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Impact of the Mandatory Community Midwifery Service on the Utilization of Maternal Health Care by Women in Ondo State, Nigeria

Received: 15 July 2015     Accepted: 31 July 2015     Published: 10 August 2015
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Abstract

The study explored the perceived impact of the mandatory community midwifery service on utilization of maternal health care by women, using the General System Theory and the Logic Model. The research was conducted in three selected Local Government Areas (LGAs). The research design for this study was the time-series type of non-controlled experimental design. The researcher assessed records of maternal health care attendance from the selected health facilities from July 2002 to July 2011 to generate data for the study. The study population comprised of 306 women of reproductive age group (15-49) in the three selected communities (who have participated in the programme) where the three primary health care centres are located. Multistage sampling technique was adopted to select three Local Government Areas (LGAs) from where data was collected. In-depth interview guide, questionnaire and format for recording data from records were used in the study. The result obtained from the study indicated that there was no significant difference in the levels of utilization of maternal care services before and after the inception of the mandatory community service except for the slight increase in antenatal care utilization. Majority of the women expressed satisfaction with the services they received from the midwives. The study also revealed a slight increase in the levels of utilization of antenatal attendance while not much change had occurred in the use of facility based delivery care as well as postnatal care.

Published in Science Journal of Public Health (Volume 3, Issue 5)
DOI 10.11648/j.sjph.20150305.28
Page(s) 719-725
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Antenatal Care, Maternal Care, Community Midwifery Services

References
[1] PATHS, DFID and WHO. (2006). Training Manual on Life Saving Skills for Nurses /Midwives, Ibadan.
[2] National Population Commission (NPC). (2004). Nigeria demographic and health survey, 2003. Available at: http://www.dhsprogram.com/pubs/pdf/FR148/FR148.pdf.
[3] National Population Commission (NPC). (2009). Nigeria demographic and health survey, 2008. http://www.unicef.org/nigeria/ng_publications_Nigeria_DHS_2008_Final_Report.pdf.
[4] Nursing and Midwifery Council of Nigeria (NMCN). (2004). Draft of Blueprint for Basic Midwifery Education and Practice.
[5] Obadare,O. (2010). Tackling Infant, Maternal Mortality in Ondo State. Sunday Punch, June 25.
[6] Hayajneh, Y. (2007). Management for health care professionals series systems and systems theory. Management for Health Care Professionals Series. Available at: http://www.hayajneh.org/a/readings/Systems-Theory.pdf.
[7] Kellogg, W.K. (2004). Using Logic Models to Bring Together Planning, Evaluation, and Action Logic Model Development Guide. Available at: http://www.smartgivers.org/uploads/logicmodelguidepdf.pdf.
[8] Araoye, M. O (2004). Research Methodology with Statistics for Health and Social Sciences. Ilorin. 1st Edn, Nathadex Publishers.
[9] Kamai, M.M. (2009). Factors Affecting Utilization of Skilled Maternity Care Services Among Married Adolescents in Bangladesh. Asian Population Studies, 5(2):153-170.
[10] Babalola, S and Falusi, A. (2009). Determinant of use of Maternal Health Services in Nigeria looking beyond individual and household factors. Biomedical Central, Pregnancy and Childbirth, 9: 43.
[11] Ibeh, C. (2008). Is poor maternal mortality index a problem of care utilization?: a case study of Anambra State. African Journal of Reproductive Health, 12(2): 132-140.
[12] Kirkham, M. (2010). The Midwife-Mother Relationship. Palgrave Macmillan.
[13] Foster, I.R. and Lasser, J. (2010). Professional Ethics in Midwifery Practice. Jones and Bartlett Publishers.
[14] Mrisho, M.; Obrist, B; Schellenberg. A.J; Haws, R.A; Mushi; A.K; Mshinda, H; Tanner, M and Schellenberg, D. (2009). The use of antenatal and postnatal care: Perspectives and experiences of women and health care providers in Rural Southern Tanzania. Biomedical Central, Pregnancy and Childbirth 9:10.
[15] Fatusi, A.O. and Ijadunola, K.T. (2003). National study on essential obstetric care facilities in Nigeria, Abuja Federal Ministry of Health and United Nations Population Fund (UNFPA).
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  • APA Style

    Fadare R. I., Oyetunde M. O., Akpor O. A. (2015). Impact of the Mandatory Community Midwifery Service on the Utilization of Maternal Health Care by Women in Ondo State, Nigeria. Science Journal of Public Health, 3(5), 719-725. https://doi.org/10.11648/j.sjph.20150305.28

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    ACS Style

    Fadare R. I.; Oyetunde M. O.; Akpor O. A. Impact of the Mandatory Community Midwifery Service on the Utilization of Maternal Health Care by Women in Ondo State, Nigeria. Sci. J. Public Health 2015, 3(5), 719-725. doi: 10.11648/j.sjph.20150305.28

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    AMA Style

    Fadare R. I., Oyetunde M. O., Akpor O. A. Impact of the Mandatory Community Midwifery Service on the Utilization of Maternal Health Care by Women in Ondo State, Nigeria. Sci J Public Health. 2015;3(5):719-725. doi: 10.11648/j.sjph.20150305.28

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  • @article{10.11648/j.sjph.20150305.28,
      author = {Fadare R. I. and Oyetunde M. O. and Akpor O. A.},
      title = {Impact of the Mandatory Community Midwifery Service on the Utilization of Maternal Health Care by Women in Ondo State, Nigeria},
      journal = {Science Journal of Public Health},
      volume = {3},
      number = {5},
      pages = {719-725},
      doi = {10.11648/j.sjph.20150305.28},
      url = {https://doi.org/10.11648/j.sjph.20150305.28},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150305.28},
      abstract = {The study explored the perceived impact of the mandatory community midwifery service on utilization of maternal health care by women, using the General System Theory and the Logic Model. The research was conducted in three selected Local Government Areas (LGAs). The research design for this study was the time-series type of non-controlled experimental design. The researcher assessed records of maternal health care attendance from the selected health facilities from July 2002 to July 2011 to generate data for the study. The study population comprised of 306 women of reproductive age group (15-49) in the three selected communities (who have participated in the programme) where the three primary health care centres are located. Multistage sampling technique was adopted to select three Local Government Areas (LGAs) from where data was collected. In-depth interview guide, questionnaire and format for recording data from records were used in the study. The result obtained from the study indicated that there was no significant difference in the levels of utilization of maternal care services before and after the inception of the mandatory community service except for the slight increase in antenatal care utilization. Majority of the women expressed satisfaction with the services they received from the midwives. The study also revealed a slight increase in the levels of utilization of antenatal attendance while not much change had occurred in the use of facility based delivery care as well as postnatal care.},
     year = {2015}
    }
    

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    AU  - Oyetunde M. O.
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    AB  - The study explored the perceived impact of the mandatory community midwifery service on utilization of maternal health care by women, using the General System Theory and the Logic Model. The research was conducted in three selected Local Government Areas (LGAs). The research design for this study was the time-series type of non-controlled experimental design. The researcher assessed records of maternal health care attendance from the selected health facilities from July 2002 to July 2011 to generate data for the study. The study population comprised of 306 women of reproductive age group (15-49) in the three selected communities (who have participated in the programme) where the three primary health care centres are located. Multistage sampling technique was adopted to select three Local Government Areas (LGAs) from where data was collected. In-depth interview guide, questionnaire and format for recording data from records were used in the study. The result obtained from the study indicated that there was no significant difference in the levels of utilization of maternal care services before and after the inception of the mandatory community service except for the slight increase in antenatal care utilization. Majority of the women expressed satisfaction with the services they received from the midwives. The study also revealed a slight increase in the levels of utilization of antenatal attendance while not much change had occurred in the use of facility based delivery care as well as postnatal care.
    VL  - 3
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Author Information
  • Department of Nursing, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria

  • Department of Nursing, University of Ibadan, Oyo State, Nigeria

  • Department of Nursing, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria

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