Browsing by Author "Anthea, Rhoda"

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    Manpower capacity and reasons for staff shortage in primary health care maternity centres in Nigeria: a mixed-methods study
    (United kingdom BioMed Central Ltd., 2019-10) Aluko, Joel O.; Anthea, Rhoda; Modeste, R. R. Marie
    Background: The heart-breaking maternal and neonatal health indicators in Nigeria are not improving despite previous interventions, such as ‘Health for all’ and ‘Millennium Development Goals. The unattained health-related goals/targets of previous interventions put the success of the new Sustainable Development Goals in doubt if the existing paradigm remains unchanged. Thus, mere branding of health policies without improving what constitutes the health system such as manpower capacity and quality as well as staff-patients ratio will be wasteful efforts. This issue of global public health concern provided an indication for describing the capacity of manpower and reasons for staff shortage in primary level of health that are providing maternity services to women and their new-borns in Nigeria. Methods: This is an embedded mixed-methods study. Its quantitative strand collected data with the aid of a structured questionnaire from 127 health workers across the 21 purposively selected primary health care centres in five local government areas. Descriptive statistics were employed for analysis. The qualitative strand of the study collected data through in depth interviews from medical officers of health or their representatives. The tape recorded and transcribed data were thematically coded, while reporting was by direct quotes. The mixing of the data from both strands was done in the discussion section. Results: Twenty-nine (22.8%) of the health workers were between ages 51–58; 111 (87.4%) were married, while 44 (34. 6%) had worked for duration of 21–33 years in service. Evidences of incompetence were observed among the health workers. A total of 92 (72.4%) had been performing episiotomies on women in labour. Similarly, 69.8% had been repairing vaginal traumas. Nine (7.1%) knew the necessary steps of controlling postpartum vaginal bleeding, while 115 (91.3%) of them had not been trained in Life-Saving Scheme and post-abortions care. Conclusion: The shortage of manpower, disproportional skilled/semi-skilled ratio, lack of framework for staff recruitment, staff incompetence and inappropriate childbirth practices show that women were not receiving quality maternal and neonatal cares at the maternity centres.
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    Return for prenatal care and childbirth services among Nigerian women using primary health care facilities
    (John Wiley & Sons Ltd, 2019-05-10) ALUKO, Joel Ojo; Modeste, Regis Rugira Marie; Adejumo, Oluyinka; Anthea, Rhoda
    Aim: The study assessed the return for prenatal care and childbirth services among Nigerian women using primary health care facilities. Design: A descriptive cross‐sectional approach was employed for the study. Methods: A total of 730 participants randomly recruited systematically from 21 purposively selected primary health care facilities in Ibadan, Nigeria were studied. A questionnaire and a checklist were used for data collection. The collection of data spanned three months (April to June, 2014). The data were analysed descriptively and inferentially while the results were presented in frequency tables. Results: The women's mean age was 28 ± 5.3 years. Out of the 730 women studied, 92.6% received prenatal care. The mean difference between the number of prenatal care registration and the number of childbirths was 76.5. Poor environmental hygiene of facilities, statistically significant cost of services and non‐availability of 24‐hr service were implicated for dissatisfaction with care received by the women and consequent poor return rate for childbirth.