Knowledge and Practice of Birth Preparedness and Complication Readiness among Healthcare Providers in Kaduna North Local Government Area of Kaduna State, Nigeria: A Qualitative Study
DOI:
https://doi.org/10.30442/ahr.0902-05-198Abstract
Background: Birth preparedness and complication readiness (BP&CR) are strategies to reduce the three levels of delays contributing to high maternal mortality and morbidity in developing countries. Knowledge of BP and CR among healthcare providers, especially in Primary Health Care (PHC), is poor, and counselling on BP and CR during antenatal care visits is not routinely done in most healthcare facilities in Northern Nigeria. It is, therefore, imperative to assess the current in-depth knowledge and practice gap regarding BP and CR among health workers in PHCs.
Aim: To assess Healthcare providers` knowledge and practice of focused antenatal care in PHC centres in Kaduna North Local Government (KNLG) Area of Kaduna State, Nigeria.
Methods: A qualitative study was conducted using in-depth interviews. The participants were the officers-in-charge (the heads) of health facilities purposively selected from the four selected PHCs in the state.
The data were collected with a tape recorder and note-taking from May to June 2017. The data resulting from the IDI were transcribed verbatim and subjected to using content analysis.
Results: Two themes [poor knowledge of FANC and poor practice of BP and CR] emerged from the interviews.
Conclusions: This study revealed poor knowledge, awareness and practice of BP and CR among healthcare providers. Therefore, healthcare providers should be trained and retrained on FANC and the concept of BP and CR for sustained improvement in maternal survival.
References
Reproline. Focused antenatal care: planning and providing care during pregnancy. A maternal and neonatal health prog. Best Practice 2015. Available at http://www.reprolic. (Accessed 24 May 2023).
Gaba MA. Birth preparedness and complication readiness, Maternal and child health programme 2011. Available at http://www.mnhighprego.org. (Accessed 23 May 2023).
WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience: Summary Highlights and Key Messages from the World Health Organization's 2016 Global Recommendations for Routine Antenatal Care. January 2018. Available at www.mcsprogram.org. (Accessed 28 May 2023).
Ojong IN, Uga AL, Chiotu CN. Knowledge and attitude of pregnant women towards focused antenatal care services in University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria. Int J Nurs Midwife Health Related Cases 2015;1:14-23.
Karin M. O. Antenatal care in practice. An exploratory study in antenatal care clinic in Kilomero village South-Eastern Tanzania. BMC Pregnancy Childbirth 2014.2393;11:36 https://doi.org/10.1186/1471- 2393, 11-36.
WHO and UNICEF. Primary health care measurement framework and indicators: monitoring health systems through a primary health care lens 2022. Available at: https://apps.who.int/iris/bitstream/handle/10665/352205/9789240044210 - eng.pdf?sequence=1&isAllowed=y. (Accessed 29 May 2023).
Daniel H. K, Yanfang S.U, Hong Wang . Assessment of Primary Health Care System Performance in Nigeria: Using the Primary Health Care Performance Indicator Conceptual Framework. Health Sys Reform 2016;2:302-318. https://doi.org/10.1080/23288604.2016.1234861.
National Population Commission (NPC) [Nigeria] and ICF. Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF. Available at: https://dhsprogram.com/publications/publication-fr359-dhs-final-reports.cfm
National Primary Health Care Development Agency. Minimum Standards for PHC in Nigeria, 2016. Available at http://www.nphcda.gov.ng/ (Accessed 25 May 2023).
Primary Health Care Performance Initiative website. 2022. Available at: https://improvingphc.org/sub-saharan-africa/nigeria-0. (Accessed 20 May 2023).
Hafez, Reem. Nigeria Health Financing System Assessment. Health, Nutrition and Population Discussion Paper; World Bank, Washington, DC, 2018. Available at: https://openknowledge.worldbank.org/handle/10986/30174 (Accessed 21 May 2023).
Kaduna North Local Government. Annual Operation Plan KNLG, 2016. Kaduna: KDS/DKA.
Idang N. O, Eunice N, Margaret I. A. Health care providers’ knowledge and practice of focused antenatal in Cottage Hospital in Enugu state, Southeast Nigeria. Global J Pure App Sci 2016;22:243-247. https://doi.org/10.4314/gjpas.v22i2.12.
SKarlsen S, Say L, Souza JP, Hogue CJ, Calles DL, Gülmezoglu AM, Raine R, The relationship between maternal education and mortality among women giving birth in health care institutions: analysis of the cross-sectional analysis of the WHO global survey on maternal and perinatal survey. BMC Public Health 2011;11:606. https://doi.org/10.1186/1471-2458-11-606.
Raymond AA, Cheryl AM, Mira G, Philip BA, John W, Abraham H, et al. Obstetric Danger Signs and Factors Affecting Health Seeking Behaviour among the Kassena-Nankani of Northern Ghana: A Qualitative Study. Afr J Reprod Health 2014;18:78-86.
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