Primary maternal healthcare service utilization among pregnant women in the oil producing Nchia-Eleme community in Nigeria

Authors

  • Sabinah O. Ngbala-Okpabi Africa Centre of Excellence in Public Health and Toxicological Research, University of Port Harcourt, Nigeria
  • Chinemerem Eleke Department of Nursing Science, University of Port Harcourt, Nigeria http://orcid.org/0000-0002-9375-9918

DOI:

https://doi.org/10.18203/2320-6012.ijrms20222514

Keywords:

Midwifery, Nigeria, Pregnant women, Pregnancy, Primary health care

Abstract

Background: Skilled maternal healthcare services in primary healthcare centres (PHCs) are aimed at preventing childbirth complications. This study examined the primary maternal healthcare service utilization among pregnant women in the oil-producing Nchia-Eleme community in Nigeria.

Methods: A cross-sectional survey design was applied to a purposive sample of 250 pregnant women in Nchia-Eleme from February to April 2022 during an oil spill clean-up exercise. Data were collected using a novel semi-structured questionnaire. Data description and analysis were done with frequency, percentage, and odds ratio at a 5% level of significance.

Results: More than half (58.4%) of the respondents completed four focused antenatal visits in a PHC in their previous pregnancy. Less than half (34%) of them gave birth in a PHC. Apart from the PHC, the other places the respondents gave birth were the trained midwife’s home (32%) and the traditional birth attendant’s facility (19.6%) among others. The most cited reason for the non-utilization of birth services in the PHC was that labour began at night and the chosen birthplace was closer to home (32.4%). Respondents with at most a secondary school education had 2.7 times greater odds of not giving birth in a PHC compared to those with at least a diploma (p<0.001).

Conclusions: The utilization of maternal healthcare services in PHCs is poor in Nchia-Eleme and lower educational attainment is associated with the poor utilization. More targeted interventions to reduce the gap in ANC and birth care utilization are recommended.

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Published

2022-09-27

How to Cite

Ngbala-Okpabi, S. O., & Eleke, C. (2022). Primary maternal healthcare service utilization among pregnant women in the oil producing Nchia-Eleme community in Nigeria. International Journal of Research in Medical Sciences, 10(10), 2111–2116. https://doi.org/10.18203/2320-6012.ijrms20222514

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Section

Original Research Articles