Assessment of Birth Preparedness and Complication Readiness among Antenatal clients in Kaduna North Local Government Area of Kaduna State, Nigeria: Report of a Qualitative study
DOI:
https://doi.org/10.60787/tnhj.v23i4.749Keywords:
Birth preparedness, complication readiness, antenatal clients, qualitative study, Kaduna stateAbstract
Background: Birth preparedness and complication readiness (BP and CR) are strategies to reduce the three delays that contribute to high maternal mortality and morbidity in developing countries. Awareness and practice of BP and CR in Nigeria among antenatal clients is poor in most health care facilities in the Northern Nigeria.The study aimed to explore knowledge and practice of BP and CR among antenatal clients attending primary health care centers in Kaduna North Local Government (KNLG) Area of Kaduna State Nigeria.
Method: A qualitative study design using Focused Group Discussions (FGD) was conducted. Four Primary Health Care facilities (PHCs) were selected based on the high turnout of antenatal clients and a total of 8 FGDs were conducted. The discussions were facilitated by guide a focusing on: knowledge of, attitude towards and perceptions of BP and CR among antenatal clients. Data was collected with a tape recorder and note-taking from May to June, 2017. The data were transcribed verbatim and investigated using a content analysis.
Result: Two themes were identified: poor knowledge of the concept of BP and CR and Poor practice of BP and CR. The antenatal clients demonstrated poor knowledge and practice of BP/CR and preferred home delivery. Conclusion: This study revealed poor awareness and practice of BP and CR among antenatal clients in KNLG, Nigeria. There should be public awareness of this concept.
Downloads
References
John Hopkins Program for International Education in Obstetrics and Gynecology (JHPIEGO). Maternal and neonatal health: monitoring birth preparedness and complication readiness, 2004 [cited 2021 Sept 6]; Available from: http://www.pdf.dec.org/pdf_docs/PNADA619.pdf.
Karkee R., Lee A, Binns C. Birth preparedness and skilled attendance at birth in Nepal: implications for achieving millennium development goal 5. Midwifery 2013; 29:1206-10.
Partnership for Reviving Routine Immunization in Northern Nigeria. Maternal, Newborn and Child Health Initiative. (2010). Factsheet: emergency obstetric care-delays in reaching care. Newege: PRRINN-MNCH. Accessed on 2018 December 14 from https://assets.publishing.service.gov.uk/media/57a08a32ed915d3cfd00063c/PRRINN-MNCH
Lee SH, Lee SM, Lim NG, Kim HJ, Bae S-H, et al. Differences in pregnancy outcomes, prenatal care utilization, and maternal complications between teenagers and adult women in Korea: a nationwide epidemiological study. Medicine. 2016;95: e4630.
World Health Organization. (2023). Maternal Mortality. Geneva: WHO Press. Accessed on 2023 December20: Available at; https://www.who.int/news-room/factsheets/detail/maternal-mortality.
Urassa, D. P., Pembe, A. B., & Mganga, F. (2012). Birth preparedness and complication readiness among women in Mpwapwa district, Tanzania. Tanzania Journal of Health Research, 14(1). https://doi.org/10.4314/thrb.v14i1.8
Affripunguh P, Laar A. Assessment of knowledge and practice towards BP and CR among women in Northern Ghana: a cross-sectional study. Int J Sci Rep 2016;2(6). doi: https://doi.org/10.18203/issn.2454-2156.IntJSciRep20161878
Idowu A, Deji S, Aremu O, Bojuwoye O, Ofakunrin A. Birth preparedness and complication readiness among women attending antenatal clinics in Ogbomoso South West, Nigeria. International Journal of MCH and AIDS 2015;4(1):47-56.
Kaso, M., Addisse, M. Birth preparedness and complication readiness in Robe Woreda, Arsi Zone, Oromia Region, Central Ethiopia: a cross-sectional study. Reprod Health 2014. https://doi.org/10.1186/1742-4755-11-55
Kaduna North Local Government (KNLG, 2016). Annual Operation Plan. Kaduna: KDS/DKA. Accesses on 2017 May 12: Available at http://kadipa.kdsg.gov.ng/pdfs/publication/kaduna-statedevelopment-plan-2021
Bogale, D., Markos, D. Knowledge of obstetric danger signs among childbearing age women in Goba district, Ethiopia: a cross-sectional study. BMC Pregnancy Childbirth 15, 77 (2015). https://doi.org/10.1186/s12884-015-0508-1
Misganu TR, Jote M, Ashenafi H, Shiyaleela P.U. Obstetric Danger Signs: Knowledge, Attitude, Health-Seeking Action, and Associated Factors among Postnatal Mothers in Nekemte Town, Oromia Region, Western Ethiopia: A Community-Based Cross-Sectional Study. Obstet Gynecol Int. 2020; 2020: 6573153. doi: 10.1155/2020/6573153
Bin-Eradi IR, Simon-Decap MN, Daniel K.I, Monique R. Knowledge of Obstetric Danger Signs among Pregnant Women in the Eastern Democratic Republic of the Congo. Int. J. Environ. Res. Public Health 2023, 20(8), 5593; https://doi.org/10.3390/ijerph20085593
Aborigo RA, Moyer CA, Gupta M, Adongo PB, Williams J, Hodgson A, Allote P, Engmann CM. Obstetric danger signs and factors affecting health seeking behaviour among the Kassena-Nankani of Northern Ghana: a qualitative study. Afr J Reprod Health. 2014 Sep;18(3):78-86. PMID: 25438512.
Dangura, A.D. Knowledge about childbirth and postpartum obstetric danger signs and associated factors among mothers in Dale district, Southern Ethiopia. BMC Pregnancy Childbirth 20, 340 (2020). https://doi.org/10.1186/s12884-020-02989-7
Tobin E, Ofili A, Enebeli N, Enoeze O. Assessment of birth preparedness and complication readiness among pregnant women attending Primary Health Care Centres in Edo state, Nigeria. Annal of Nigerian Medicine 2014;8(2):76-81.
Bitew Y, Awoke W, Chekol S. Birth Preparedness and Complication Readiness practice and associated factors among pregnant women, Northwest Ethiopia. International Scholarly Research Notices 2016; 2016:1-8.
Belda, S.S., Gebremariam, M.B. Birth preparedness, complication readiness and other determinants of place of delivery among mothers in Goba District, Bale Zone, South East Ethiopia. BMC Pregnancy Childbirth 16, 73 (2016). https://doi.org/10.1186/s12884-016-0837-8
Asres A., Davey. Factors associated with safe delivery service utilization among women in Sheka Zone, Southwest Ethiopia. Matern Child Health J 2014;19(4): 859–67.
Bintabara, D., Mpembeni, R.N.M. & Mohamed, A.A. Knowledge of obstetric danger signs among recently-delivered women in Chamwino district, Tanzania: a cross-sectional study. BMC Pregnancy Childbirth 17, 276 (2017). https://doi.org/10.1186/s12884-017-1469-3
Mukhopadhyay D.K., Mukhopadhyay S, Bhattacharjee S, Nayak S, Biswas A.K, Biswas A.B. Status of birth preparedness and complication readiness in Uttar Dinajpur District, West Bengal.
Indian J Public Health 2013;57(3):147-54. doi:10.4103/0019-557X.119827
Gross K., Mayumana I, Obrist B. ‘My wife, you are supposed to have a rest now’: an analysis of norms influencing men's role in prenatal care in south-eastern Tanzania. Anthropol 2013:20;98–108.
Aarnio P, Chipeta E, Kulmala T. Men's perceptions of delivery care in rural Malawi: exploring community level barriers to improving maternal health. Health Care Women Int 2013; 34:419–39.
Anna G, Malica D, Sally G, Nafissa O, Kristien R, Olivier D. A cross-sectional study of the role of men and the knowledge of danger signs during pregnancy in southern Mozambique. BMC Pregnancy Childbirth. 2020; 20: 572. doi: 10.1186/s12884-020-03265-4
Judith Y, Jo Leonardi-B. Male involvement and maternal health outcomes: systematic review and meta-analysis. Journal of Epidemiology and Community Health,2014;69(6). https://doi.org/10.1136/jech-2014-204784
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal and Publisher
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.