Why women utilize traditional rather than skilled birth attendants for maternity care in rural Nigeria: Implications for policies and programs

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dc.contributor.authorOkonofua, Friday Ehbodaghe
dc.contributor.authorNtoimo, Lorretta Favour Chizomam
dc.contributor.authorSolanke, Tosin Ojuolape
dc.date.accessioned2023-05-17T11:08:49Z
dc.date.available2023-05-17T11:08:49Z
dc.date.issued2021-09-26
dc.descriptionMain Articleen_US
dc.description.abstractObjective: Data from the Nigeria Demographic and Health Survey indicate that many pregnant women in rural Nigeria use traditional birth attendants (TBAs) rather than skilled birth attendants (SBAs) for maternal health care. This is one factor that accounts for the persistently high rate of maternal mortality in Nigeria. The objective of this study was to identify the pervading reasons that women use TBAs for pregnancy care in rural Nigeria and to make recommendations for policy and programmatic reform. Design: Qualitative research design consisting of focus group discussions, key informant interviews, and commu nity conversations, followed by inductive thematic analysis. Setting: Twenty rural communities (villages) in Etsako East, and Esan South East Local Government Areas of Edo State, South-South, Nigeria. Participants: Twenty focus group discussions with men and women in a marital union; 15 key informant inter views with policymakers, senior health providers, and women leaders; and 10 community conversations with key community leaders. Findings: Some reasons proffered for using TBAs included perceptions of higher efficacy of traditional medicines; age-long cultural practices; ease of access to TBAs as compared to SBAs; higher costs of services in health facilities; and friendly attitude of TBAs. Key conclusions and implications for practice: The continued use of TBA is a major challenge in efforts to achieve the Sustainable Development Goal 3 in Nigeria. We conclude that efforts to address the factors identified by community stakeholders as inhibiting the use of SBAs will promote skilled birth attendance and reduce maternal mortality in rural Nigeriaen_US
dc.description.sponsorshipACE: Reproductive Health Innovationen_US
dc.identifier.citationLorretta Favour Chizomam Ntoimo, Friday Ehbodaghe Okonofua, Chioma Ekwo, Tosin Ojuolape Solanke, Brian Igboin, Wilson Imongan, Sanni Yaya, Why women utilize traditional rather than skilled birth attendants for maternity care in rural Nigeria: Implications for policies and programs, Midwifery, Volume 104, 2022, 103158, ISSN 0266-6138, https://doi.org/10.1016/j.midw.2021.103158. (https://www.sciencedirect.com/science/article/pii/S0266613821002382)en_US
dc.identifier.issn0266-6138
dc.identifier.issn1532-3099
dc.identifier.urihttp://hdl.handle.net/123456789/1794
dc.language.isoenen_US
dc.publisherElsevier Ltd.en_US
dc.relation.ispartofseries103158,;Volume 104
dc.subjectACE: Reproductive Health Innovationen_US
dc.subjectCERHIen_US
dc.subjectUniversity of Beninen_US
dc.subjectNigeriaen_US
dc.subjectTraditional Birth Attendantsen_US
dc.subjectSkilled Birth Attendantsen_US
dc.subjectMaternal mortalityen_US
dc.subjectRural Womenen_US
dc.subjectChioma Ekwoen_US
dc.subjectWilson Imonganen_US
dc.titleWhy women utilize traditional rather than skilled birth attendants for maternity care in rural Nigeria: Implications for policies and programsen_US
dc.typeArticleen_US
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