THE HEALTHCARE PREFERENCES OF PREGNANT WOMEN FOR TRADITIONAL BIRTH HOME AND HOSPITALS IN CALABAR, NIGERIA
DOI:
https://doi.org/10.24144/2077-6594.4.2019.193527Keywords:
pregnant women, traditional birth attendance, preferencesAbstract
Purpose – to understand the awareness and healthcare preferences of pregnant women in Calabar municipal for traditional birth homes and hospitals.
Materials and methods. The research is a qualitative phenomenology research, based on interpretative phenomenology, involving focus group discussion that explored the views of the traditional birth attendants on the reason for their patients’ preferences as well as indebt interviews that explored the pregnant women patronizing traditional birth homes preferences. Focus group discussion consisted of four major steps and included research design, data collection analysis and reporting of results. We used purposive sampling by taking from the list of registered midwives or traditional birth attendants (TBAs) of cross-river state Association, Calabar municipality chapter. The number of participants were 15 TBAs.
Results. Results showed that there is diversity when considering the individual’s values. The TBAs in their focused group discussion attempted to emphasize on the importance of patience. Though they all consider that without patience, one cannot be a TBA and it is the secret of their patients’ attraction.
Conclusions. There is no one «standalone» reason for the use of traditional birth attendant homes instead of the government hospital, but there is a mix of the reasons with some outstanding factors that influences Calabar pregnant women choice on the use of traditional birth homes instead of government hospitals.
References
Wekesah F, Izugbara C. Maternal Health in Nigeria: Facts and Figures. Fact Sheet. 2017 June;1:1-4.
Agan TU. Trend and Causes of Maternal 5-year retrospective study (2010-2014) at the University of Calabar Teaching Hospital, Calabar, Nigeria. Open Access Maced J Med Sci. 2018 Jun 20; 6(6):1153-6.
Adegoke AA, Campbell M, Ogundeji MO, Lawoyin T, Thomson AM. Place of birth or place of death: an evaluation of 1139 maternal deaths in Nigeria. Midwifery. 2013 Nov; 29(11):115-21.
Adjiwanou V, Legrand T. Does antenatal care matter in the use of skilled birth attendance in rural Africa: a multi-country analysis. Soc Sci Med. 2013 Jun; 86:26-34.
Hagey J, Rulisa S, Pérez-Escamilla R. Barriers and solutions for timely initiation of antenatal care in Kigali, Rwanda: Health facility professionals’ perspective. Midwifery. 2014 Jan; 30(1); 96-102.
Okonofua F, Ntoimo L4, Ogungbangbe J, Anjorin S, Imongan W, Yaya S. Predictors of women’s utilization of primary health care for skilled pregnancy care in rural Nigeria. BMC Pregnancy Childbirth. 2018 Apr 18;18(1):106.
Okafor II, Arinze-Onyia SU, Ohayi SAR, Onyekpa JI, Ugwu EO. Audit of childbirth emergency referrals by trained traditional birth attendants in Enugu, Southeast, Nigeria. Ann Med Health Sci Res. 2015 Jul-Aug; 5(4): 305–310.
Adewemimo AW, Msuya SE, Olaniyan CT, Adegoke AA. Utilisation of skilled birth attendance in Northern Nigeria: a cross-sectional survey. Midwifery. 2014 Jan;30(1): 7-13.
Ashimi AO, Amole TG. Prevalence, reasons and predictors for home births among pregnant women attending antenatal care in Birnin Kudu, North-west Nigeria. Sex Reprod Healthc. 2015 Jan 23; 6(3):119-125.
Okafor IP, Sekoni AO, Ezeiru SS, Ugboaja JO, Inem V.Orthodox versus unorthodox care: A qualitative study on where rural women seek healthcare during pregnancy and childbirth in Southwest, Nigeria. Malawi Med J. 2014 Jun; 26(2):45-9.
Bryanton J, Gagnon AJ, Johnston C, Hatem M. Predictors of women’s perceptions of the childbirth experience. J Obstet Gynecol Neonatal Nurs. 2008 Jan-Feb;37(1):24-34.
Ishola F, Owolabi O, Filippi V. Disrespect and abuse of women during childbirth in Nigeria: A systematic review. PLoS One. 2017 Mar 21;12(3):e0174084.
Akpabio II1, Edet OB, Etifit RE, Robinson-Bassey GC. Women’s preference for traditional birth attendants and modern health care practitioners in Akpabuyo community of Cross River State, Nigeria. Health Care Women Int. 2014 Jan;35(1):100-9.
Steel A, Adams J, Frawley J, Broom A, Sibbritt D. The characteristics of women who birth at home, in a birth centre or in a hospital labour ward: A study of a nationally-representative sample of 1835 pregnant women. Sex Reprod Healthc. 2015 Oct;6(3):132-7.
Multiple Indicator Cluster Survey 2016‐17. Survey Findings Report: National Bureau of Statistics, UNICEF; 2018,538 p. Report №: 1.
Efunkoya AA, Omeje KU, Amole IO, Osunde OD, Akpasa IO. A review of cleft lip and palate management: Experience of a Nigerian Teaching Hospital.Afr J Paediatr Surg. 2015 Oct-Dec;12(4):257-60.