Preferences regarding place of delivery among rural and urban women in Kaduna State, Nigeria: a comparative study
Main Article Content
Abstract
Background: The place of delivery is a recognised determinant of the outcome of the birth process for both mothers and their babies, thus having an effect on maternal and early neonatal mortality rates, which are high in many developing countries. Institutional deliveries have since been advocated as a panacea, but what are the preferences of women by residential location in northern Nigeria?
Aim: To comparatively ascertain the place of delivery preferences among rural and urban women in Kaduna State, north-western Nigeria and the factors that determine these choices.
Methods: A comparative, community-based, cross-sectional study was conducted among 340 women (170 rural and 170 urban). Data were collected with the aid of questionnaires and analysed using SPSS (version 25). Chi-squared (x 2 ) test was used to test for associations (p-value ≤0.05).
Results: About two-thirds (67.9%) of the women were aged 20-34 years (mean ± SD = 29.81 ± 7.63 years) and over 80% were married. Facility-based delivery was 67.7% across both study areas (rural 45.4%, urban 88.9%). Over half of the rural women delivered at home (51.9%) compared with 9.9% among urban women (p = 0.00). Determinants of choice of delivery location include respondents’ tribe, religion and educational levels (in the rural area), and age, educational levels, income and parity (among urban women), and also spousal income and educational levels in both areas.
Conclusion: Institutional delivery was significantly higher among urban women with economic,cultural and literacy factors being the predominant determinants of place of delivery in both groups.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The journal grants the right to make small numbers of printed copies for their personal non-commercial use under Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported License.
References
1. United Nations International Children's Fund (UNICEF). Delivery care. Available a at: https://data.unicef.org/topic/maternal-health/delivery-care/.Accessed on the 27th of November, 2020. 2. National Population Commission (NPC)
[Nigeria] and ICF. Nigeria Demographic
and Health Survey 2018. Abuja, Nigeria,
and Rockville, Maryland, USA: NPC and
ICF, 2019.
3. World Health Organisation (WHO).
Institutional births (%). Available at:
https://www.who.int/data/gho/indicator-
metadata-registry/imr-details/institutional-
birth . Accessed on the 27th of November,
2020.
4. Kifle MM, Kesete HF, Gaim HT,
Angosom
GS, Araya MB. Health facility or home
delivery? Factors influencing the choice of
delivery place among mothers living in
rural communities of Eritrea. J Health
Popul Nutr 2018;37(1):22.
5. Moyer CA, Dako-Gyeke P, Adanu RM.
Facility-based delivery and maternal and
early neonatal mortality in sub-Saharan
Africa: a regional review of the literature.
Afr J Reprod Health 2013;17(3):30-43.
6. Butrick E, Diamond-Smith N, Beyeler N,
Montagu D, Sudhinaraset M. Strategies to
increase health facility deliveries: three
case studies. San Francisco: Global
Health Group, Global Health Sciences,
University of California, San Francisco,
2014.
7. Micah AE, Hotchkiss DR. Community-
level factors associated with the use of
facility-based delivery assistance in
Uganda: a multilevel analysis. BMC
Pregnancy Childbirth 2020;20(1):195.
8. City Population. Population Statistics in
Maps and Charts for Cities,
Agglomerations and Administrative
Divisions of all Countries of the World.
Available at:
http://citypopulation.de/php/nigeria-
admin.php?adm1id=NGA019. Accessed
on the 29 th of March, 2021.
9. Efendi F, Ni’mah AR, Hadisuyatmana S,
Kuswanto H, Lindayani L, Berliana SM.
Determinants of facility-based childbirth
in Indonesia. Scientific World Journal
2019;2019:9694602.
10. Dahiru T, Oche OM. Determinants of
antenatal care, institutional delivery and
postnatal care services utilization in
Nigeria.
Pan Afr Med J 2015;21:321.
11. Adedokun ST, Uthman OA. Women who
have not utilized health Service for
delivery in Nigeria: who are they and
where do they live? BMC Pregnancy
Childbirth 2019;19(1):93.
12. Nwankwo ON, Ani OE, Akpoke M, Ugwa
EA. Determinants of choice of place of
delivery among women attending two
referral hospitals in Kano north-west
Nigeria. Niger Med J 2019;60(2):68-75.
13. Oguntunde O, Aina O, Ibrahim MS, Umar
HS, Passano P. Antenatal care and skilled
birth attendance in three communities in
Kaduna State, Nigeria. Afr J Reprod
Health 2010 (Special Issue);14(3):89-96.
14. Egharevba J, Pharr J, van Wyk B,
Ezeanolue E. Factors influencing the
choice of child delivery location among
women attending antenatal care services
and immunization clinic in south-eastern
Nigeria. Int J MCH AIDS
2017;6(1):82–92.
15. Gage AJ, Ilombu O, Akinyemi AI. Service
readiness, health facility management
practices, and delivery care utilization in
five states of Nigeria: a cross-sectional
analysis. BMC Pregnancy Childbirth
2016;16(1):297.
16. Obi AI, Abe E, Okojie OH. Assessment of
essential obstetric care services in health
care facilities in Benin City, Edo State.
IOSR J Dent Med Sci 2013;10(6):33–39.