Barriers to facility-based delivery in Niger State, North Central Nigeria
Background: Institutional based delivery correlates directly in reducing death arising from complications of pregnancy. Despite various government interventions and policies to improve skilled birth attendant, facility- based delivery is still very low in Niger state. Objectives: The purpose of the study was to determine the cause of low utilisation of facility for delivery in Niger state.
Methods: The research was a quantitative, cross sectional study carried out across the 25 LGAs of Niger state in the north central Nigeria. A pretested self-administered questionnaire in English language was administered on a cross-section of 408 women of reproductive age that delivered in the last 2 years. SPSS version 20 was used to analysed the study. Chi-square was used to test association between the covariates and dependent variables.
Results: About 86% of the participant have attended antenatal clinic at least ones, with median visits of 4. Only 42.8% of the respondents delivered in the health facilities. The factors that had significant difference with facility based delivery include having higher education (p= 0.000), been employed (p= 0.005). Those that attended antenatal clinics (p=0.000) are more likely to deliver in the hospital than those who do not attend. Those of Nupe affiliation (p=0.008) were more likely to deliver in the health facility than other ethnic groups.
Conclusion: Despite the high ANC utilisation found in this study, the proportion of women who used health facility for delivery is low, and the major factor responsible was sudden onset of labour, which is usually due to lack of planning stemming from low quality antenatal care.
Keywords: Nigeria, Delivery, Antenatal care, pregnancy, Health facility
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