Title:
Determinants of Utilization of Postnatal Care Services in Nigeria
Authors:
Iyanda, Hafsat Iyabode
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
xi, 47
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
postnatal care, utilization, Nigeria, determinants, maternal neonatal and child
Abstract:
Background: Almost half of maternal deaths and sixty six percent of neonatal deaths occur within 24 hours and first week after delivery. The postnatal period is a critical time to reach both mother and newborn with packages of preventive and health promotion interventions as well as ensuring access to case management for illnesses. Nigeria still ranks one of the highest regarding maternal and infant mortality in the world; about 576 deaths per 100,000 live births and 71.2 deaths per 1,000 live births respectively. Objective: To explore the determinants of postnatal care services utilization in Nigeria. Methodology: A literature review was performed. The Titaley conceptual framework (an adapted Anderson and Newman framework of health services utilization) was used for thematic analysis. Findings: Factors that influences utilization of PNC at household and community level were identified and these included women education, wealth status, region and place of residence, access to information, maternal age and parity, previous use of health services. Conclusions: PNC services are needed to be treated with priority as ANC and institutional delivery in order to decrease maternal and neonatal morbidity and mortality. Factors that determine utilization of PNC identified include: maternal education, place and type of residence, religion, perception of PNC, availability, affordability, acceptability, accessibility, culture and access to information. Recommendations: the literature review recommends prioritization of girls’ education, women empowerment, mass campaigns, home visits to mothers and newborns during postnatal period, introduction of voucher system in health facilities and making maternal and newborn services free of charge.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Nigeria
Region:
West Africa
Training:
Master of Public Health
Category:
Research
Right:
© 2017 Iyanda
Document type:
Thesis/dissertation
File:
BGct4B5LmS_20180404151219943.pdf