ASSESSING KNOWLEDGE, PRACTICE AND FACTORS INFLUENCING BIRTH PREPAREDNESS AND COMPLICATION READINESS AMONG COUPLES IN SELECTED RURAL COMMUNITIES IN OJI RIVER LOCAL GOVERNMENT AREA OF ENUGU STATE


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TABLE OF CONTENTS

Title page
Declaration
Certification
Dedication
Acknowledgement
Table of Content
List of Tables
Abstract

Chapter One: INTRODUCTION
Background to the Study
Statement of the Problem
Purpose of the Study
Research Questions
Hypotheses
Significance of the Study
Scope of the Study
Operational Definition of Terms

Chapter Two: LITERATURE REVIEW
Conceptual Review
Concept of Birth Preparedness and Complication Readiness (BP/CR)
Male Involvement in BP/CR
Couple’s Birth Preparedness Information Needs
Key Implications for Birth Preparedness and Complication Readiness
Theoretical Review
Conceptual Framework
The BP/CR Matrix
Empirical Review
Summary of Literature Review

CHAPTER THREE: RESEARCH METHOD
Design
Area of Study
Population of the Study
Sample
Sampling Procedure
Instrument for Data collection
Validity of the Instrument
Reliability of the Instrument
Ethical Consideration
Procedure for Data Collec6ion
Method of Data Analysis

CHAPTER FOUR: PRESENTATION OF RESULTS
Demographic Characteristics of the Nurses
Hypothesis Testing

CHAPTER FIVE: DISCUSSION OF FINDINGS
Discussion of Major Findings
Conclusion
The implication to Nursing
Recommendation
Limitation of Study
Summary
Suggestion for further studies 60 References
Appendices
Questionnaire
The BP/CR Matrix
Cronbach Alpha Reliability analysis result for research questionnaire
Informed consent
Introductory Letter
Ethical Clearance Certificate
Administrative Permit from Local Government





ABSTRACT

This study was carried out to assess knowledge, practice and factors influencing birth preparedness and complication readiness among couples in selected rural communities in Oji River. The objectives of the study were to determine knowledge of birth preparedness and complication readiness among couples in the communities studied, couple’s practice of birth preparedness and complication readiness, identify factors that hinder couples practices of birth preparedness and complication readiness and establish the relationship between couple’s socio-economic status and their practice of birth preparedness and complication readiness. A cross-sectional descriptive survey research design was used for the study in selected seven communities of Oji River L.G.A. Snowball non probability sampling technique was used to select subjects for the study. A sample of 470 was determined using the formula by Surish & Chandrashekera. Descriptive and inferential statistics were used to analyze data at 0.05 level of significance. Results were presented in tables, frequencies, means and standard deviations. Findings revealed that majority of the couples 120 (78.7%) were knowledgeable on birth preparedness and complication readiness, knowledge did not translate to practice as less than 20% actually practiced the acceptable level of birth preparedness. Financial constraint was the significant factor that hindered couples practice of birth preparedness and complication readiness. All the socio-economic variable examined were associated with couple’s practice of birth preparedness and complication readiness. There was significant difference (P < 0.05) in the average monthly income and educational qualification of the couples and their practice of birth preparedness and complication readiness. In conclusion, although most of the couple had good knowledge of birth preparedness and complication readiness, knowledge still did not translate to practice as few of them actually practiced the acceptable level of birth preparedness and complication readiness. Based on the findings, the recommendations that there is a need for slight shift in focus of maternal and child care projects of governments and need to improve transportation facilities suitable for pregnant women at rural communities which will improve outcomes in emergencies were made.





CHAPTER ONE

INTRODUCTION

Background to the Study

It is true that birth of baby precedes celebration but it equally poses source of concern as pregnancy and childbirth is sometimes a perilous journey especially in the developing countries, where the risk of a woman dying from pregnancy and related complications is almost 40 times greater than that of her counterparts in developed countries (Benson & Yinger, 2002). Maternal mortality remains a public health challenge world wide, and the global maternal mortality ratio of 525 per 100,000 live births annually is still unacceptably high (Hogan, 2010). A disproportionately high burden of these maternal deaths is borne by developing countries including Nigeria, with a maternal mortality ratio of 500– 1,000 per 100,000 live births (World Bank, 2013). These deaths arise from pregnancy, childbirth or postpartum complications. According to WHO (2009), maternal deaths are thought to occur in developing countries due to delay in deciding to seek appropriate care, delay in reaching an appropriate health facility, and delay in receiving adequate emergency care once at a facility. These delays may be reduced if pregnant women and their families are prepared for birth and its complications. Birth preparedness and complication readiness strategy is therefore, very relevant in this regard.This strategy can reduce the number of women dying from complications due to such delays by making a birth plan that constitutes birth-preparedness and complication-readiness measures for pregnant women, their spouses and their families (McPherson, Khadka, Moore & Sharma, 2006).....



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