Abstract
Background
Unskilled delivery, particularly the use of traditional birth attendants, is a major threat to reducing maternal mortality in Africa. Despite the associated risks, there is insufficient evidence on the major reasons why pregnant women in Nigeria continue to use traditional birth attendant (TBA) services, especially in rural areas. This study, therefore, assessed the perception, reasons for use, and utilization of only TBA services in current pregnancy among rural-dwelling pregnant women in Lagos, Nigeria.
Methods
A descriptive cross-sectional study was conducted among 347 pregnant women recruited from traditional birth attendant facilities at Ikorodu Local Government Area, Lagos. Data were collected with an interviewer-administered questionnaire and analyzed using SPSS version 25. Bivariate and multivariate analyses were conducted with a significance level set at p<0.05. The outcome measures included perception, utilization of only TBA services in current pregnancy, and reasons for use. Positive perception refers to positive thought, belief, or opinion held by the participants towards the TBA.
Results
All the respondents had a positive perception of TBAs, majority (70.3%) utilized TBA only while 29.7% combined TBA and healthcare facilities services in the current pregnancy. Recommendations from previous users (81.6%), welcoming and hospitable staff (77.2%), perceived spiritual protection (75.2%), and past use (68.6%), were some of the reasons cited by the respondents for utilizing only TBA services. Predictors of utilizing only TBA services were respondents’ level of education, those with secondary (aOR = 0.261; 95% CI; 0.108–0.629) and tertiary (aOR = 0.352; 95% CI; 0.162–0.769) had lower utilization while the lack of health insurance coverage (aOR = 3.017; 95% CI; 1.476–6.166) were associated with higher utilization of TBAs.
Conclusion
Respondents in this study had a positive perception of TBA services. Continuous training and an effective monitoring system of TBAs by the government and other healthcare stakeholders to improve women’s birthing experiences is recommended.
Publisher
Public Library of Science (PLoS)
Reference38 articles.
1. Determinants of skilled birth attendance in the northern parts of Ghana;KS Dickson;Advances in Public Health,2017
2. Explaining disparities in use of skilled birth attendants in developing countries: a conceptual framework;PA Afulani;PLoS One,2016
3. Determinants of the utilization of traditional birth attendant services by pregnant women in Ogbomoso, Nigeria;O Awotunde;International Journal of Reproduction, Contraception, Obstetrics, and Gynaecology,2017
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