Department of Sociology, Faculty of the Social Sciences, Adekunle Ajasin University, Akoko-Akungba, Ondo State, Nigeria.
Ethiop J Health Sci. 2023 Jan;33(1):163-172. doi: 10.4314/ejhs.v33i1.20.
Adequate reproductive and maternal healthcare services utilization are significant in reducing maternal deaths, however, the prevalence rate of contraceptive use remains low, with inadequate maternal health services utilization among rural women in Nigeria. This study examined the influence of household poverty-wealth and decision-making autonomy on reproductive and maternal health services utilization among rural women in Nigeria.
The study analyzed data from a weighted sample of 13,151 currently married and cohabiting rural women. Descriptive and analytical statistics including multivariate binary logistic regression were conducted using Stata software.
An overwhelming majority of rural women (90.8%) have not used modern contraceptive methods, with poor utilization of maternal health services. About 25% who delivered at home received skilled postnatal checks during the first 2 days after childbirth. Household poverty-wealth significantly reduced the likelihood of using modern contraceptives (aOR: 0.66, 95% CI: 0.52-0.84), having at least four ANC visits (aOR: 0.43, 95% CI: 0.36-0.51), delivering in a health facility (aOR: 0.35, 95% CI: 0.29-0.42) and receiving a skilled postnatal check (aOR: 0.36, 95% CI: 0.15-0.88). Women's decision-making autonomy regarding their healthcare significantly increased the use of modern contraceptives and the number of ANC visits, while women's autonomy on how their earnings are spent positively influenced the use of maternal healthcare services.
In conclusion, the use of reproductive and maternal health services among rural women was associated with household poverty-wealth and decision-making autonomy. Government should formulate more pragmatic policies that will create awareness and promote universal access to reproductive and maternal healthcare services.
充分利用生殖和孕产妇保健服务对于降低孕产妇死亡率至关重要，然而，在尼日利亚农村妇女中，避孕措施的使用率仍然较低，孕产妇保健服务的利用率也不足。本研究旨在探讨家庭贫富状况和决策自主权对尼日利亚农村妇女生殖和孕产妇保健服务利用的影响。
本研究分析了来自一个加权样本的 13151 名已婚和同居的农村妇女的数据。使用 Stata 软件进行描述性和分析性统计，包括多变量二元逻辑回归。
绝大多数农村妇女（90.8%）没有使用现代避孕方法，孕产妇保健服务的利用率很低。约 25%在家中分娩的妇女在分娩后前两天接受了熟练的产后检查。家庭贫富状况显著降低了使用现代避孕药具的可能性（调整后的优势比[aOR]：0.66，95%置信区间[CI]：0.52-0.84）、至少接受 4 次 ANC 检查（aOR：0.43，95% CI：0.36-0.51）、在医疗机构分娩（aOR：0.35，95% CI：0.29-0.42）和接受熟练的产后检查（aOR：0.36，95% CI：0.15-0.88）。妇女在医疗保健方面的决策自主权显著增加了现代避孕药具的使用和 ANC 检查的次数，而妇女对其收入支出方式的自主权则积极影响了孕产妇保健服务的利用。
总之，农村妇女对生殖和孕产妇保健服务的利用与家庭贫富状况和决策自主权有关。政府应制定更务实的政策，提高认识，促进普遍获得生殖和孕产妇保健服务。
