Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria
American Journal of Health Research
Volume 3, Issue 6, November 2015, Pages: 376-380
Received: Nov. 26, 2015; Accepted: Dec. 6, 2015; Published: Dec. 22, 2015
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Chuka C. Agunwa, Department of Community Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria
Chinomnso C. Nnebue, Department of HIV Care and Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Nigeria
Chukwuma B. Duru, Department of Community Medicine, Imo State University / University Teaching Hospital Orlu, Nigeria
Patricia N. Aniebue, Department of Community Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria
Uzochukwu U. Aniebue, Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria
Chigozie O. Ifeadike, Department of Community Medicine, Nnamdi Azikiwe University / University Teaching Hospital (NAU / NAUTH), Nnewi, Nigeria
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Background: Lack of knowledge of obstetric danger signs, resulting in inability to recognize and probably react to the needs for accessing quality health care remains a major cause of preventable maternal deaths. Objective: To determine the knowledge of obstetric danger signs and its determinants amongst women of reproductive age in rural communities in Nigeria. Materials and methods: A total of 602 women of child bearing age were studied. Data collection employed a pretested, self-administered structured questionnaire and was analysed using statistical package for social sciences version 17. Bivariate analysis was done to identify factors associated with good levels of knowledge of danger signs. Logistic regression was used to identify determinants of a high knowledge score among women. A p value of < 0.05 was considered significant. Results were presented in tables and summary indices. Results: Majority of respondents had a poor level of knowledge of obstetric danger signs 286(47.5%). The most mentioned symptom was vaginal bleeding; 358(59.5%). Factors associated with knowledge of obstetric danger signs include: age (p=0.000), marital status (p=0.000), educational level attained (p=0.049) and parity (p=0.000). Attaining tertiary level of education (OR: 3.906), teaching profession (OR: 15.104) self-employed business engagement (OR: 16.144) and a high level of knowledge of disease causation (OR: 3.336) were predictors of the level of knowledge of danger signs among them. Conclusion: We recommend that effective and sustained health education and behavioral change programs with high local content be instituted in our rural communities.
Enugu, Obstetric Danger Signs, Rural Women, Knowledge, Predictors
To cite this article
Chuka C. Agunwa, Chinomnso C. Nnebue, Chukwuma B. Duru, Patricia N. Aniebue, Uzochukwu U. Aniebue, Chigozie O. Ifeadike, Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria, American Journal of Health Research. Vol. 3, No. 6, 2015, pp. 376-380. doi: 10.11648/j.ajhr.20150306.20
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