Date of Conferral

2021

Degree

Ph.D.

School

Public Health

Advisor

Nancy Rea

Abstract

AbstractOne out of every 13 women in Nigeria die during childbirth. In Nigeria, over 60% of deliveries that take place at home were attended to by an unskilled person. This study involved using Thaddeus and Maine’s three delays model to determine the influence of sociodemographic factors (woman’s age, woman’s residence [rural/urban], woman’s and husband’s education level, husband’s occupation, household wealth), pregnancy risk factors (antenatal care usage, wanted pregnancy, and birth order) on the choice of place of delivery amongst women of reproductive age (15-49 years) in Northern Nigeria. This quantitative cross-sectional study used the National Demographic Health Survey of 2018. Data from 15,243 women were analyzed using descriptive statistics and binomial logistic regression analysis. Women’s sociodemographic risk factors of age (p=.005), residence (rural/urban) (p=.001), education level (p= .001), and husband’s education level (p=.001), household wealth (p= .001), antenatal care usage (p=.001) and birth order (p=.001) were associated with the place of delivery. Husband’s occupation p= .977 (p> .05) and wanted pregnancy p=.101 (p> .05) were not associated with place of delivery. The findings from this study will assist the Ministry of Health in Nigeria to develop policies and design and implement interventions that may improve health outcome of mothers and their newborns delivered at health facilities. This study has the potential of positive social change that could increase the proportion of women who deliver in health facilities, which may lead to reduction in morbidity and mortality among mothers and newborns in Nigeria. Further research is needed to determine more determinants of place of deliveries and the reasons for nonuse of obstetric services among pregnant women in Nigeria.

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