Azuh Dominic Ezinwa, Azuh Akunna Ebere, Iweala Emeka Joshua, Adeloye Davies, Akanbi Moses, Mordi Raphael C
Department of Demography and Social Statistics.
Department of Estate Management.
Int J Womens Health. 2017 Apr 10;9:179-188. doi: 10.2147/IJWH.S120184. eCollection 2017.
Maternal mortality and morbidity reflect the status of population health and quality of life across nations. Poor understanding of the interplay of many antecedent factors, including sociocultural, economic and logistic factors, combined with an overwhelming poor health services delivery, is a basic challenge in several countries, particularly in rural settings where functional health care services are relatively scarce. There are still uncertainties as to the extent of this burden, owing to current challenges with information and data collation. This study aimed at identifying nonmedical factors associated with maternal mortality in rural and semiurban communities of southwestern Nigeria.
The study was carried out in Ado-Odo/Ota Local Government Area of Ogun State. A multistage sampling technique and an informant survey approach were used in the study. A total sample of 360 eligible respondents were selected randomly from 11 out of 16 political wards in the study area and interviewed through the administration of questionnaires. The data were processed using descriptive statistics and regression analyses.
Place of consultation (=0.000), who pays the treatment costs (=0.000), awareness of pregnancy complications (=0.002) and knowledge of the place of antenatal care treatment (=0.000) significantly influenced maternal mortality (proxy by place of delivery of last birth). The -statistic (15.100) confirmed the hypothesis that nonmedical factors influence maternal mortality. The correlation of predictor variables was significant at both the 0.01 level and the 0.05 level (2-tailed).
Our findings suggest that in a rural community setting with a depleted health care system, health education tailored toward community culture, subsidized maternal health care services by the government and operators of private clinics, as well as empowering and improving the status of women may reduce maternal mortality and prompt better utilization and survival chances of women in the study area as well as in all of Nigeria.
孕产妇死亡率和发病率反映了各国的人口健康状况和生活质量。对包括社会文化、经济和后勤因素在内的许多先行因素之间相互作用的理解不足，再加上卫生服务提供普遍较差，是一些国家面临的基本挑战，特别是在农村地区，那里功能性医疗保健服务相对稀缺。由于目前在信息和数据整理方面存在挑战，这种负担的程度仍存在不确定性。本研究旨在确定尼日利亚西南部农村和半城市社区与孕产妇死亡相关的非医学因素。
本研究在奥贡州阿多-奥多/奥塔地方政府辖区进行。研究采用多阶段抽样技术和知情者调查方法。从研究区域16个政治分区中的11个中随机选取360名符合条件的受访者作为总样本，并通过问卷调查进行访谈。数据采用描述性统计和回归分析进行处理。
咨询地点（=0.000）、谁支付治疗费用（=0.000）、对妊娠并发症的认识（=0.002）以及对产前护理治疗地点的了解（=0.000）对孕产妇死亡率（以最后一次分娩地点为代理指标）有显著影响。F统计量（15.100）证实了非医学因素影响孕产妇死亡率这一假设。预测变量之间的相关性在0.01水平和0.05水平（双侧）均显著。
我们的研究结果表明，在医疗保健系统薄弱的农村社区环境中，针对社区文化开展健康教育、政府和私人诊所经营者提供补贴的孕产妇保健服务，以及增强妇女权能和提高其地位，可能会降低孕产妇死亡率，并提高研究区域以及整个尼日利亚妇女的利用率和生存机会。
