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n African Journal of Reproductive Health - What are pregnant women in a rural Niger Delta community's perceptions of conventional maternity service provision? An exploratory qualitative study : original research article

Volume 15, Issue 3
  • ISSN : 1118-4841
  • E-ISSN: 2141-3606

Abstract

At present there is under utilization of maternity service provision in Nigeria, with only a third of childbearing women electing to deliver in healthcare facilities. This is relevant since Nigeria's maternal mortality rate is second highest in the world and is estimated at 1,100 per 100,000 live births. To date, studies have sought cause and effect and have neglected the opinion of the people about what they perceive to be problematic and what they believe constitutes satisfactory maternity service provision. An exploratory qualitative study was carried out to identify pregnant women in a rural Niger Delta community's perceptions of conventional maternity service provision. Participants included 8 pregnant Niger Delta women from differing sub-groups within the homogeneous population. Semi-structured interviews were conducted to explore informants' views of what constitutes satisfactory maternity service provision, what comprises inadequate care, barriers that obstruct delivery of maternity care, and what promotes positive outcomes. Five major themes emerged from the data. These included: (1) Women's requirements for information; (1a) nutritional and dietary advice, (1b) how to recognise developing complications, (1c) appropriate fetal development, (1e) importance of attending clinics; (2) Staff services required: (2a) availability, (2b) well managed, and (2c) good quality; (3) Apparatus: (3a) equipment available, (3b) adequate infrastructure; (4) Affordability; (5) Place of traditional and spiritual methods. The interviewed childbearing Niger Delta women voiced several factors that they considered altered their satisfaction with maternity service provision. Finding out more about what causes satisfaction/dissatisfaction in childbearing women facilitates maternity care professionals to improve standards of care and allocate resources more effectively. Policy changes are driven by initiatives that reinforce strengths of current specification and recognise weaknesses. In addition, the WHO recommends that working towards improving health related culture is important.


A l'heure actuelle, il y a une sous utilisation de services de gynécologie-obstétricaux au Nigeria, étant donné qu'un tiers des femmes en âge de procréer optent pour accoucher dans des établissements de santé. Les études antérieure ont recherché la cause et l'effet et ont négligé les opinions des femmes concernant ce qu'elles croient être la bonne prestation de services de gynécologie-obstétricaux. Nous avons mené une étude qualitative exploratrice pour identifier 8 femmes enceintes à partir des perceptions d'une communauté rurale du Niger Delta à l'égard de la prestation de services de gynécologie-obstétricaux conventionnels. Des interviews semi-structurés ont exploré les opinions des enquêtées sur ce qui constitue la prestation de services de gynécologieobstétricaux satisfaisant, ce qui constitue les soins insuffisants, les obstacles qui entravent la prestation de soins de gynécologieobstétricaux et ce qui avance les résultats positifs. Cinq thèmes importants ont émergé à partir des données : (i) Les besoins des femmes pour les renseignements ; 1a) le conseil nutritionnel et alimentaire, 1b) comment reconnaitre des complications qui se préparent, 1c) le développement approprié des fétus, 1e) la nécessité de fréquenter les cliniques, 2) bien gérer, 2c) la bonne qualité 3) appareil 3a) l'équipement disponible, 3b) l'infrastructure adéquate ; 4) s'ils sont abordables ; 5) la place des méthodes traditionnelles et spirituelles. Les femmes enquêtées ont mentionné plusieurs facteurs qui ont modifié leur satisfaction avec la prestation de service de gynécologie-obstétricaux. La recherche supplémentaire concernant les causes de la satisfaction ou du mécontentement rend facile la tâche des professionnels de soins de maternité leur permettant d'améliorer la qualité de soin et d'affecter des ressources plus efficacement.

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/content/ajrh/15/3/EJC121016
2011-09-01
2019-09-16

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