Accessibility : A major advantage of traditional birth attendants is the fact that they are from the village or community and are easily within reach. The training should lay emphasis on the importance of timely referral, recognition of ‘danger’ signs during labour and identification of high risk antenatal cases beyond the purview of TBAs. Federal Ministry of Health N (FMoH). Most TBAs provide antenatal care and 77% had a case load of less than five clients per month. Research shows that in Nigeria, about 70% of all deliveries are attended to by the TBA’s [9]. Arthur E. Wealth and antenatal care use: implications for maternal health care utilisation in Ghana. "In north-east Nigeria, there are no midwives in almost all the primary health facilities, especially in remote areas," explains Samuel Okech. 2013;2:74–85. Omo-Aghoja LO, Aisien OA, Akuse JT, Bergstrom S, Okonofua FE. Fig. Some society journals require you to create a personal profile, then activate your society account, You are adding the following journals to your email alerts, Did you struggle to get access to this article? Major disparities in maternal health care in Nigeria remain present despite the goal of the United Nations Millennium Development Goal to reduce maternal mortality by 2015. Benin J Postgrad Med. https://doi.org/10.1186/s12884-015-0527-y, DOI: https://doi.org/10.1186/s12884-015-0527-y. New York: Columbia University Centre for Population and Family Health; 1991. Lagos: NMA NWAKOBY B N (1994). Our analysis revealed that some respondents with higher educational attainment, and also in the wealthiest quintiles, did not use ANC services during their last pregnancy. Approximately over 100 Nigerian women die every day from causes related to childbirth (4). This article is published under license to BioMed Central Ltd. Additional ANC coverage of 9.6% could be achieved if all existing health facilities were supplied with adequate drugs and manned by skilled health workers who exhibited professional attitudes and behaviours. North East with 51.5% was the geographical zone with highest number of non-users compared with 14.3% from the South East. This assertion has been reinforced many times by pregnant women who most times shun these facilities in favor of TBA’s. Use of obstetric services in rural Nigeria, Utilisation and Working Conditions of VHW/TBAs in Kwara State. They have wide spread social, cultural and religious acceptance. Fig.3 WHO estimates of maternal deaths 2015, Globally, between 1990- 2015, there was a 45% decline in maternal deaths5. Studies have documented the socio-demographic and other factors affecting ANC use. All charts and figures should be labeled. About one third (36%) of births were delivered in a health facility while 38% of all deliveries within the five years were assisted by a skilled birth assistant (SBA) [1,3]. Nearly all of the clients interviewed had started to use TBAs by the age of 25 and 50% had used TBAs for all of their deliver ies. The highest non-users of ANC were found among the poor, rural, currently married, and less educated respondents from the Northern part of Nigeria, especially in the North East zone. Familusi, A. Fakunle, and K. Akinfolayan, Department of Community Health, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria. Lincetto O, Mothebesoane-anoh S, Gomez P, Munjanja S. Antenatal Care: Opportunities for Africa’s Newborns. Dissertation, A needs assessment of traditional birth attendants in rural Kenya, Assessment of the functioning of a new category of village worker, the TBA/VHW in Chanchaga LGA, Niger State, Columbia University, Centre for Population and Health, The role of traditional birth attendants in Atakumosa, Nigeria, https://doi.org/10.1177/146642400112100214. Several studies have identified rural–urban differentials in use of ANC in Nigeria and elsewhere [2,6,9,21,23-25]. The Women's Health and Action Research Centre (WHARC) is a registered non-profit organisation, committed to the promotion ©2000-2020 ITHAKA. The barriers reported for not visiting any ANC provider were assessed vis-à-vis respondents’ social demographic characteristics, using multiple response data analysis techniques and Pearson chi-square test at 5% significance level. Where is the place of TBAs in the Nigerian health setting? We used the data from the 2012 National HIV/AIDS and Reproductive Health Survey (NARHS Plus II), [1] a cross-sectional study covering sampled men and women of reproductive age. Adeniyi Francis Fagbamigbe. Please allow 5-7 business days for us to review and approve your submissions. Just a few hours before, Murja's phone rang. National HIV/AIDS and Reproductive Health and Serological Survey, 2012 (NARHS Plus). We determined and prioritized the reasons why non-users of ANC chose not to access services in Nigeria. Cellule de Planification et de Statistique du Ministe`re de la Sante´ (CPS/MS), Direction Nationale de la Statistique et de l’Information (DNSI) & OM: Enqu˛ete De´mographique et de Sante´ Au Mali, 2001. The quality–coverage gap in antenatal care: toward better measurement of effective coverage. The questions are why are pregnant women not attending ANC in Nigeria? Create a link to share a read only version of this article with your colleagues and friends. TBAs can be harnessed to fill this void. 2013. I met Murja and Famata at the Shokwari Primary Health Care, where they attended a training session, along with a dozen other women. United Nations reported that poverty is a major barrier to ANC utilization across developing countries [29]. Finlayson K, Downe S. Why Do women Not Use antenatal services in Low- and middle-income countries? This site uses Akismet to reduce spam. In Nigeria, urban bias in public health expenditure, inadequate financing coupled with difficulties in attracting health workers to and retaining them in rural areas have limited government’s ability to create an accessible community-based health care system [26] which could reduce inequities in rural–urban health facilities. Utz B, Siddiqui G, Adegoke A, Van Den Broeck N. Definitions and roles of skilled birth attendant: a mapping exercise from four South Asian countries. 2012;2:169–75. Lead paragraphs should be strong and to the point. Of the 15567 women interviewed in the 2012 NARHS, only 6299 reported to have had at least one child within five years preceding the survey. Among all the reasons given for not attending ANC services, “Getting money to go” ranked single most important reason, been highest with 16.8% of all the problems, followed by “Distance from health facility” 14.4% and “Availability of transport to the facilities” 13.1%. JSTOR is part of ITHAKA, a not-for-profit organization helping the academic community use digital technologies to preserve the scholarly record and to advance research and teaching in sustainable ways. We used STATA 13 and SPSS IBM 20 to analyze the data. The importance of ANC services in the outcomes for pregnant women has been well documented [2,5,11,12]. The higher ANC coverage in urban areas than in rural areas worldwide has been ascribed to inequities in the number of accessible health facilities [12,26]. The data might have suffered recall bias and other non-sampling errors. Content must be unique and original. Language and Culture : Most TBA’s understand  the language , traditions, and cultures of the women that they attend to, an obvious advantage during antenatal care and childbirth. Unskilled to handle emergencies : In the case of emergency, there are no facilities or skilled personnel to assist a dying mother and child . Factors affecting the utilization of antenatal care services in Ibadan, Nigeria. BMC Public Health. Login via your Gupta M Das, Engelman R, Levy J, Luchsinger G, Merrick T, James E. Rosen: State of World Population 2014: The Power of 1.8 Billion Adolescents, Youth and Transformation of the Future.

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