ArticleNigerian medical journal : journal of the Nigeria Medical Association
Barriers to the Utilization of Basic Emergency Obstetric and Newborn Services among Health Care Workers in Southwest, Nigeria: A Qualitative Study.
Article in Nigerian medical journal : journal of the Nigeria Medical Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Maternal and neonatal mortality remain major public health challenges, particularly in low- and middle-income countries such as Nigeria. Although Basic Emergency Obstetric and Newborn Care (BEmONC) services are designed to prevent most maternal and neonatal deaths, their utilization remains suboptimal due to several contextual barriers. This study explored barriers to the utilization of BEmONC services in selected primary healthcare centres in Oyo State, Nigeria. Methodology: An exploratory qualitative study using Key Informant Interviews (KIIs) was conducted among healthcare workers involved in maternal and newborn care services in selected primary healthcare centres in Oyo State. A total of 28 participants were recruited using purposive sampling. Data were collected using a semi-structured interview guide and were analyzed thematically with the aid of NVivo software. Ethical approval and informed consent were obtained before data collection. Results: Four major themes emerged from the analysis: health system constraints, patient-related barriers, healthcare worker-related barriers, and communication and coordination gaps. Key barriers identified included inadequate equipment and supplies, shortage of skilled personnel, lack of emergency transportation, financial constraints, cultural beliefs, preference for traditional birth attendants, low awareness of BEmONC services, staff stress and burnout, poor healthcare worker attitudes, and weak referral systems. These barriers contributed to delays in seeking, reaching, and receiving appropriate maternal and newborn care. Conclusion: Utilization of BEmONC services is influenced by interconnected health system, socio-cultural, and workforce-related barriers. Strengthening healthcare infrastructure, improving staffing and continuous training, enhancing community awareness, and establishing effective referral and communication systems are essential for improving maternal and neonatal health outcomes in Oyo State, Nigeria.
Indexed as
Identifiers
42677126PMC13527801What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.