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Multivariate Analysis of Maternal Mortality with Implications for Community Participatory Action Learning

Oduaran, Akpovire and Fasina, Fagbeminiyi (2020) Multivariate Analysis of Maternal Mortality with Implications for Community Participatory Action Learning. Bangladesh e-Journal of Sociology, 17 (2). pp. 78-95.

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Maternal mortality is a global public health issue that requires urgent multi-disciplinary action, especially ones that are designed with the determined commitment of the community itself. The data analyzed and reported in this paper consisted of responses from 20,467 women aged 15-49 years whose delivery occurred in the five years preceding the survey. Stata 12 computer software was applied in the data analyses, and at the multivariate level, using the Binary Logistic Regression and the Likelihood Ratio (LR) statistical test of significance. The binary logistic regression included all the six background variables with the two intervening variables, that is, “transport too far” and “facility cost too much”. Results showed that women who confirmed not being able to visit healthcare facility due to lack of transportation coupled with the fact the fact that health facility costs are less likely to seek the assistance of healthcare professionals for the delivery of their babies. On the other hand, there were mothers who responded “No”, that is, the cost was not too much and the health facility not too far respectively yielded a statistical value of 0.8 and 0.9, P > 0.195 and 0.533. The likelihood ratio (LR) test to determine the extent to which availability of transport and facility cost helped to explain the effect of the background variables on assistance received yielded a highly significant result (chi-square = 737 on 2 degrees of freedom, P < 0.001). This means that both availability of transport and facility cost are important proximate determinants through which socioeconomic, demographic and cultural factors influence maternal mortality risk in Nigeria. Based on these findings, we conclude that policies and programs targeted at mobilizing communities to identify danger signs and activate emergency transport systems and the introduction of creating innovative digital health tools can help providers deliver higher quality services more effectively. And these can be effectively strengthened by including sufficient measures of community participatory action learning on a large scale.

Item Type: Article
Uncontrolled Keywords: Delivery, healthcare facility, maternal mor tality risk, perceived problem proximate, determinants, underlying factors
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HB Economic Theory
Divisions: Faculty of Law, Arts and Social Sciences > School of Social Sciences
Depositing User: Mrs Patricia Nwokealisi
Date Deposited: 14 Jun 2021 15:17
Last Modified: 14 Jun 2021 15:17

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