ACCEPTABILITY AND UTILISATION OF HEALTH CARE SERVICES AMONG PREGNANT WOMEN IN NORTH CENTRAL ZONE OF NIGERIA


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TABLE OF CONTENTS

Title Page
Abstract
Table of Contents

CHAPTER ONE:
1.0       INTRODUCTION
1.1       Introduction
1.2       Statement of the Problem
1.3       Research Questions
1.4       Purpose of the Study
1.5       Significance of the Study
1.6       Hypotheses
1.7       Basic Assumption
1.8       Delimitation
1.9       Limitation

CHAPTER TWO
2.0       REVIEW OF RELATED LITERATURE
2.1       Introduction
2.2       Concept of Health Care Services in Nigeria
2.3       Acceptability of Health Care Services by Pregnant Women
2.3.1    Age Determinant of Health Care Acceptability
2.3.2    Education a Determinant to Health Care and Acceptability
2.4       Utilisation of Health Care Services by Pregnant Women
2.5       Determinant of Utilization of Health Care Services
2.6       Financial Cost as a Determinant of Health Care Utilisation
2.7       Age Determinant of Health Care Services Utilisation:
2.8       Education as a Determinant of Health Care Services Utilisation
2.9       Occupation and Health Care Services Utilisation
2.10     Socio-Cultural Factors and Health Care Services Utilisation
2.11     Summary

CHAPTER THREE:
3.0       RESEARCH METHODOLOGY
3.1       Introduction
3.2       Research Design
3.3       Population of the Study
3.4       Sample and Sampling Technique
3.5       Instrumentation
3.6       Validation of the Instrument
3.7       Administration of the Instrument
3.8       Statistical Technique

CHAPTER FOUR
4.0       DATA ANALYSIS AND DISCUSSION
4.1       Introduction
4.2       Analysis of Demographic Variance
4.3       Discussion

CHAPTER FIVE
5.0       SUMMARY, CONCLUSION AND RECOMMENDATION
5.1       Summary
5.2       Conclusion
5.3       Recommendations
5.4       Recommendations for Future Study
            References
            Appendices



ABSTRACT

The purpose of this study was to assess acceptability and utilization of health care services among pregnant women in north central zone of Nigeria. To achieve this purpose, 12 hospitals were randomly selected using multi-stage sampling technique (stratified, simple and purposive sampling techniques). Data was collected using close-ended questionnaire and 384 questionnaire copies were administered to pregnant women who attended antenatal clinics in the randomly selected hospitals, out of which 300 were duly completed and returned. Differences between educational qualification, age range and the acceptability and utilization of health care services were analysed and examined using descriptive statistics of means and standard deviation to answer the research questions and Analysis of Variance with alpha level of 0.05 to test the formulated hypotheses. The findings indicates that pregnant women of different educational qualification and age range do not differ significantly (F=.001) in the acceptability and utilization of healthcare services in north central zone of Nigeria. Based on the results of this study and its limitations, the following conclusions were drawn: Health care services were available to pregnant women in north central zone of Nigeria. Pregnant women of different educational qualification do not differ in the acceptability of health care services in north central zone of Nigeria. Pregnant women of different age range do not differ in the acceptability of health care services in north central zone of Nigeria. Pregnant women of different age range utilize health care services in the north central zone of Nigeria. On the basis of the conclusion drawn, the following recommendations are made to improve acceptability and utilization of health care services in north central zone of Nigeria. Development partners in conjunction with concerned government parastatals should set up a minority team charged with the responsibility to check and monitor periodically and provide updates for the activities of maternal health centres for improvement and possible updates on the acceptability and utilization of health centres.
 



CHAPTER ONE

INTRODUCTION

1.1              Introduction

Maternal  and  prenatal  health  has  emerged  as  the  most  important  issue  that

determines global and national well being. This is because every individual, family and community is at some point intimately involved in pregnancy and the success of child birth, (World Health Organization 2006). Nigeria has one of the highest maternal mortality rates in the world, with more maternal deaths reported than any other country except India. Each year, as many as 60,000 Nigerian women die due to pregnancy-related complications, making up 10 percent of the world‘s maternal deaths, despite constituting only 2 percent of the world‘s population, (Kalimo, 2005). The WHO (1999) estimates

Nigeria‘s maternal mortality ratio at 800 maternal deaths per 100,000 live births. Several factors in Nigeria including acceptability and utilization of health services have been identified as a cause of maternal and prenatal mortality.

Over the last 13 years, the Safe Motherhood Initiative (SMI) has raised global awareness of the magnitude of the problem of maternal and pre-natal mortality. Pregnancy complications are now widely recognized as the leading cause of death and disability in women of reproductive age (United State Agency for International Development, 1999). Each year, an estimated 585,000 maternal deaths and 7.6 million prenatal deaths occur worldwide with significant proportion in the poorest and least developed countries of sub-Sahara Africa and South East Asia, (WHO, 1999). In Nigeria, it has been estimated that 52,900 Nigerian women die from pregnancy related complications annually out of the total 529,000 global maternal deaths. In 2003, the World Health Organization and the Federal..........
 

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