Factors Influencing the Utilization of Traditional Birth Attendants Among Women in Ogba/Egbema/Ndoni Local Government Area of Rivers State
Article Sidebar
Main Article Content
Abstract
This study investigated the factors influencing the utilization of traditional birth attendants among women in Ogba/Egbema/Ndoni Local Government Area of Rivers State. Five objectives, five research questions and four hypotheses were stated to guide the study. Literature was reviewed under conceptual framework, theoretical framework and empirical review. The study adopted the descriptive research design with a population which consisted of 19.900 pregnant women in ONELGA. A sample size of 431 was selected using a three-staged sampling technique. Data was collected using a structured questionnaire with a reliability coefficient of 0.87. Data was analyzed with the aid of the Statistical Product for Service Solution (SPSS) version 23.0 using percentage and chi-square at 0.05 level of significance. The finding of the study showed that, the utilization of traditional birth attendants’ services among women in Ogba/Egbema/Ndoni Local Government Area of Rivers State was high (87.5%). The utilization of TBAs services was influenced to a very high extent and significant related with availability of services (= 595.75, df = 15, p<0.05), accessibility of services (= 627.94, df = 15, p<0.05), cost of services (= 890.35, df = 15, p<0.05) and attitude of healthcare workers (= 469.31, df = 15, p<0.05). It was concluded among others that the factors influencing the utilization of traditional birth attendants’ services among women in ONELGA were: availability of services, accessibility of services, cost of services and attitude of healthcare workers. It was recommended that the ministry of health should improve the services of TBAs by training them and integrating their services in the mainstream maternal healthcare delivery since they are mostly patronized by women.
Article Details
References
Adeniran, Y. (2012). Traditional birth attendants: Killers or saviours? http//www. nationalmirroronline.net
Adeniyi, F., Fagbamigbe, E. & Sunday, I. (2015). Barriers to antenatal care use in Nigeria. Evidences from non-users and implications for maternal health programming. BioMedical Central on Pregnancy Childbirth, 15, 95-98.
Adewemimo, A.W., Msuya, S.E., Olaniyan, C.T. & Adegoke, A.A. (2014). Utilization of skilled birth attendance in Northern Nigeria: a cross-sectional survey. Midwifery Journal, 30(1), e7e13.
Allou, L.A. (2018). Factors influencing the utilization of TBA services by women in the Tolon district of the Norther region of Ghana. Journal of Scientific African, 1, e00010.
Awotunde, O., Awotunde, T., Fehintola, F., Adesina, S., Oladeji, O., Fehintola, A., & Ajala, D. (2017). Determinants of utilisation of traditional birth attendant services by pregnant women in Ogbomoso, Nigeria. International Journal Reproductive and Contraception Obstetrics and Gynecology, 6, 2684-2689.
Baral, Y. R., Lyons, K., Skinner, J. & Van-Teijlingen, E. R. (2012). Maternal health services utilisation in Nepal: Progress in the new millennium? Health Science Journal, 6(4), 618-633.
Chizoba, A.F., Pharr, J.R., Oodo, G., Ezeobi, E., Ilozumb, J., & Egharevba, J. (2017). Increasing HIV testing among pregnant women in Nigeria: Evaluating the traditional birth attendant and primary health center integration (TAP-in) model. AIDS Care, 29, 1094-1098.
Dapaah, J. M., & Nachinaab, J. O. (2019). Sociocultural Determinants of the Utilization of Maternal Health Care Services in the Tallensi District in the Upper East Region of Ghana. Advances in Public Health, https://doi.org/10.1155/2019/5487293
Dhakal, P., Shrestha, M., Baral, D. & Pathak, S. (2018). Factors affecting the place of delivery among mothers residing in Jhorahat VDC, Morang, Nepal. International Journal of Community Based Nursing and Midwifery, 6, 2-11.
Esena, R. K., & Sappor, M. M. (2013). Factors associated with the utilization of skilled delivery services in the Ga East Municipality of Ghana Part 2. Barriers to skilled delivery. International Journal of Science and Technological Research, 2(8), 13-19.
Esmailnasab, N., Hassanzadeh, J., Rezaeian, S. & Barkhaordari, M. (2014). Use of Health Care Services and Associated Factors among Women. Iranian Journal of Public Health, 43(1), 70-78.
Jammeh, A., Sundby, J. & Vangen, S. (2011). Barriers to emergency obstetric care services in perinatal deaths in rural Gambia: a qualitative in-depth interview study. Journal of Obstetrics and Gynecology, 9, 810-826.
Kibria, G.M., Ghosh, S., Hossen, S., Barsha, R.A., Sharmeen, A., & Uddin, S.M. (2017). Factors affecting deliveries attended by skilled birth attendants in Bangladesh. Maternal, Health, Neonatology and Perinatology, 3, 7-12.
Manyeh, A.K., Akpakli, D.E., Kukula, V., Ekey, R.A., Narh-Bana, S., & Adjei, A. (2017). Socio-demographic determinants of skilled birth attendant at delivery in rural Southern Ghana. BMC Research Notes, 10, 268-272.
National Population Commission Federal Republic of Nigeria (2013). Nigeria Demographic and Health Survey. NPC
National Population Commission Federal Republic of Nigeria (2018). Nigeria Demographic and Health Survey. NPC
Ogbo, F.A., Trinh, F.F., Ahmed, K.Y., Senanayake, P., Rwabilimbo, A.G., Uwaibi, N.E., & Agho, K.E. (2020). Prevalence, trends, and drivers of the utilization of unskilled birth attendants during democratic governance in Nigeria from 1999 to 2018. International Journal of Environmental Research in Public Health, 17(1), 372-379.
Ohaja, M., & Murphy-Lawless, J. (2017). Unilateral collaboration: The practices and understandings of traditional birth attendants in Southeastern Nigeria. Women Birth, 30, e165-e171.
Olufunke, E., & Akintujoye, I.A. (2012). Perception and utilization of traditional birth attendants by pregnant women attending primary health care clinics in a rural Local Government Area in Ogun State, Nigeria. International Journal of Women's Health, https://doi.org/10.2147/IJWH.S23173
Sarker, B.K., Rahman, M., Rahman, T., Hossain, J., Reichenbach, L., & Mitra, D.K. (2016). Reasons for preference of home delivery with traditional birth attendants (TBAs) in rural Bangladesh: A Qualitative exploration. PLoS ONE, 11, e0146161.
Singh, P.K., Rai, R.K., Alagarajan, M. & Singh, L. (2012). Determinants of Maternity Care Services Utilization among Married Adolescents in Rural India. PLoS ONE, 7(2), e31666.
Sowunmi, O. (2020). Factors influencing utilization of TBA among pregnant women in Lagos. University of Ibadan Press.
Sowunmi, C.O., & Owopetu, C.A. (2020). Birthing positions and their utilization by midwives in tertiary hospitals in Ogun State. IOSR Journal of Nursing and Health Science, 9(1), 28-36
Tabong, P.T.N., & Adongo, P. B. (2020). Infertility and childlessness: a qualitative study of the experiences of infertile couples in Northern Ghana. BMC Pregnancy Childbirth, 13, 72 -77.
Ugboaja, J.O., Oguejiofor, C.B., Oranu, E.O., & Igwegbe, A.O. (2018). Factors associated with the use of traditional birth attendants in Nigeria: A secondary analysis of 2013 Nigeria national demography and health survey. Nigerian Journal of General Practice, 16, 45-52
World Health Organisation (WHO, 2015). Traditional birth attendants: A joint WHO/UNFPA/UNICEF statement. Geneva.
World Health Organization (2019). Trends in maternal mortality: 1990 to 2015ÐEstimates by WHO, UNICEF.