ArticleReproductive health2019
A qualitative study of community elders' perceptions about the underutilization of formal maternal care and maternal death in rural Nigeria.
Article in Reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 36 citations in OpenAlex.
- Examining the use of complementary and alternative medicine among older persons in Ebonyi State, Southeast Nigeria: a qualitative study.BMC complementary medicine and therapies · 2026Article
- Factors influencing primary health care service provision to older adults in lagos, nigeria: understanding the experiences of the demand population.BMC public health · 2025Article
- Visible and invisible cultural patterns influencing women's use of maternal health services among Igala women in Nigeria: a focused ethnographic study.BMC public health · 2025Article
- Cultural and religious structures influencing the use of maternal health services in Nigeria: a focused ethnographic research.Reproductive health · 2024Article
- Facilitating and limiting factors of cultural norms influencing use of maternal health services in primary health care facilities in Kogi State, Nigeria; a focused ethnographic research on Igala women.BMC pregnancy and childbirth · 2024Article
- Key barriers to the provision and utilization of maternal health services in low-and lower-middle-income countries; a scoping review.BMC women's health · 2024Article
- Time to antenatal care booking and its predictors among pregnant women in East Africa: a Weibull gamma shared frailty model using a recent demographic and health survey.Frontiers in global women's health · 2024Article
- Optimizing the utilization of maternal and reproductive healthcare services among women in low-resourced Nigerian settings.BMC public health · 2023Article
- Seeking maternal health care in rural Nigeria: through the lens of negofeminism.Reproductive health · 2023Article
- Cultural beliefs and practices on perinatal death: a qualitative study among the Lango community in Northern Uganda.BMC pregnancy and childbirth · 2023Article
- Article
- Enablers and barriers to the acceptability of mHealth for maternal healthcare in rural Edo, Nigeria.Dialogues in health · 2022Article
- "It's like being involved in a car crash": teen pregnancy narratives of adolescents and young adults in Jos, Nigeria.International health · 2022Article
- Article
- Leveraging Innovative Financing Strategy to Increase Coverage and Resources Among Informal Sector for Social Health Insurance Within the Nigerian Context of Devolution: Evidence From Adoption Model Implementation.Frontiers in public health · 2022Article
- Perception of men's need for preconception care-A qualitative exploration among health care providers and community members.Frontiers in public health · 2022Article
- Exploring underutilization of skilled maternal healthcare in rural Edo, Nigeria: A qualitative study.PloS one · 2022Article
- Perspectives of policymakers and health providers on barriers and facilitators to skilled pregnancy care: findings from a qualitative study in rural Nigeria.BMC pregnancy and childbirth · 2021Article
- Assessment of service readiness for maternity care in primary health centres in rural Nigeria: implications for service improvement.The Pan African medical journal · 2021Article
- Observational
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundUnderutilization of formal maternal care services and accredited health attendants is a major contributor to the high maternal mortality rates in rural communities in Nigeria. Perceptions of a poor quality of care and inaccessible services in health facilities strongly influence the low use of formal maternal care services. There is therefore a need to understand local perceptions about maternal health services utilization and maternal death. This study thereby aims to explore perceptions and beliefs about the underutilization of formal care and causes of maternal death, as well as to identify potential solutions to improve use and reduce maternal mortality in rural Nigeria.
methodsData were collected through 9 community conversations, which were conducted with 158 community elders in 9 rural communities in Edo State, Nigeria. Data from transcripts were analyzed through inductive thematic analysis using NVivo 12 software.
resultsPerceived reasons for the underutilization of formal maternal care included poor qualities of care, physical inaccessibility, financial inaccessibility, and lack of community knowledge. Perceived reasons for maternal death were related to medical causes, maternal healthcare services deficiencies, uptake of native maternal care, and poor community awareness and negligence. Elders identified increased access to adequate maternal care, health promotion and education, community support, and supernatural assistance from a deity as solutions for increasing use of formal maternal care and reducing maternal mortality rates.
conclusionStudy results revealed that multifaceted approaches that consider community contexts, challenges, and needs are required to develop acceptable, effective and long-lasting positive changes. Interventions aiming to increase use of formal care services and curb maternal mortality rates must target improvements to the technical and interpersonal qualities of care, ease of access, community awareness and knowledge, and allow community members to actively engage in implementation phases.
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