When women deliver with no one present in Nigeria: who, what, where and so what?

With the current maternal mortality ratio (MMR) of 630/100,000 live births, Nigeria ranks among the nations with the highest mortality rates in the world. The use of skilled assistants during delivery has been identified a key predictor in the reduction of mortality rates in the world over. Not only...

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Autores principales:	Bolaji M Fapohunda, Nosakhare G Orobaton
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/556cdba5dc344c5c9fcb52b48e7bc3e3
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spelling	oai:doaj.org-article:556cdba5dc344c5c9fcb52b48e7bc3e32021-11-18T09:02:56ZWhen women deliver with no one present in Nigeria: who, what, where and so what?1932-620310.1371/journal.pone.0069569https://doaj.org/article/556cdba5dc344c5c9fcb52b48e7bc3e32013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23936047/?tool=EBIhttps://doaj.org/toc/1932-6203With the current maternal mortality ratio (MMR) of 630/100,000 live births, Nigeria ranks among the nations with the highest mortality rates in the world. The use of skilled assistants during delivery has been identified a key predictor in the reduction of mortality rates in the world over. Not only are Nigerian women predominantly using unskilled attendants, one in five births are delivered with No One Present (NOP). We assessed who, what, where and the so what of this practice using 2008 Nigeria DHS (NDHS) data. The study revealed that the prevalence of NOP is highest in the northern part of Nigeria with 94% of all observed cases. Socio-demographic factors, including, women's age at birth, birth order, being Muslim, and region of residence, were positively associated with NOP deliveries. Mother's education, higher wealth quintiles, urban residence, decision-making autonomy, and a supportive environment for women's social and economic security were inversely associated with NOP deliveries. Women's autonomy and social standing were critical to choosing to deliver with skilled attendance, which were further amplified by economic prosperity. Women's' economic wellbeing is entwined with their feelings of independence and freedom. Programs that seek to improve the autonomy of women and their strategic participation in sound health seeking decisions will, most likely, yield better results with improvements in women's education, income, jobs, and property ownership. As a short term measure, the use of conditional cash transfer, proven to work in several countries, including 18 in sub-Saharan Africa, is recommended. Its use has the potential to reduce household budget constraint by lowering cost-related barriers associated with women's ability to demand and use life-saving services. Given the preponderance of NOP in the Northern region, the study suggests that interventions to eradicate NOP deliveries must initially focus this region as priority.Bolaji M FapohundaNosakhare G OrobatonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 7, p e69569 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Bolaji M Fapohunda Nosakhare G Orobaton When women deliver with no one present in Nigeria: who, what, where and so what?
description	With the current maternal mortality ratio (MMR) of 630/100,000 live births, Nigeria ranks among the nations with the highest mortality rates in the world. The use of skilled assistants during delivery has been identified a key predictor in the reduction of mortality rates in the world over. Not only are Nigerian women predominantly using unskilled attendants, one in five births are delivered with No One Present (NOP). We assessed who, what, where and the so what of this practice using 2008 Nigeria DHS (NDHS) data. The study revealed that the prevalence of NOP is highest in the northern part of Nigeria with 94% of all observed cases. Socio-demographic factors, including, women's age at birth, birth order, being Muslim, and region of residence, were positively associated with NOP deliveries. Mother's education, higher wealth quintiles, urban residence, decision-making autonomy, and a supportive environment for women's social and economic security were inversely associated with NOP deliveries. Women's autonomy and social standing were critical to choosing to deliver with skilled attendance, which were further amplified by economic prosperity. Women's' economic wellbeing is entwined with their feelings of independence and freedom. Programs that seek to improve the autonomy of women and their strategic participation in sound health seeking decisions will, most likely, yield better results with improvements in women's education, income, jobs, and property ownership. As a short term measure, the use of conditional cash transfer, proven to work in several countries, including 18 in sub-Saharan Africa, is recommended. Its use has the potential to reduce household budget constraint by lowering cost-related barriers associated with women's ability to demand and use life-saving services. Given the preponderance of NOP in the Northern region, the study suggests that interventions to eradicate NOP deliveries must initially focus this region as priority.
format	article
author	Bolaji M Fapohunda Nosakhare G Orobaton
author_facet	Bolaji M Fapohunda Nosakhare G Orobaton
author_sort	Bolaji M Fapohunda
title	When women deliver with no one present in Nigeria: who, what, where and so what?
title_short	When women deliver with no one present in Nigeria: who, what, where and so what?
title_full	When women deliver with no one present in Nigeria: who, what, where and so what?
title_fullStr	When women deliver with no one present in Nigeria: who, what, where and so what?
title_full_unstemmed	When women deliver with no one present in Nigeria: who, what, where and so what?
title_sort	when women deliver with no one present in nigeria: who, what, where and so what?
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/556cdba5dc344c5c9fcb52b48e7bc3e3
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When women deliver with no one present in Nigeria: who, what, where and so what?

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