Date of Conferral

2019

Degree

Ph.D.

School

Public Health

Advisor

Patrick Tschida

Abstract

Infant mortality (IM) incidence in health facility systems during or after infant delivery is

substantially high in Nigeria. In this quantitative, cross-sectional study, the effects of skill

birth attendants (SBAs), prenatal care, and providers of prenatal care on IM in health

facility delivery centers were examined. The Mosley and Chen theoretical framework

informed this study and was used to explain the relationship between SBAs, prenatal

care, and providers of prenatal care and IM. One hundred and sixty infant deaths were

examined among mothers who used an SBA versus those who did not, mothers who had

prenatal care versus those without, and mothers who received prenatal care from a health

facility versus traditional providers. The 2014 verbal and social autopsy secondary data

set was analyzed using binary logistic regression technique. There was no significant

difference in risk of IM between mothers who had SBA during infant delivery in health

facility compared to those without SBA during delivery. Mothers who received prenatal

care had a significant higher risk of infant death in a health facility compared to those that

did not receive prenatal care. Mothers who received prenatal care from traditional

providers did not have a statistically significant risk of IM compared to mothers who

received prenatal care from a health facility. The findings could have positive social

change implications by encouraging multilevel public health stakeholders to support and

promote the use of health surveillance in understanding the barriers and challenges of

health facility delivery practices, prenatal care, and use of SBA as it relates to IM to

facilitate policy change in maternal and infant care practices in Nigeria.

Download

Share

 
COinS