Effect of Nursing Intervention on the Utilization of Antenatal Care Services: Evidence from Ogun State, Nigeria
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.
References:
[1].
Adeleye, O. & Okezie (2012). Non-
Timber forest products and poverty reduction policy framework in Ikenne Local
Government area of Ogun State. International Journal of Asian Social Science.
[2].
Adeniji, F., & Erhabor, S. (2013).
Barrier to antenatal care in Nigeria; evidences from non user and implication
for maternal health programming. Reproductive Health Journal.
[3].
Adeniji, F., & Erhabor, S. (2015) Assessment of
quality of antenatal care services in Nigeria: evidence from population-based
survey. Reproductive Health Journal.
[4].
Agbede CO, Omeonu PE and Kio JO (2015). Influence of
clinic-based health education on pregnant women's knowledge and attitudes in
relation to pregnancy management: Evidence from Ogun state, Nigeria Global J.
of Medical Research: Gynecology and Obstetrics, 15 (1):28-34.
[5].
Ashur, SS. An evaluation plan for the development of
updating of Nutrition Curriculum at Upper Elementary and Preparatory levels in
Jordan. IVES/UNESCO International conference in Nutrition Education NE
(Oxford), 1977; 207(2): 67-74.
[6].
Babalola, D A, Olarewaju M, Omeonu PE, Adefelu A O
&Okeowo, R (2013). Assessing the
adoption of Roll Back Malaria Programme (RBMP) among women farmers in Ikorodu
Local government area of Lagos state. Canadian Journal of Pure and Applied Science. SENRA Academic
Publishers, British Columbia. 7(2): 2375-2379.
[7].
Babalola, S &Fatusi A. (2009) Determinants of use of
maternal health services in Nigeria looking beyond individual and household factors.
http://www.biomedcentral.com1471-2393/9/43.
[8].
Dahiru, T., & Oche, O. (2015).
Determinant of antenatal care, institutional delivery and postnatal care
services utilization in Nigeria. The Pan African Medical Journal.
[9].
Ekabua, J., Kutre, J., Odusolu, p.,
Agan, T., Iklaki, C., & Etokidem, A. (2011). Awareness of Birth Preparation
and Complication Readiness in South East Nigeria. Journal of Obstetrics
& Gynaecology.
[10].
Erim, D., Resch, S., & Goldie, S.
(2013). Assessing health and economic outcomes of interventions to reduce
pregnancy - related mortality in Nigeria. Public Health Journal,
1471-2458.
[11].
Fisher William A., Jeffrey
D. Fisher & Jennifer Harman (2009). The Information-Motivation-Behavioral Skills
Model: A General Social Psychological Approach to Understanding and Promoting
Health Behavior Blackwell Publishing Ltd, DOI: 10.1002/9780470753552.ch4.
[12].
Holmes, D., & Baker, P. (2006). Midwifery
by Ten Teachers. London: Hodder Arnold.
[13].
Igberase, G., & Ebeigbe, P. (2007).
Maternal Mortality in a rural referral hospital in the Niger Delta, Nigeria. Journal
of Obstetric and Gynaecology, 275-278.
[14]. Iyaniwura and Yussuf (2009) Utilization of
Antenatal Care and Delivery services in Sagamu, South western Nigeria
Department of Community Health Care, Olabisi Onabanjo University Teaching
Hospital, Sagamu, Ogun State Nigeria.
[15].
London , M. L., Ladewig, P., Ball, J.
W., & Bindler, R. C. (2007). Maternal & Child Health Nursing Care.
United State of America: Pearson education inc. Upper Saddle River.
[16]. Lund Stine, Hemed Maryam, Said Khadija S.,
Kombo Rashid, Azzah, Makundu Mkoko, Rasch Vibeke, Nielsen Birgitte Bruun (2009)
Wired Mothers – use of mobile phones to improve maternal and neonatal health in
Zanzibar.
[17]. Marshall, J.E & Raynor, M.A, (2014).
Myles Textbook for Midwives. London: Harcourt Churchill Livingstone, Elsevier.
P 179-187.
[18].
Nwaeze, O. O., Enabor, T. A., Oluwasola,
C. O., & Aimakhu. (2013). Perception & Satisfaction with Quality of
Antenatal Care Services Among Pregnant Women at the University College
Hospital, Ibadan. Nigeria. Annals of Ibadan Postgraduate Medicine.
[19].
Obiyan, A., & Kumar, A. (2015).
Socioeconomic Inequalities in the Use of Maternal Health Care Services in
Nigeria: Trends between 1990 And 2008. SAGE Open Journal, p.1-11.
[20].
Omeonu PE; Babalola DA and Agbede OC
(2014). Qualitative Analysis of Adolescents’ Sexual Behaviour in Ogun State,
Nigeria: Implication for HIV/AIDS Policy. Journal of Biology, Agriculture and
Healthcare, 4 (24): 162-166.
[21].
Onasoga, O., Afolayan, J., &
Oladimeji, B. (2012). Factors Influencing Utiliztion of Antenatal Care
ServicesAmong Pregnant Women in Ife Centra, Osun State, Nigeria.l. Pelagia
Research Library. Advances in Applied Sciences., p.1309-1315.
[22].
Osubor, K., Fatusi, A., & Chiwuzie,
J. (2006). Maternal Health Seeking Behaviour and Associated Factors in a Rural
Nigeria Community. Maternal And Child Health Journal.
[23]. Osungbade
KO & Ayinde OO (2011). Birth outcomes among booked and unbooked women at a secondary health facility
in southwest Nigeria: implications for strengthening perinatal health services.
J. Child Health Care
5(4):320-8. doi: 10.1177/1367493511406569.
[24]. Samai O & Sengeh P (1997) Facilitating
emergency obstetric care through transportation and communication, Bo, Sierra
Leone. International; Journal of
Gynecology & Obstetrics 59: 157–164.
[25].
Simkhada, B., VanTeijlingen, E., Porter,
M., & Simkhada, P. (2007). Factors affecting the utilization of antenatal
care in developing countries; Systematic review of the literatures. Journal
of Advance Nursing, p. 1365-2648.
[26].
WHO (2016) Maternal Mortality Fact
Sheet. www.who.int/mediacentre/factsheets/fs348/en/.