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Title:	Demographic, socio-economic and cultural determinants of health facilities utilisation and maternal mortality in Sokoto State, North West Nigeria
Authors:	Muazu Alhaji Shamaki (P66686)
Supervisor:	Amriah Buang, Prof. Dr.
Keywords:	Maternal mortality Socio-cultural factors Health facilities Dissertations, Academic -- Malaysia Universiti Kebangsaan Malaysia -- Dissertations
Issue Date:	9-Apr-2015
Description:	Within the last decade maternal mortality remained high in Sokoto state, North-western Nigeria. This research examines the possible influence of demographic, economic and socio-cultural beliefs, practices and behaviours of women on the high maternal mortality rates in the state during prenatal, delivery and postpartum periods. Using a mixed method approach, data were collected from i) a questionnaire sample size of 315 women, aged 15-45 years, ii) focus groups discussion (FGD) with 26 women and 18 men and iii) in-depth interviews (IDI) with 7 key informants. A binary logistic regression (a logit model), Pearson's correlations and univariate cross-tabs analysis were conducted. The results were mixed. On the one hand, the negative results showed that there were glaring under-utilisations of modern maternal health facilities in the study area. These under-utilisations reflected the influence of socio-cultural factors which was borne by the significant relationship between ante-natal care (ANC) and husband's permission, and between postnatal care (PNC) and limited women freedom in the region. Furthermore, it was found that traditional medicine or herbal use, hot-bathing, early marriage, home delivery, traditional contraceptive methods, lack of permission from husband, ethnic group and women's unwillingness to utilise modern maternal health care facilities were significant predictors of maternal mortality. On the other hand, the study revealed that drinking of Rubutu remedy, traditional healers, Islamic healers and sitting in shallow bath water with salt were the positive sides of some of the maternal traditional practices that deserve further investigation. To surmount the problem of low utilisation and reduce the alarmingly high rate of maternal mortality in Sokoto-Nigeria, demographic, economic and socio-cultural model of maternal mortality was developed to mainstream the positive practices besides proposing recommendations.Thus, the study has furthered understanding of the role of socio-cultural factors needed for improving maternal health status in Nigeria in particular and the developing countries in general.,Ph.D.
Pages:	363
Publisher:	UKM, Bangi
Appears in Collections:	Faculty of Social Sciences and Humanities / Fakulti Sains Sosial dan Kemanusiaan

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