Community education to encourage use of emergency obstetric services, Kebbi State, Nigeria. The Sokoto PMM Team
- PMID: 9389631
- DOI: 10.1016/s0020-7292(97)00165-3
Community education to encourage use of emergency obstetric services, Kebbi State, Nigeria. The Sokoto PMM Team
Abstract
Preliminary studies: Focus group discussions and a mini-survey in Kebbi State, Nigeria, revealed poor knowledge of obstetric complications, lack of confidence in health services, and cultural barriers to seeking care.
Interventions: After upgrading services in emergency obstetric facilities, the team began community education to encourage utilization. Messages focused on recognition and need for prompt treatment of complications, and addressed men's role as decision-makers. Beginning in 1992, messages were disseminated through weekly meetings with community opinion leaders, video shows, posters and handbills.
Results: A post-intervention mini-survey showed knowledge gains of over 30% among women and men. The increase was greatest (59% increase among women and 55% among men) on the need for prompt care for women with obstetric complications. However, utilization of emergency obstetric services did not increase. At Maiyama Maternity Center, referrals declined from 18 in 1992 to four in 1995. At Jega Health Center, referrals remained relatively stable at 20-30/year, but the number of women with major obstetric complications treated declined from 234 in 1992 to 136 in 1995. At Birnin Kebbi Specialist Hospital, the referral center, the number of women with complications treated declined from 200 in 1990 to 152 in 1995.
Costs: The cost of community education was approximately US $9500, of which 15% was contributed by the community.
Conclusions: Increased awareness of the signs of obstetric complications and the need for prompt treatment among community women and men did not result in greater utilization of emergency obstetric services at the facilities studied.
Similar articles
-
Improving emergency obstetric care at a state referral hospital, Kebbi State, Nigeria. The Sokoto PMM Team.Int J Gynaecol Obstet. 1997 Nov;59 Suppl 2:S75-81. doi: 10.1016/s0020-7292(97)00150-1. Int J Gynaecol Obstet. 1997. PMID: 9389616
-
Community contact persons promote utilization of obstetric services, Anambra State, Nigeria. The Enugu PMM Team.Int J Gynaecol Obstet. 1997 Nov;59 Suppl 2:S219-24. doi: 10.1016/s0020-7292(97)00168-9. Int J Gynaecol Obstet. 1997. PMID: 9389634
-
Mobilizing the community to utilize obstetric services, Cross River State, Nigeria. The Calabar PMM Team.Int J Gynaecol Obstet. 1997 Nov;59 Suppl 2:S181-9. doi: 10.1016/s0020-7292(97)00164-1. Int J Gynaecol Obstet. 1997. PMID: 9389630
-
The effect of improving maternity services in a secondary facility, Zaria, Nigeria. The Zaria PMM Team.Int J Gynaecol Obstet. 1997 Nov;59 Suppl 2:S99-106. doi: 10.1016/s0020-7292(97)00153-7. Int J Gynaecol Obstet. 1997. PMID: 9389619
-
Reduction of maternal and perinatal mortality in rural and peri-urban settings: what works?Eur J Obstet Gynecol Reprod Biol. 1996 Oct;69(1):47-53. doi: 10.1016/0301-2115(95)02535-9. Eur J Obstet Gynecol Reprod Biol. 1996. PMID: 8909956 Review.
Cited by
-
Levels and determinants of maternal mortality in northern and southern Nigeria.BMC Pregnancy Childbirth. 2019 Nov 12;19(1):417. doi: 10.1186/s12884-019-2471-8. BMC Pregnancy Childbirth. 2019. PMID: 31718572 Free PMC article.
-
Mainstreaming nutrition in maternal, newborn and child health: barriers to seeking services from existing maternal, newborn, child health programmes.Matern Child Nutr. 2008 Apr;4 Suppl 1(Suppl 1):237-55. doi: 10.1111/j.1740-8709.2007.00123.x. Matern Child Nutr. 2008. PMID: 18289160 Free PMC article. Review.
-
Regional trends, spatial patterns and determinants of health facility delivery among women of reproductive age in Nigeria: A national population based cross-sectional study.PLoS One. 2024 Oct 16;19(10):e0312005. doi: 10.1371/journal.pone.0312005. eCollection 2024. PLoS One. 2024. PMID: 39413110 Free PMC article.
-
Scoping review of maternal and newborn health interventions and programmes in Nigeria.BMJ Open. 2022 Feb 15;12(2):e054784. doi: 10.1136/bmjopen-2021-054784. BMJ Open. 2022. PMID: 35168976 Free PMC article.
-
Maternal health interventions in resource limited countries: a systematic review of packages, impacts and factors for change.BMC Pregnancy Childbirth. 2011 Apr 17;11:30. doi: 10.1186/1471-2393-11-30. BMC Pregnancy Childbirth. 2011. PMID: 21496315 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources