دورية أكاديمية
Determinants of health care seeking behaviour during pregnancy in Ogun State, Nigeria.
| العنوان: | Determinants of health care seeking behaviour during pregnancy in Ogun State, Nigeria. |
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| المؤلفون: | Akeju DO; Department of Sociology, University of Lagos, Lagos, Nigeria. davidakeju@gmail.com., Oladapo OT; UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland., Vidler M; Department of Obstetrics and Gynaecology, and the Child and Family Research Unit, University of British Columbia, Vancouver, BC, Canada., Akinmade AA; Centre for Research in Reproductive Health, Sagamu, Ogun State, Nigeria., Sawchuck D; Department of Obstetrics and Gynaecology, and the Child and Family Research Unit, University of British Columbia, Vancouver, BC, Canada., Qureshi R; Department of Obstetrics and Gynaecology, Aga Khan University, Karachi, Pakistan., Solarin M; Directorate Division of Medical and Health Care Services, Ijebu Ode Local Government Secretariat, Ijebu Ode, Ogun State, Nigeria., Adetoro OO; Centre for Research in Reproductive Health, Sagamu, Ogun State, Nigeria.; Department of Obstetrics and Gynaecology, Olabisi Onabanjo University, Sagamu, Ogun State, Nigeria., von Dadelszen P; Department of Obstetrics and Gynaecology, and the Child and Family Research Unit, University of British Columbia, Vancouver, BC, Canada. |
| مؤلفون مشاركون: | CLIP Nigeria Feasibility Working Group |
| المصدر: | Reproductive health [Reprod Health] 2016 Jun 08; Vol. 13 Suppl 1, pp. 32. Date of Electronic Publication: 2016 Jun 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101224380 Publication Model: Electronic Cited Medium: Internet ISSN: 1742-4755 (Electronic) Linking ISSN: 17424755 NLM ISO Abbreviation: Reprod Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BioMed Central, 2004- |
| مواضيع طبية MeSH: | Decision Making* , Health Knowledge, Attitudes, Practice* , Health Services Accessibility*, Health Facilities/*statistics & numerical data , Patient Acceptance of Health Care/*psychology, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Nigeria ; Pregnancy ; Socioeconomic Factors ; Young Adult |
| مستخلص: | Background: In Nigeria, women too often suffer the consequences of serious obstetric complications that may lead to death. Delay in seeking care (phase I delay) is a recognized contributor to adverse pregnancy outcomes. This qualitative study aimed to describe the health care seeking practices in pregnancy, as well as the socio-cultural factors that influence these actions. Methods: The study was conducted in Ogun State, in south-western Nigeria. Data were collected through focus group discussions with pregnant women, recently pregnant mothers, male decision-makers, opinion leaders, traditional birth attendants, health workers, and health administrators. A thematic analysis approach was used with QSR NVivo version 10. Results: Findings show that women utilized multiple care givers during pregnancy, with a preference for traditional providers. There was a strong sense of trust in traditional medicine, particularly that provided by traditional birth attendants who are long-term residents in the community. The patriarchal c influenced health-seeking behaviour in pregnancy. Economic factors contributed to the delay in access to appropriate services. There was a consistent concern regarding the cost barrier in accessing health services. The challenges of accessing services were well recognised and these were greater when referral was to a higher level of care which in most cases attracted unaffordable costs. Conclusion: While the high cost of care is a deterrent to health seeking behaviour, the cost of death of a woman or a child to the family and community is immeasurable. The use of innovative mechanisms for health care financing may be beneficial for women in these communities to reduce the barrier of high cost services. To reduce maternal deaths all stakeholders must be engaged in the process including policy makers, opinion leaders, health care consumers and providers. Underlying socio-cultural factors, such as structure of patriarchy, must also be addressed to sustainably improve maternal health. Trial Registration: NCT01911494. |
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| معلومات مُعتمدة: | 001 International WHO_ World Health Organization |
| فهرسة مساهمة: | Keywords: Health care; Pregnancy complications |
| سلسلة جزيئية: | ClinicalTrials.gov NCT01911494 |
| تواريخ الأحداث: | Date Created: 20160701 Date Completed: 20170404 Latest Revision: 20240325 |
| رمز التحديث: | 20240325 |
| مُعرف محوري في PubMed: | PMC4943510 |
| DOI: | 10.1186/s12978-016-0139-7 |
| PMID: | 27356754 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1742-4755 |
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| DOI: | 10.1186/s12978-016-0139-7 |