Women

Male Involvement in Maternal-And-Child-Health Care: Perceptions of Midwives, Women and Men in PHCs in Aba, Abia State (Published)

Male involvement in MCH care is an effective strategy to combat maternal and child health problems during pregnancy, child-birth and postpartum period. This study explored the perceptions of women, men and nurse-midwives regarding male involvement in MCH care in Aba, Abia State. Three objectives and corresponding research questions were raised for the study. Focus group qualitative research method/design was adopted.  Three sample groups comprising of 10 women, 10 men and 10 nurse-midwives participated in the study. Purposive sampling technique was used for sample selection.  The primary sampling units were the four selected primary health care centres (PHCs) in Aba. Instruments for data collection were the Focus Group Discussion Guides (FGDG) for women, men and nurse-midwives. The instruments were validated. The two tape recorders used in this study were pretested to ascertain their functionality before the actual focus group discussion sessions commenced. Focus group qualitative data were collected from women, men and nurse-midwives, using the respective FGDG. Audio tape recording of discussions with participants were done. Qualitative data collected from the study were analysed using qualitative data analysis technique. Results revealed the perception of women, men and nurse–midwives in Aba regarding male involvement in MCH care. The women focus group results showed ways of men involvement in MCH Care; women expectations of their partners during pregnancy; and factors affecting women’s perception of male involvement in MCH care. The men focus group results showed men’s opinions regarding their involvement in MCH care; and factors that restrict their involvement in MCH care. The nurse-midwives focus group results showed factors discouraging male involvement in MCH care; men’s responsibilities in MCH care; and benefits of male involvement in MCH care. Recommendation was made to Abia State ministry of health to develop intervention programme to encourage men involvement in MCH care.

Keywords: ABA, Abia State, Men, Midwives, PHCs, Women, male involvement, maternal-and-child-health care

Effect of Health Education Intervention on Practice of Breast Self–Examination Among Women of Reproductive Age in Selected Primary Healthcare Facilities in Ogun State, Nigeria (Published)

The study examined effect of health education intervention on practice of breast self–examination among women of reproductive age in selected primary healthcare facilities in Ogun State, Nigeria. The study specifically examined the pre- and post- intervention knowledge and practice of breast self-examination among women of reproductive age in selected primary healthcare facilities. This study adopted one group pretest-posttest quasi-experimental research design. The population for the study comprises of women of reproductive age in two selected primary healthcare facilities in Ogun State. The researcher adapted a well-structured test paper that was used to obtain information from respondents. The instrument was validated by experts consisting of nursing professionals as well as experienced professional researchers who ascertained face and content validity. The research was carried out in three phases namely pre-intervention, intervention and post-intervention. Descriptive statistics such as frequency counts and percentages were used to answer the research question while inferential statistics of t-test was used to test the hypotheses. The findings of this study show that majority of the respondents at the pre-intervention phase had average knowledge of breast self-examination while the knowledge level was high after intervention. The findings of this study however show that majority of the respondents at the pre-intervention phase had never practice breast self-examination while the practice level was high after intervention. The study concluded that the health education intervention program improved the practice of breast self-examination among women of reproductive age. It was recommended among others that health educational intervention regarding practice of breast self-examination should be done periodically by health workers during clinics for women of reproductive age.

Citation: Adamu-Adedipe, F.O.  (2022) Effect of Health Education Intervention on Practice of Breast Self–Examination Among Women of Reproductive Age in Selected Primary Healthcare Facilities in Ogun State, Nigeria, International Journal of Nursing, Midwife and Health Related Cases, Vol.8, No.4, pp.20-29,

 

Keywords: Health education, Knowledge, Women, breast self-examination, practice

Factors Influencing the Utilisation of Maternal Health Care Services Among Women of Reproductive Age in Lagos Island LGA, Lagos State (Published)

Nigeria has one of the highest rates of maternal deaths during pregnancy, childbirth and after childbirth among the developing countries. Therefore, it is important to identify the factors influencing the utilization of maternal health care services among women of reproductive age. This study was conducted to assess the level of utilization of maternal health care services and it examined factors influencing the utilization of the maternal health care services among women of reproductive age. This study was a cross-sectional descriptive design. Proportionate stratified sampling technique was used to select the markets, while convenience sampling technique was used to select 297 participants. The instrument used for data collection was a self-structured questionnaire that was divided into three sections (sections A-C). The validity and reliability of the instrument was established before used. The descriptive statistics was employed to answer the research questions, while Pearson correlation and chi-square analysis were employed to test the hypotheses at 0.05 level of significant. Findings showed that the level of utilization of maternal health care services was low. There was a significant relationship between factors influencing the utilization of maternal services and the level of utilization of the services among the women of reproductive age (r = .516, p = <0.05). Conversely, the socio-demographic factors were not significantly related to the level of utilization of maternal health services among participants. It was recommended among others that there should be education in form of orientation for women on the need for them to utilize MHCS during pregnancy and delivery and after childbirth.

Citation:Rotimi-Oyedepo, Victoria Oluwabunmi and Ajao, Ezekiel O. (2022) Factors Influencing the Utilisation of Maternal Health Care Services Among Women of Reproductive Age in Lagos Island LGA, Lagos State, International Journal of Nursing, Midwife and Health-Related Cases, Vol.8, No.2, pp.67-80

 

Keywords: Factors, Maternal, Reproductive Age, Women, child health care services

Mothers’ Experiences of Delivery Services by Traditional Birth Attendants at Egbe Community, Yagba West Lga Kogi State, Nigeria (Published)

A lot of women gave birth in their homes historically, and are often attended by a family member or assisted by a woman residing in the communities who are known as Traditional Birth Attendants (TBAs).The mothers’ experiences before labor, after delivery and care of the new born was a mixed one. This study was aimed to explore mothers’ that have delivered with TBAs in the past at Egbe Community, Yagba West Local Government Area, Kogi State, Nigeria. The study employed a qualitative research design with in-depth interview supported with two Focus Group Discussions as method of data collection, to explore the experiences of mothers’ during with TBAs. Sixteen participants were used for FGD, eight in each group and thirteen participants for one-on-one in-depth interview using a snowball sampling technique. Both the FGD and IDI sessions were audio taped and transcribed verbatim. The research was analysed using a manual method of qualitative data. The findings revealed that majority of the participants used the services of traditional birth attendants because of the affordable cost. Majority were delivered at their homes and they had good experience. Relatives were allowed to stay with them during labor. They were not given food during labor and their babies were taken good care of. However, few of them would like to deliver at a regular hospital in next delivery due to some complications they experienced. In conclusion, many of the women patronized TBAs because of the cost and services provided were just basic. Therefore, it’s recommended that the cost of delivery at the hospitals should be subsidised and the TBAs should be trained and supervised on a regular basis by the Primary health care centres at the Local Government Areas nearest to them.

 

Keywords: Experience, Skilled birth attendants, Traditional Birth Attendants, Utilization, Women

Demographic Differences in the Knowledge of Breast Cancer among Women in Ebonyi State, Nigeria (Published)

Breast cancer is the most common of all cancers and is the leading cause of cancer deaths in women worldwide, a condition that may be predicated upon by lack of knowledge about fundamental regimen necessary for cancer prevention. The study was therefore designed to determine demographic differences in the knowledge of breast cancer among women in Ebonyi State, Nigeria. The sample of the study comprised 1,845 women drawn through the multistage sampling procedure. A 40-item questionnaire was used to elicit information on knowledge symptoms, risk factors, prevention methods and treatment options of cancer. Descriptive statistic of percentage was used to answer the research question and inferential statistic of chi-square was used to test the entire hypotheses formulated for the study at an alpha level of 0.05. Knowledge of breast cancer was found to be on the average (48.72%); differed by age with younger women (35-44years 56.43%) reporting higher knowledge of breast cancer than the older ones (45-54 years 46.03%); women with post-secondary education (67.66%) had higher knowledge than those with secondary (60.16%), primary (49.03%) and non-formal education (39.01%); urban women (55.61%) were more knowledgeable than rural women (47.81%). Chi-square analysis indicated that significant association existed between level of education and knowledge of breast cancer. However, no significant association was found between age and location of residence. It was concluded that breast cancer knowledge of women in Ebonyi State is on the average and associated significantly with education, but not with age and location of residence of the women. Consequently, it is recommended that breast cancer education should be used to improve the women’s knowledge of the disease, especially for those with non-formal education, older women and those in the rural areas through interventions by government and non-governmental agencies and through curriculum revision for schools

Keywords: Age, Breast cancer, Education, Knowledge, Location, Risk Factors, Women