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ATTITUDE OF WOMEN TOWARDS ANTE-NATAL CARE IN URBAN MATERNITY CLINIC KOFAR AREWA HADEJIA L.G.A JIGAWA STATE

ATTITUDE OF WOMEN TOWARDS ANTE-NATAL CARE IN URBAN MATERNITY CLINIC KOFAR AREWA HADEJIA L.G.A JIGAWA STATE

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TABLE OF CONTENTS

Title Page …        …      …      …      …      …      …      …      …      …      i

Declaration  …     …      …      …      …      …      …      …      …      …      ii

Approval page  …         …      …      …      …      …      …      …      …      …      iii

Dedication …       …      …      …      …      …      …      …      …      …      iv

Acknowledgement …     …      …      …      …      …      …      …      …      v

Table of contains …      …      …      …      …      …      …      …      …      vi

List of Tables …  …      …      …      …      …      …      …      …      …      viii

Abstract … …      …      …      …      …      …      …      …      …      …      ix

CHAPTER ON: INTRODUCTION

Background of the Study …    …      …      …      …      …      …      …      1

Statement of the problem …   …      …      …      …      …      …      …      2

Purpose of the study…  …      …      …      …      …      …      …      ….     3

Significance of the study  …    …      …      …      …      …      …      …      4

Research Questions …  …     …     …     …     …     …     …     …     4

Scope of the study (Delimitation) …          …     …     …     …     …     ….    5

CHAPTER II: REVIEW OF RELATED LITERATURE

Introduction …    …     …     …     …     …     …     …     …     ….    6

Definition of Ante-natal care …       …     …     …     …     …     …     7

Attendance at Ante-natal clinic …    …     …     …     …     …     …     9

The duration of pregnancy…  …     …     …     …     …     …     …     10

Activities carried out at Ante-natal clinic …        …     …     …     …     …     12

Benefits of Antenatal care …  …     …     …     …     …     …     …     14

Tetanus toxoid (Complications in pregnancy)… …     …     …     …     15

Important of tetanus toxoid …         …     …     …     …     …     …     …     15

CHAPTER III: RESEARCH METHODOLOGY

Introduction…     …     …     …     …     …     …     …     …     …     19

Research Design …       …     …     …     …     …     …     …     …     19

Area of Study … …     …     …     …     …     …     …     …     …     19

Population…       …     …     …     …     …     …     …     …     …     20

Sample and sampling method…       …     …     …     …     …     …     20

Instrument for data collection …      …     …     …     …     …     …     20

Validity of instruments …      …     …     …     …     …     …     …     21

 Method of data analysis …    …     …     …     …     …     …     …     21

CHAPTER IV:  RESULT AND DATA ANALYSIS

Introduction  …   …     …     …     …     …     …     …     …     …     22

CHAPTER FIVE: SUMMARY, CONCLUSION AND RECOMMENDATIONS

Introduction …    …     …     …     …     …     …     …     …     …     36

Discussion of  findings …       …     …     …     …     …     …     …     36

Summary …        …     …     …     …     …     …     …     …     …     38

Recommendations …    …     …     …     …     …     …     …     …     38

References  …      …     …     …     …     …     …     …     …     …     41

LIST OF TABLES

Table 1: Tetanus toxoid immunization schedule  - - - - - - - - - - - - - - - - - - - -17

Table 2: Age group of the respondents  - - - - - - - - - - - - - - - - - - - - - - - - - - 22

Table 3: Religion of respondent  - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -23

Table 4: Level of education of respondents - - - - - - - - - - - - - - - - - - -  - - - - 24

Table 5: Marital status of respondents  - - - - - - - - - - - - - - - - - -  - - - - - - - - 25

Table 6: Occupation of respondents - - - - - - - - - - - - - - - - - - - - - - - - - - - - -25

Table 7: Last menstruation period of respondents - - - - - - - - - - - - - - - - - - - 26

Table 9: Keeping of Ante-natal Appointment  - - - -  - - - -  - - - - - - - - - - - - -27

Table 10: Reason for missing clinic - - - - - - - - - - - - - - - - - - - - - - - - - - - - -28

Table 11: Number of times of  missing c - - - - - - - - - - - - - - - - - - - - - - - - --29

Table 12: Whether it was the first pregnancy - - - - - - - - - - - - - - - - - - - - -  - 29

Table 13: Number of children of respondents - - - - - - - - - - - - - - - - - - - - -  -30

Table 14: Pregnancy attendance at clinic - - - - - - - - - - - - - - - - - - - - - - - - --31

Table 15: Whether satisfied with the services - - - - - - - - - - - - - - - - - - - - - - 31

Table 16: Feelings about the clinic - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -32

Table 17: Time spend at clinic - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 33

Table 18: Delivery of children - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 44

ABSTRACT

This research was on the attitude of women towards attendance of antenatal clinic at Urban Maternity Clinic Kofar Arewa Hadejia Local Government area of Jigawa state. The purpose of the study was to encourage women in this area to attend antenatal clinic in order to reduce maternal mortality, prevent common infections and other complications in pregnancy in this clinic. The target population was pregnant mothers. The United Nations statistical data on ANC at the Urban Maternities stated that, over half a million women die yearly from pregnancy complications and childbirth related complications. This mostly happens to the least privileged or poorest part of the world where the risk of women dying at child birth was 1 in 6, compared to Northern part of Europe with 1 in 30,000. In Sub-Saharan Africa however, a woman’s risk of dying from preventable pregnancy and child birth complications was 1 in 221. Questionnaire method was used to collect data, and simple percentages were used to analyse it. The findings showed that most of the women were not attending antenatal due to cultural, religious and socio-economic factors. Some of the recommendations included: Government should provide more health care in each of the Local Government Areas, should make efforts by establishing small units of antenatal care clinic (ANC) in various wards to ensure an effective antenatal care delivery. Women should make individual and personal efforts to continue advising their husbands to grant them permission and provide financial support to enable them purchase routine drugs and to attend antenatal clinic .The staff on duty should engage in home visits to find out the reasons for missing the appointment days.    


CHAPTER ONE

INTRODUCTION

Background of the Study

Safe maternity with improved neonatal outcome is predicated on proper antenatal care service; however, obstetricians and gynaecologists recommended that pregnant women can exercise moderately for 30 minutes on most days of the week.

“A safe motherhood initiative” is a global effort to reduce maternal mortality and morbidity and any other complicated cases that may occur during pregnancy and during delivery. It is a comprehensive health service and aims at ensuring improvement in the quality and safety of lives of women through adoption of health and non-health strategies in Nigeria.

Ante-natal care is a branch of preventive medicine dealing with prevention and early detection of pregnancy disorders.

Attention to clean and hygienic delivery practices (WHO, 2013) and the provision of essential care for the new-born, such as thermal protection and early exclusive breastfeeding WHO, (2016) are important for the health care facility. Community and primary care level intervention aimed at increasing the critical element of ANC have been found to be highly cost effective.

Auwal Sultan (2006), said, a good number of those who receive ante-natal care in rural areas prefer to deliver at home attended by traditional birth attendants or relatives who are well versed in local traditional practice and custom but not necessarily safe health practice as the case may be.

Olise (2007) said ideally, booking in the ANC unit for pregnant women should be done not later than 18 weeks of gestation so that appropriate intervention measures can be affected where indicated.

Statement of the Problem

The attitude of women towards ante-natal care in urban maternity clinic kofarArewa Hadejia, LGA has been of public health concern in Jigawa State, despite effort by government, non-governmental Organization, Donors agencies and Stakeholders to increase programme at all levels aimed at improving ante-natal care and prevention of complicated cases that may be caused by pregnancy and delivery. This leads to increase in high ill-health and maternal deaths among women of child-bearing age.

Hundreds of millions of women every year suffer inter uterine foetal dealth (IUFD), pregnancy induced hypertension and other pregnancy complications Gyasier (2006). This study therefore, seeks to find out the attitude of women towards antenatal care in urban maternity clinic Kofar Arewa Hadejia.

Purpose of the Study

The purpose of the study is to:

i.       encourage women to attend Ante-natal clinic frequently

ii.      educate women on the importance of Ante-natal clinic

iii.     help them develop regular habits of attending Ante-natal clinic

iv.     assess their opinions towards the service rendered at ante-natal clinic

v.      enable them appreciate ante-natal services.

vi.     enable them appreciate ante-natal services

Significance of the study

At the end of the study, it will be benefit in the following ways:

       i.            It will promote the awereness of women of child bearing age towards Ante-natal care

    ii.            It will stimulate the health personnel in urban maternity clinic Kofar Arewa on their perception towards the attitudes of women of child bearing age

 iii.            Suggestions and recommendations that will improve positively on the attitudes of child bearing towards Ante-natal care shall be proffered.

Research Questions

i.       Do women really know what Ante-natal is all about?

ii.      Do the way Doctors, Nurses and Community Health Workers talk to the influence their negative attitudes towards attending Ante-natal Clinic?

iii.     Do their husbands influence their attitudes towards attending the clinic?

iv.     Do economic factors influence their attitudes towards attending the clinic?

v.      Do religious beliefs/cultural practices influence their attitudes towards attending Ante-natal clinic?

vi.     Does the time spent in the clinic influence their attitudes towards attending the clinic?

vii.    Are they awere of the services rendered at the Ante-natal care?

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