Adebowale Stephen Ayo, Akinyemi Joshua Odunayo
Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan Nigeria.
Afr J Reprod Health. 2016 Jun;20(2):72-85. doi: 10.29063/ajrh2016/v20i2.8.
Poor Maternal Health (MH) remains an issue of public health concern in Nigeria. This study identified the determinants of maternal utilization of health services and nutritional status in a rural community in south-west Nigeria. It was a cross-sectional house-hold survey of women aged 15-49 years. Data were analysed using Chi-square, logistic regression and generalized linear models (α=.05). Respondents' mean age was 29.9±7.8 years and about 9.0% were underweight, 76.7% attended ≥4 ANC visits and 65.7% were provided with ANC by skilled health workers. Sixty-two percent delivered in modern health facility, 67.5% were assisted by skilled health worker and 29.1% sought post-natal care within the first 3 days after delivery. The likelihood of delivery in health facility was 1.48(C.I=1.10-1.99, p<0.05) higher among women in monogamous than those in polygamy family. The estimated maternal mortality ratio was 448 deaths/100,000 live-births. The findings emphasize the need to scale-up MH improvement strategies in the study area.
孕产妇健康状况不佳在尼日利亚仍是一个备受公共卫生关注的问题。本研究确定了尼日利亚西南部一个农村社区孕产妇健康服务利用情况和营养状况的决定因素。这是一项针对15至49岁女性的横断面家庭调查。数据采用卡方检验、逻辑回归和广义线性模型进行分析（α = 0.05）。受访者的平均年龄为29.9±7.8岁，约9.0%体重过轻，76.7%接受了≥4次产前检查，65.7%由熟练卫生工作者提供产前检查。62%在现代卫生机构分娩，67.5%由熟练卫生工作者协助，29.1%在分娩后前3天内寻求产后护理。一夫一妻制家庭中的女性在卫生机构分娩的可能性比多配偶制家庭中的女性高1.48（置信区间=1.10 - 1.99，p<0.05）。估计孕产妇死亡率为448例/10万活产。研究结果强调了在研究地区扩大孕产妇健康改善策略的必要性。
