Socio-cultural and Economic Determinants of Maternal Health in Ado-Ekiti, Nigeria

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DOI: 10.21522/TIJPH.2013.06.01.Art003

Authors : Pius Izundu Okpoko


A major challenge to global health systems is maternal mortality. The vast majority of these deaths are preventable. This research is aimed at investigating sociocultural and economic determinants of maternal health in Ado-Ekiti, south-west geopolitical zone of Nigeria. It was a cross sectional epidemiological study which determined the association between the independent variables (maternal educational status, maternal religion, maternal occupation, decision maker for the commencement of ANC, and health care availability/accessibility) and the dependent variable (maternal health as represented by choice of ANC provider). The respondents were 418 females of reproductive age group.

The modal age group was '51 years and above' (24.4%). The majority of the participants (45.5%) were married. A total number of 50(12.0%) respondents had primary education only, 110(26.3%) secondary education, 130(31.1%) tertiary, while those without any formal education were 16(3.8%). There were 112(26.8%) who did not indicate their educational status and did not give reasons for it. On religion, 216(51.7%) were self-identified as Christians and 188(45.0%) as Muslims. Traditional faith constituted 14(3.3%). Those employed were 178(42.6%), while 102(24.4%) were unemployed. Students constituted 82(19.6%) and Apprentice 56(13.4%) of the respondents. All the variables tested gave a statistically significant value of p<0.05. The selected variables for multivariate logistic regression also gave a statistically significant value of p<0.05.

Strategies targeted at improving maternal educational status, making employment available, and encouraging accessibility to health care facilities, may make a significant impact in reducing Maternal Mortality Rates in the studied population.

Keywords: Maternal, health, mortality, economic, sociocultural, determinants.


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