mama ’s questionnaire independently. Data were administered directly to repliers by the experimenter and four sidekicks. objects of the study were analysed descriptively, while one- way ANOVA and mated t- test were used to test the suppositions at0.05 position of significance using the Statistical Package for Social lores( SPSS). Data from the focus group discussion were anatomized thematically and findings from thematic analysis wereused to back up the findings from statistical analysis. Result showed that midwives and maters perceived the MSS appreciatively but factors like poor payment, lack of accoutrements like medicines, electricity and poor station of health workers counted negatively against the scheme. further midwives should be signed and the midwives ’ hires enhanced to motivate them.

Chapter One

Preface

Background to the study

gestation and parturition are normal physiological processes that bring joyous gests to individualities and families. still, in numerous corridor of the world, gestation constitutes a dangerous trip, a parlous and potentially fatal experience for millions of women especially in developing countries. Over 289,000 women die annually from complications during gestation, parturition, or postpartum period( World Fact book, 2014 andWHO, UNICEF, UNFPA & The World Bank 2014). About 70 of these deaths are largely treatable or at least preventable( UNICEF, 2010) and nearly all these deaths( over 90) do in developingcountries where fertility rates are advanced and a woman’s life time threat of dying during gestation and parturition is over 400 times advanced than in developed countries( Audu, Takai, & Bukar, 2010).

The situation in Nigeria is especially grave as motherly mortality rateas high as630 per 100,000 live births is still recorded( World Health Organization, UNICEF & The World Bank, 2014), therefore including Nigeria among the nations with the loftiest number of motherly deaths( WHO, 2010, National Primary Healthcare Development Agency( NPHCDA) 2009). Nigeria makes up only 1 of the total world population but accounts for about 10 of the global estimate for motherly mortality( FMOH & NPHCDA, 2010). The new- born and under- five mortality rates follow the same trend with an estimated child mortality rate of( Index Mundi, 2014). This unattractive trend has been traced to deliveries being attended to by unskilled birth attendants( N&MCN Newsletter 2011 & NPHCDA, 2009).

It’s against this background that the Midwives Service Scheme( MSS) was initiated in 2003 by the Nursing and Midwifery Council of Nigeria( N&MCN) though firstly as a obligatory service