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Title
Well-educated middle class women and their preference for traditional rather than skilled birth attendants in Lagos Nigeria a qualitative study |
Full text
http://hdl.handle.net/11394/8442 |
Date
2021 |
Author(s)
Aderinwale, Adetayo Seun |
Abstract
Master of Public Health - MPH - Background:Theoutcomeofpregnanciesinmanyinstancesislargelypredicatedon
availabilityofSkilledBirthAttendants(SBAs).Despitethisphenomenon,illiteracyand
financialdisadvantagehavebeenvariouslycitedastwinfactorspromotingtheinterest
andpatronageofTraditionalBirthAttendants(TBAs)bywomenfolk.Itistherefore
expected thatwomenhavingtertiarylevelofeducationandpossessing adequate
economic resources would naturally prefer to use the SBAs.However,these
http://etd.uwc.ac.za/
9
observationshavenotsignificantlyreflected therealityin thechoiceofmaternal
healthcareprovidersinNigeriaandthecityofLagosinparticular.Yet,accessto
maternalservicesoftheSBAshasbeenwidelyacceptedasoneoftheleadingwaysof
loweringmaternalmortality.Therefore,inordertoimprovethepatronageofSBAsand
correspondinglylowermaternaldeathrates,itbecomesimperativetounderstandthe
rationalebehindthepreferencefortheTBAs'usebywomenwhoarenotordinarily
expectedtodosobyvirtueoftheirhighlevelofeducationandgoodfinancialcapacity.
Aim:Theaim ofthisstudywastoexploreandunderstandtheexperiences,perception
and beliefsystems influencing well-educated,middle income women and their
reasoningfortheuseofTraditionalBirthAttendantsratherthanSkilledBirthAttendants
fordeliveryservicesinLagos,Nigeria.
Methodology:ThisisaqualitativestudyconductedinAlimoshoLocalGovernmentArea
ofLagosinNigeria.Tenwomenwithtertiarylevelofeducationandbelongingtomiddle
incomeeconomiccategorieswereenrolledasparticipants.Inaddition,itinvolved3
FocusGroupDiscussionscomprising7TraditionalBirthAttendantspergroup.
Results:Behaviouraland attitudinalshortcomings by the SBAs;misconceptions
regardingsurgicaldeliverybywomen;bureaucraticdelaysandbottlenecksexperienced
attheSBAs'centres;thebeliefbythewomenthatpregnancyisasacredandspiritual
eventwhichonlytheTBAshaveabilitytomanage;women'sconfidenceintheTBAsas
havingbettercapacitytomanagecertaincoexistingmedicalconditionsinpregnancy;
andmisinformationonmanagementmodalitiesforcertainconditionslikeinfertilityand
fibroidallcombinetoinfluencepreferenceforutilizationofTBAsbywell-educated,
middleincomewomeninthestudyarea. |
Subject(s)
Antenatal Clinic; National demographic health survey; University of the Western Cape; World Health Organization |
Language
en |
Publisher
University of the Western Cape |
Rights
University of the Western Cape |
Repository
Cape Town - Theses and Dissertations, University of Western Cape
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Added to C-A: 2021-09-09;07:50:41 |
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