Knowledge, perception, and satisfaction of mothers regarding antenatal and postnatal care services in Ikenne Local Government Area, Ogun State
Background: Antenatal and postnatal care services aim at preventing maternal mortality and morbidity, with success considered in terms of maternal results. The study assessed knowledge, perception, and satisfaction of mothers regarding antenatal and postnatal care services in a semi-urban setting.
Method: A mixed method cross-sectional descriptive study was conducted in Ikenne Local Government Area of Ogun State. Simple random sampling by balloting was used in selecting the health facilities and purposive sampling for study participants. A total of 389 women were interviewed. Focused group discussions and key informant interviews were also conducted.
Result: Most 253 (65%) of the respondents knew when a pregnant woman should begin antenatal care; 358 (92%) did not know when a woman should return for postnatal care services and 34 (8.7%) respondents knew that receiving antenatal and postnatal care has benefits for both mother and child. Overall, 323 (83.0%) were satisfied with the care and services provided at the health centres. From the focused group discussion, about 70% of the women attending antenatal classes indicated that they might not deliver in the clinic. The main reasons for their decision included long distance to be travelled, better services during delivery by traditional birth attendants, religious faith, fear of caesarian section, and health workers’ attitudes.
Conclusion: The study showed good satisfaction with antenatal and postnatal care services in spite of conflicting perceptions and low level of knowledge base. Efforts to improve utilization and satisfaction of maternal and child health services should incorporate client and provider perspectives.
World Health Organization. Why do some women still die in pregnancy? Geneva, 2010.
Safe Motherhood Initiative. 2003. http://www.safemotherhood.org (Accessed October 2011).
UNICEF (2005). Progress for children: A world fit for children statistical review. Retrieved from https://www.unicef.org/progressforchildren/2007n6/index_41814.htm
Nwosu J, Odubanjo MO, Osinusi BO. The Nigerian Academy of Science. “Reducing maternal and infant mortality in Nigeria (Workshop summary)”. West African Book Publishers, Lagos, Nigeria; 2009.
Federal Ministry of Health, Nigeria/UNICEF. Women and child friendly health services in Nigeria: National Guidelines (Standards, Criteria and Key Indicators). Abuja: Federal Ministry of Health. 2005.
Federal Ministry of health, Nigeria. National HIV/AIDS and reproductive health survey. Abuja. Federal Ministry of Health. 2003
National Population Commission, Federal Republic of Nigeria and ICF International Rockville, Maryland, USA 2014. Nigeria Demographic and Health Survey 2008.
Babalola S, Fatusi A. Determinant of use of maternal health service in Nigeria looking beyond individual and household factors. BMC Pregnancy and Childbirth, 2009;9(43): 1471-239
Igboanugo G.M, Caroline HM. “What are pregnant women in a rural Niger Delta community’s perceptions of conventional maternity service provision?” An exploratory qualitative study. Afr J. Rep Health, 2011; 15(3).
National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro International. 2009. Bangladesh Demographic and Health Survey 2007. Dhaka, Bangladesh and Calverton, Maryland, USA: National Institute of Population Research and Training, Mitra and Associates, and Macro International. Burkina Faso Demographic Health Survey.
INS, ORC Macro. Enquête Démographique et de Santé du Cameroun 2004. Calverton ,Maryland, USA; 2004
Ghana Statistical Service (GSS), Noguchi Memorial Institute for Medical Research (NMIMR), and ORC Macro. 2004. Ghana Demographic and Health Survey 2003. Calverton, Maryland: GSS, NMIMR, and ORC Macro.
Ladfors L, Eriksson M, Mattsson L, Kylebäck K, Magnusson L, Milsom I. A population based study of Swedish women’s opinions about antenatal, delivery and postpartum care. Acta Obstet Gynecol Scand. 2001; 80:2. doi: 10.1034/j.1600-0412.2001.080002130.x
Uzochukwu BS, Onwujekwe OE. Akpala CO. Community satisfaction with the quality of maternal and child health services in southeast Nigeria. East Afr. Med. J. 2004; 81(6): 293-9.
Kelley E, & Boucar, M. “Helping District Teams Measure and Act on Client Satisfaction Data in Niger,” Operations Research Results 1, 2000 no. 1 (Bethesda, MD: U.S. Agency for International Development, Quality Assurance Project).
Creel LC, Sass JV, Yinger NV. New Perspectives on Quality of Care No. 1. Washington DC: Population Reference Bureau and Population Council; 2002. Overview of quality of care in reproductive health: Definitions and measurements of quality.
Annet N. Factors influencing utilization of postnatal services in Mulago and Mengo Hospital, Kampala, Uganda. (Master’s thesis). Department of Physiotherapy, University of the Western Cape 2004. Available at http://etd.uwc.ac.za/xmlui/bitstream/handle/11394/237/Nankwanga_MSC_2004.pdf?sequence=1
Oladapo OT, Iyaniwura CA, Sule-Odu AO. Quality of Antenatal Services at the Primary Care Level in Southwest Nigeria. Afr J. Rep Health 2008; 12(3): 71-91
Kempe A, Alwazer FN, Theorell T. The Role of Demand Factors in Utilization of Professional Care during Childbirth: Perspectives from Yemen. ISRN Obstetrics and
Gynecology, vol. 2011, Article ID 382487, 12 pages, 2011. https://doi.org/10.5402/2011/382487.
Okaro JM, Umezulike AC, Onah HE, Chukwuali LI, Ezugwu FO, Nweke P.C. Maternal Mortality at the University of Nigeria Teaching Hospital, Enugu, before and after Kenya. Afr J. Rep Health, 2001; 5: 90-7. doi: 10.2307/3583434.
Araoye MO. Sample size determination, research methodology with statistics for health and social sciences. First ed. Ilorin: Nathadex Publishers, 2004; 115-120.
Bruce J. Fundamental elements of the quality of care: A simple framework. Stud Fam Plann 1990; 21: 61-91.
Nigenda G, Kuchaisit C, Langer A, Romero M, Rojas G, Al‐Osimy M et al. Women's opinions on antenatal care in developing countries: results of a study in Cuba, Thailand, Saudi Arabia and Argentina. BMC Public Health 2003; 3: 17.
Langer A, Nigenda G, Romero M, Rojas G, Kuchaisit, Al-Osimi M et al. Conceptual bases and methodology for the evaluation of women’s and providers’ perception of the quality of antenatal care in WHO Antenatal Care Randomized Controlled Trial. Paediatr Perinat Epidemiol 1998; 12 (2): 98-115.
Zhao Q, Kulane A, Gao Y, Xu B. Knowledge and attitude on maternal health care among rural-to-urban migrant women in Shanghai, China. BMC Women's Health, 2009; 9:5 doi: 10.1186/1472-6874-9-5
Nankwanga, A. Factors influencing utilization of postnatal services in Mulago and Mengo Hospitals [master thesis], Kampala. Uganda: University of the Western Cape 2004. http://hdl.handle.net/11394/237
Renkert S, Nutbeam D. Opportunities to improve maternal health literacy through antenatal education: an exploratory study. Health Promot Int 2001; 16: 381-8.
Kaddour A, Hafez R, Zurayk. H. Women's perceptions of reproductive health in three communities around Beirut, Lebanon. Reprod Health Matters 2005; 13(25): 34-42.
World Health Organization. Standards for maternal and neonatal care: WHO, 2007.
Villar J, Ba'aqeel H, Piaggio G, Lumbiganon P, Miguel BJ, Farnot U, et al. WHO antenatal care randomized trial for the evaluation of a new model of routine antenatal care. Lancet 2001; 357(9268): 1551-64.
Sikorski J, Wilson J, Clement S, Das S, & Smeeton N. A randomized controlled trial comparing two schedules of antenatal visits: The antenatal care project. Br Med J 1996; 312(7030): 546-553.
Speizer IS, Bolen KA. How well do perception of family planning service quality correspond to objective measures? Evidence from Tanzania. Stud Fam Plann 2000; 31: 163-177.
Collins C. The discrepancy between the information pregnant women expect and receive in Ireland and the lost opportunity for health promotion and education. Health Promot Int 2007; 45(2) 61-66. doi: 10.1080/14635240.2007.10708102.
Kullima AA, Kawuwa MB, Audu BM, Geidam AD, Mairiga AG. Trends in maternal mortality in a tertiary institution in Northern Nigeria. Ann Afr Med 2009; 8(4): 221-224.
Ogunniyi SO, Faleyimu BL, Makinde ON, Adejuyigbe EA, Ogunniyi FA, Owolabi AT. Delivery care services utilization in an urban Nigeria population. Nigeria Journal of Medicine 2002; 9: 81-85.
Kols AJ, Sherman JE. “Family planning programs: Improving quality,” Population reports 26, no. 3. Baltimore: Johns Hopkins University School of Public Health, population information program 1998.
Mendoza AJ, Piechulek H, Al-Sabir A. Client satisfaction and quality of health care in rural Bangladesh. Bull World Health Organ. 2001; 79: 512–7.
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.