ABSTRACT
Good antenatal care and delivery
services are pivotal towards effective reduction of maternal morbidity and
mortality. Although studies have been reported concerning the health seeking
behaviour of women during pregnancy, literature is virtually devoid of such
information in respect of pregnant women in Nnewi, South East Nigeria. This
study was a descriptive survey of childbearing women in Nnewi, Anambra State,
South East Nigeria to assess their health care seeking behaviour during
antenatal and delivery. Multi-stage sampling technique was used to draw a
sample of 420 women of childbearing age. Using interviewer administered
questionnaire, data generated were analyzed with descriptive and inferential
statistics and presented in tables and charts. Findings reveal that 58.1% were aged
between 25 and 34; 53.8% had secondary education; majority (89.0%) were
married; 26.9% fell under poorest socio-economic status (SES) group compared to
24.3% that fell under the least poor SES group; higher proportion (61.4%)
attended antenatal clinic 6 times and above; mean gestational age for first
antenatal visit was 4th month; greatest proportion of the
respondents (44.8%) sought antenatal and delivery care in private hospitals.
Age, marital status, level of education and socio-economic status were found to
have significant relationships with respondents’ antenatal clinic attendance: respondents aged 25 -34 years were most
likely to go for antenatal clinic (P = 0.009); married respondents were most
likely to attend antenatal clinic (P = 0.000); respondents with tertiary
education were most likely to attend antenatal clinic (P = 0.000); the least
poor group of SES (P = 0.003) attended antenatal clinic most. Similarly,
levels
of education, SES and age have significant relationship with respondents’
choice of facilities: respondents
with tertiary education were most likely to utilize teaching hospital (P =
0.014); those with only secondary education were most likely to utilize PHC (P
= 0.019) and those with no formal education were most likely to utilize
maternity homes; similarly respondents under the poorest group were most likely
to utilize PHC (P= 0.000) while the least poor group were most likely to
utilize teaching hospital (P= 0.000) and private hospital (P = 0.048).The
middle age (25 – 34 years) childbearing women were most likely to deliver in
teaching hospital (P = 0.001) while younger childbearing women (15 -24 years)
were most likely to deliver in primary health centre (P = 0.002).
TABLE OF CONTENTS
Title page i
Approval page ii
Certification page iii
Dedication iv
Acknowledgement v
Abstract vi
Table of Contents vii
List of Tables ix
List of Figures x
CHAPTER ONE: INTRODUCTION
Background to the Study 1
Statement of Problem 3
Purpose of the Study 4
Specific Objective 4
Research Questions 5
Significance of the Study 5
Scope of the Study 6
Operational Definition of Terms 6
CHAPTER TWO: LITERATURE REVIEW
Conceptual Review 7
Categories of Health Care Provision in Rural Community 8
Theoretical Framework 15
Empirical Studies 18
Summary 22
CHAPTER THREE: RESEARCH METHODS
Research Design 23
Area of Study 23
Target Population 24
Sample Size 25
Sampling Technique 26
Instrument for Data Collection 26
Validation of Instrument 26
Reliability of Instrument 27
Ethical Considerations 27
Procedure for Data Collection 28
Method of data analysis 29
CHAPTER FOUR: DATA ANALYSIS AND PRESENTATION
Summary of major findings 47
CHAPTER FIVE: DISCUSSION OF FINDINGS
Discussion of the Findings 48
Research Question One 48
Research Question Two 49
Research Question Three 50
Implication of the Study 55
Limitations of the Study 55
Conclusion 56
Recommendations 56
Suggestion for Further Studies 57
Summary 57
Reference 59
Appendix I 65
Appendix ii 66
Appendix iii 69
Appendix iv 70
Appendix v 70
LIST OF TABLES
Table1: Socio-Demographic Characteristics of Respondents 31
Table 2: Respondents’ Socio-Economic Status 32
Table 3: Respondents health care seeking during delivery 36
Table 4: A cross tabulation of Demographic characteristics in their SES 37
Table 5: Cross tabulation of the influence of age on respondents’ antenatal seeking behaviour using chi-square 38
Table 6: Cross tabulation of age of the respondents and their health seeking for delivery services. 39
Table 7: Respondents’ marital
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