Kazeem Arogundade, June Sampson, Elizabeth Boath, Ubong Akpan, Olaposi Olatoregun, Oluwayemisi Femi-Pius, Jude Orjih, Barinaadaa Afirima, Nasir Umar
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A structured questionnaire was administered to 422 women of reproductive age residents in the study area who had given birth at least once within the last five years prior to the survey using a multistage random sampling technique. Data generated were entered, coded, and analyzed using Statistical Packages for Social Sciences (SPSS version 22.0), and results were presented in tables and charts. Chi-squared tests and multiple logistic regression were used for the identification of variables associated with health facility-based delivery.</p><p><strong>Result: </strong>The mean age of respondents was 27.3 years (SD = 8.4). Fifty-two percent of the respondents utilized the health facility for delivery, 89.6% attended at least one antenatal clinic (ANC), and 18.9% completed at least 3 ANC sessions. There was a statistically significant association between health facility delivery and marital status (<i>P</i>=0.007), education (<i>P</i>=0.042), and family size (<i>P</i>=0.002). Older women (OR = 0.7, CI = 0.169-3.714), Christians (OR = 1.9, CI = 0.093-41.1), divorcees (OR = 3.7, CI = 0.00-0.00), and respondents who registered early (first trimester) for ANC (OR = 4.9, CI = 0.78-31.48) were found to be higher users of delivery services at the health facility.</p><p><strong>Conclusion: </strong>Community health intervention focusing on improving the knowledge and awareness of the significance of utilizing available delivery services at the healthcare facility should be developed and implemented.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":" ","pages":"6618676"},"PeriodicalIF":16.4000,"publicationDate":"2021-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8670964/pdf/","citationCount":"4","resultStr":"{\"title\":\"Predictors and Utilization of Health Institution Services for Childbirth among Mothers in a Southern Nigerian City.\",\"authors\":\"Kazeem Arogundade, June Sampson, Elizabeth Boath, Ubong Akpan, Olaposi Olatoregun, Oluwayemisi Femi-Pius, Jude Orjih, Barinaadaa Afirima, Nasir Umar\",\"doi\":\"10.1155/2021/6618676\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Poor maternal health indices, including high maternal mortality, are among Nigeria's major public health problems. Most of these deaths can be prevented by timely access and utilization of maternity healthcare services by women. <i>Aim/Objective</i>. This study seeks to identify factors affecting the utilization of health facilities for the delivery of babies among mothers in Calabar, Cross River State, Nigeria. <i>Methodology</i>. The study was a community-based cross-sectional study. A structured questionnaire was administered to 422 women of reproductive age residents in the study area who had given birth at least once within the last five years prior to the survey using a multistage random sampling technique. Data generated were entered, coded, and analyzed using Statistical Packages for Social Sciences (SPSS version 22.0), and results were presented in tables and charts. Chi-squared tests and multiple logistic regression were used for the identification of variables associated with health facility-based delivery.</p><p><strong>Result: </strong>The mean age of respondents was 27.3 years (SD = 8.4). Fifty-two percent of the respondents utilized the health facility for delivery, 89.6% attended at least one antenatal clinic (ANC), and 18.9% completed at least 3 ANC sessions. There was a statistically significant association between health facility delivery and marital status (<i>P</i>=0.007), education (<i>P</i>=0.042), and family size (<i>P</i>=0.002). Older women (OR = 0.7, CI = 0.169-3.714), Christians (OR = 1.9, CI = 0.093-41.1), divorcees (OR = 3.7, CI = 0.00-0.00), and respondents who registered early (first trimester) for ANC (OR = 4.9, CI = 0.78-31.48) were found to be higher users of delivery services at the health facility.</p><p><strong>Conclusion: </strong>Community health intervention focusing on improving the knowledge and awareness of the significance of utilizing available delivery services at the healthcare facility should be developed and implemented.</p>\",\"PeriodicalId\":1,\"journal\":{\"name\":\"Accounts of Chemical Research\",\"volume\":\" \",\"pages\":\"6618676\"},\"PeriodicalIF\":16.4000,\"publicationDate\":\"2021-12-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8670964/pdf/\",\"citationCount\":\"4\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Accounts of Chemical Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1155/2021/6618676\",\"RegionNum\":1,\"RegionCategory\":\"化学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"CHEMISTRY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2021/6618676","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 4
摘要
背景:产妇健康指数差，包括产妇死亡率高，是尼日利亚的主要公共卫生问题之一。这些死亡大多可以通过妇女及时获得和利用产妇保健服务来预防。目的/目标。本研究旨在查明影响尼日利亚克罗斯河州卡拉巴尔产妇利用保健设施分娩的因素。方法。该研究是一项以社区为基础的横断面研究。采用多阶段随机抽样的方法，对研究区内近五年内至少生育过一次的422名育龄妇女进行结构化问卷调查。使用SPSS 22.0版本的社会科学统计软件包对产生的数据进行输入、编码和分析，结果以表格和图表的形式呈现。使用卡方检验和多元逻辑回归来确定与卫生设施分娩相关的变量。结果:调查对象平均年龄27.3岁(SD = 8.4)。52%的答复者利用保健设施分娩，89.6%至少参加过一次产前诊所，18.9%至少参加过3次产前诊所。在医疗机构分娩与婚姻状况(P=0.007)、教育程度(P=0.042)和家庭规模(P=0.002)之间存在统计学上显著的关联。发现老年妇女(OR = 0.7, CI = 0.169-3.714)、基督徒(OR = 1.9, CI = 0.093-41.1)、离婚妇女(OR = 3.7, CI = 0.00-0.00)和早期(孕早期)登记为ANC的受访者(OR = 4.9, CI = 0.78-31.48)是卫生机构分娩服务的较高使用者。结论:应制定和实施社区卫生干预措施，重点是提高人们对利用卫生保健机构现有分娩服务的重要性的认识和认识。
Predictors and Utilization of Health Institution Services for Childbirth among Mothers in a Southern Nigerian City.
Background: Poor maternal health indices, including high maternal mortality, are among Nigeria's major public health problems. Most of these deaths can be prevented by timely access and utilization of maternity healthcare services by women. Aim/Objective. This study seeks to identify factors affecting the utilization of health facilities for the delivery of babies among mothers in Calabar, Cross River State, Nigeria. Methodology. The study was a community-based cross-sectional study. A structured questionnaire was administered to 422 women of reproductive age residents in the study area who had given birth at least once within the last five years prior to the survey using a multistage random sampling technique. Data generated were entered, coded, and analyzed using Statistical Packages for Social Sciences (SPSS version 22.0), and results were presented in tables and charts. Chi-squared tests and multiple logistic regression were used for the identification of variables associated with health facility-based delivery.
Result: The mean age of respondents was 27.3 years (SD = 8.4). Fifty-two percent of the respondents utilized the health facility for delivery, 89.6% attended at least one antenatal clinic (ANC), and 18.9% completed at least 3 ANC sessions. There was a statistically significant association between health facility delivery and marital status (P=0.007), education (P=0.042), and family size (P=0.002). Older women (OR = 0.7, CI = 0.169-3.714), Christians (OR = 1.9, CI = 0.093-41.1), divorcees (OR = 3.7, CI = 0.00-0.00), and respondents who registered early (first trimester) for ANC (OR = 4.9, CI = 0.78-31.48) were found to be higher users of delivery services at the health facility.
Conclusion: Community health intervention focusing on improving the knowledge and awareness of the significance of utilizing available delivery services at the healthcare facility should be developed and implemented.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
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