Effect of Nursing Intervention on the Utilization of Antenatal Care Services: Evidence from Ogun State, Nigeria

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DOI: 10.21522/TIJNR.2015.04.01.Art003

Authors : Musah K. Toyin, Okueso Grace Ogba, Florence F. Folami, Sowunmi Christiana, Kio Janet, Owopetu Adetoun

Abstract:

The study assessed the effect of nursing intervention on the utilization of antenatal care services (ANCS) in Ogun state, Nigeria. A total of 75 pregnant women registered for antenatal care in 4 primary health care centers were selected using the total enumeration procedure. The women were further stratified into control (40) and experimental (35) groups. Structured questionnaire was used to gather data which were analyzed using descriptive statistics and logistic regression. All analyses were measured at p≤0.05. Results showed that most of the women were between 20 and 30 years old, had up to secondary education, were in their third trimester and had made below 2 antenatal visits to the healthcare centers. Most of the women have had up to 3 children. Monthly income was generally less than N20, 000 (<$56). At baseline, the antenatal appointments were generally very poor. Parameters related to antenatal care such as checking of blood pressure, weight monitoring, malaria test and HIV counseling and testing also had low scores (<70%). However, at post-intervention, there were apparent improvements in the measured parameters in the experimental group (94%); whereas there were no changes in the control group. The overall utilization mean for the experimental group (baseline = 67%; end line = 97%) indicated that there was a considerable increase in the utilization of ANCS by pregnant women after exposure to intervention. The regression result affirmed that respondents’ participation in the intervention was significant with a positive sign at p = 0.009. This implies that, exposure of pregnant women to educational intervention will significantly increase the probability of their utilization of ANCS. The study recommends among others, that, more attention should be given to antenatal education in the study area and Nigeria at large.

Keywords: Antenatal Care Services, utilization, healthcare, pregnant women, intervention, Nigeria.

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