Maternity Services in Primary Health Care Facilities in Sagamu Local Government, Ogun State.
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Date
2015-06
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Journal ISSN
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Publisher
College of Medicine, University of Ibadan, Ibadan, Nigeria.
Abstract
Background: Not less than 287,000 women die in pregnancy and childbirth every year, with over
50% of this figure from sub-Saharan Africa, even though majority of them have normal,
uncomplicated pregnancies. Maternal health is highly contingent on the quality of the local primary
health care system, which is the common entry point for antenatal care that helps identify problems in
pregnancy as early as possible.
Aim: The aim of the study was to examine the maternal health services available in primary health
care centres in Sagamu Local Government Area of Ogun State, and women's satisfaction with such
servIces ..
Method: A purposive sampling was used to select participating health centres, while a convenient
sampling was used to select research participants. The study used structured checklist and
questionnaire as instrument of data collection. Both instruments assessed the health facilities and
consumers of health services (clients), respectively. All the 16 PRC centres rendering 24 hour
maternity care services were selected for the study, while the remaining five (5) not rendering such
were excluded. A total of 221 women were conveniently recruited for the study. Ethical clearance was
obtained for the study from the Babcock University Ethical Review Committee, while informed
consent was obtained from the human participants. The convenient method of sampling was based on
the relatively low client flow rate in all the facilities. Data collected were analysed using SPSS version
21, and results were presented in frequency tables and charts.
Results: The women's age ranged between 15 and 56 years; mean age being 31 years ± 6.5 standard
deviation. All the 16 PRC centres have no standby ambulances and telephone/radio call mobile
phone for the purpose easy and efficient communication in cases of emergencies. Moreover, ·out of
the 16 J'RC centres studied, seven (43.8%) did not have adequate essential items. In addition, 11
(68.8%) have fragmented laboratory and voluntary counsellinglHIV screening services. The CREWs
and CROs were more than the qualified nurses and nurse/midwives in all the centres. Besides, 104
(47.1 %) claimed that they had experienced negative attitude from the health workers, while 114
(51.6%) described the PRC they attended as "poor".
Conclusion: The poor conditions of many of the PRC infrastructures, non-availability of
emergency/referral items and essential services in an integrated form, inadequate skilled health
workers and essential items coupled with the reported negative attitudes of health workers require
immediate, efficient and appropriate interventions from all stakeholders.
Description
http://ir.library.ui.edu.ng/handle/123456789/4836.
Keywords
Maternity, Services, Satisfaction, Primary health care centres