Utilization Of Antenatal And Maturity Services By Mothers Seeking Child Welfare Services In Nigeria

Utilization Of Antenatal And Maturity Services By Mothers Seeking Child Welfare Services In Nigeria

Chapter One

Preface

Background Of The Study

motherly and child health has surfaced as the most important issue that determined global and public good. This is because every existent, family and community is at some point privately involved in gestation and the success of parturition( WHO, 2006). Despite the honour bestowed on womanishness and the

appreciation of the birth of a new born baby, gestation and parturition is still considered a dangerous trip. The situation of motherly and child health in Nigeria is among the worst in Africa and has not bettered mainly and in some areas of the country, has worsened over the once decade( Ladipo, 2009). The motherly mortality rate ranges between 800- 15000 per 100,000 live births( Nigeria Demographic and Health Survey, 2003), with pronounced variation between geo- political zones – 165 in South West compared with 1,549 in the North- East and between civic and pastoral areas( Ladipo,

2009). Total fertility rate is5.7 births per woman and it’s estimated that roughly 59,000 of motherly deaths take place annually in Nigeria as a result of gestation, delivery andpost-delivery complications( WHO, UNICEF, UNFPA, 2007).

exploration( Ladipo, 2009) indicated close link between the health of the new born with the health of their maters . About 30- 40 of neonatal and infant deaths affect from poor motherly health and shy care during gestation, delivery and the critical immediate postpartum period( Ladipo, 2009). In Nigeria 340,000 babies die every time during delivery and shortly latterly especially if the mama dies in parturition( WHO, UNICEF, UNFPA, 2007). The under- five mortality rate is 200 per 1000 live births( WHO, 2006). These deaths aren’t unconnected with the poor motherly health services in the country and could be avoided through provision of quality and effective motherly and child health services.

Nigeria is one of the African countries with a fleetly growing population. As a nation with a growing frugality, one of the major health challenges facing the country moment is the capacity to sustain the adding child and motherly health. The most common recorded cause of perinatal deaths are analogous to those of other less advanced countries, and the common denominators are early travail poor motherly health and over all, the lack of applicable and quality services( Okereke, Kanu, Nwachukwu, Anyanwu, Ehiri & Merick, 2005). Although life- saving practices for utmost babies have been known for decades, presently one third of the maters still have no access to health care services during gestation and nearly half don’t have access to health care services during parturition( Okereke, etal., 2005). In the light of rapid-fire population growth and increased pitfalls of adverse environmental health exposures, motherly and child health prospects could be a serious public public health problem due to factors similar as ignorance, apathy, poverty, lack of commitment, ignorance and corruption( Opara & Ellah, 2007).

The Millennium Development thing( MDG) 4 and 5 bear enhancement of motherly and child health. Target 6 of MDG5 specified that between 1990 and 2015, motherly mortality rate be reduced by three diggings. The chances of attaining this target depend on how policy, plans and int erventions address the comprehensive set of social, profitable, artistic as well as medical causes of motherly mortality in Nigeria

Ladipo, 2009).

The 2006 tale estimated that there were about 65 million ladies in Nigeria, out of which 30 million were of reproductive age( 15- 49 times). Each time about 6 million women come pregnant, 5 million of these gravidity redounded in child birth( WHO, UNICEF, UNFPA, 2007). Monthly, about- Nigerian women and girls suffer disabilities caused by complications during gestation and child birth( HILL, Abouzahr & Wardlaw, 2001). For every one that dies, 20- 30 further suffer long term and short term disabilities similar as habitual anaemia, motherly prostration or physical weakness, vesico- vaginal or recto- vaginal fistulae, stress incontinence, habitual pelvic pain, gravidity, ectopic gestation, and emotional depression( Ladipo, 2009). Child survival is inversely affected too as the chances of survival of a child in the absence of his or her mama is greatly reduced.

motherly champaign and the health of new born children are critical motifs in global development. When women are suitable to pierce demanded quality health care services and cover themselves from the numerous health pitfalls they face, l ong- term social and profitable progress can be achieved. The health and well- being of mama , babies, and youthful children are of critical significance, both as reflections of the current health status of individualities, original communities and the nation as a whole and as predictors of the health of the coming generation( Okereke, et al, 2005). In several crucial areas of health care, maters and youthful children of several communities of developing countries aren’t entering the health care services they need, and the result is unseasonable illness and preventable death( Okereke, et al, 2005). The anteceding, urged the experimenter to take over exploration study on the provision and application of motherly and child health care services among women of child bearing age in Benue State.

STATEMENT OF THE PROBLEM

Every nanosecond in a day, nearly in the world, a woman dies due to complications arising from gestation and parturition( Ladipo, 2009). In Nigeria, 150 of similar women die daily; it’s the leading cause of death among women of reproductive age. The tragedy is that these women don’t die from conditions, but during a normal, life- enhancing process of gravidity. Indeed more woeful, is the fact that these deaths are avoidable if preventative measures are taken and acceptable care is available( Ladipo, 2009).

Nigeria has had a veritably poor record regarding motherly and child health issues. Statistics depicting motherly and child health status in Nigeria call for a public health action( Adebayo, 2001). An estimated 53,000 women and 250,000 new born bones annually substantially as a result of preventable causes( National Primary Health Care Development Agency, 2006). Over the times, several action programmes have been introduced to reduce the rate of mortality among maters and children in Nigeria. Despite these sweats, poor motherly and child health indicators have continued to be one of the most serious development challenges facing the country( NPHCDA, 2006). In the time 2000, Nigeria and other members of the United Nations agreed on a number of Millennium Development Goals( MDGs) to ameliorate the weal of the people in their countries in the 21st century. Two of the health related pretensions concern reducing death among children under 5 times old by two- third( MDG 4, that is, reduction from 230 to 77 per 100,000 live births) and reducing motherly deaths by three- quarter( MDG 5) by the time 2015, when compared with the 1990 numbers – from live births to 250( NPHCDA, 2006). One time to 2015, Nigeria still records a rather shocking motherly, neonatal, and child mortality rates compared with developed countries. Although numerous of these deaths are preventable, the content and quality of health care services in Nigeria continue to fail women and children. Every single day, Nigeria loses about 2,300 under five time pasts and 145 women of child bearing age, which marked the country the second largest contributor to the under- five and motherly mortality rate in the world( Okereke, et al, 2004). under the statistics lies the pain of mortal tragedy, for thousand of families who have lost their children. Indeed more ruinous is the knowledge that essential interventions reaching women and babies on time would have prevented utmost of these deaths. Although, analysis of recentt rends shows that the country is making progress in cutting down babies and under- five mortality rates, the pace still remains too slow to achieve the renaissance development pretensions of reducing child mortality by a third by 2015. Presently, lower than 20 percent of health installations in Nigeria offer exigency obstetric care and only 34 percent of deliveries are attended by professed birth attendants( Okereke, et al, 2005). The state of health of Nigerians, and especially of our women, is to say the least, offensive and libelous . Health services in Nigeria have been unfit to satisfy the requirements, solicitations, bournes of the consumers who seek health backing, comforting and opinion. This holds that the consumers of health care services in Nigeria are largely unsatisfied as a result of the poor quality and volume of health services and their providers as well as fiscal constraints( Ladipo, 2009).

Despite the sweats in raising MCH services, some women still don’t mileage themselves of the occasion indeed when handed free of charge. It isn’t uncommon to hear that some women reject ultramodern medical and health care services on the ground that they aren’t in consonance with the system the people are formerly used to. thus, this study is designed to assess the provision and application of motherly and child health care services among women of child bearing age in Benue State. The study tried to find answers to the following specific exploration questions.

exploration QUESTIONS

Are motherly and child health care services adequately handed to maters seeking child weal services in Nigeria?

Does the position of health care installation influence the application of motherly and child health care services among maters seeking child weal services in Nigeria?

Does educational status influence application of motherly and child health care services among maters seeking child weal services in Nigeria?

Does station of health care labor force at motherly and child health care service centres in Nigeria significantly impact application of the services among maters seeking child weal services in Nigeria?

Does artistic belief influence the application of motherly and child health care services among maters seeking child weal services in Nigeria?

PURPOSE OF THE STUDY

The primary purpose of this study was to assess the provision and application of motherly and child- health care services among women of child bearing age in Benue State. The specific purposes were

To determine the acceptability of motherly and child health care services handed to maters seeking child weal services in Nigeria.

To assess the influence of position of health care installations on application of motherly and child health care services among maters seeking child weal services in Nigeria.

To assess the influence of educational status on application of motherly and child health care services among maters seeking child weal services in Nigeria.

To probe the influence of station of health care labor force on application of motherly and child health care services among maters seeking child weal services in Nigeria.

To examine the influence of artistic belief on the application of motherly and child health care services among maters seeking child weal services in Nigeria.

SIGNIFICANCE OF THE STUDY

The outgrowth of this study would be significant to maters seeking child weal services in Nigeria in general in the following ways

The findings of this study would give information on the acceptability or else of motherly and child health services handed to maters seeking child weal services in Nigeria with a view to perfecting the services.

The findings of this study would help policy makers to understand problems militating against effective application of motherly and child health services among maters seeking child weal services in Nigeria and the way forward.

It would give a base for farther exploration to other interested experimenters.

The findings of this study would contribute to being knowledge on the provision and application of motherly and child health services.

thesis

In order to achieve the purpose of this study and address the questions raised in the study, the following suppositions were formulated.

Major thesis

Provision and application of motherly and child health care services among maters seeking child weal services in Nigeria isn’t significantly told by acceptability of health installations.

Sub-hypotheses

Provision of motherly and child healthcare services to maters seeking child weal services in Nigeria aren’t significantly acceptable.

Application of motherly and child health care services among maters seeking child weal services in Nigeria, isn’t significantly told by position of health care installations.

Application of motherly and child health care services among maters seeking child weal services in Nigeria isn’t significantly told by their educational status.

Application of motherly and child health care services among maters seeking child weal services in Nigeria isn’t significantly told by station of the health care labor force at service centres.

Application of motherly and child health care services among maters seeking child weal services in Nigeria isn’t significantly told by artistic belief.

Drive supposition

This study was grounded on the following hypotheticals

Acceptable provision of motherly and child health care services are necessary to cover and promote the health of maters and children.

Place of hearthstone can constitute a strong hedge in the use of motherly and

child health care services among women of child- bearing age.

position of education can constitute a strong predictor of motherly and child health care service application among women of child- bearing age.

The station with which health care providers handle consumers of motherly and child health care services in Benue State can affect the posterior use of the services.

Cultural belief can constitute a strong determinant of choice/ use of health care services among women of child- bearing age.

Delimitation Of The Study

This study was demarcated to the provision and application of motherly and child health care services among women of child- bearing age( 15- 49 times) in six Original Government Areas named from the three Senatorial Zones in Benue State. They include Katsina- Ala, Vandeikya( Zone A); Gboko, Makurdi( Zone B), and Ogbadibo, Otukpo( Zone C). Specifically, only women of child- bearing age attending prenatal and postnatal clinic at the General Hospitals in the named Original Government Areas were involved in the study.

Limitation Of The Study