Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria

Chuka C. Agunwa; Chinomnso C. Nnebue; Chukwuma B. Duru; Patricia N. Aniebue; Uzochukwu U. Aniebue; Chigozie O. Ifeadike

doi:doi:10.11648/j.ajhr.20150306.20

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Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria

Chuka C. Agunwa, Chinomnso C. Nnebue, Chukwuma B. Duru, Patricia N. Aniebue, Uzochukwu U. Aniebue, Chigozie O. Ifeadike

Published in American Journal of Health Research (Volume 3, Issue 6)

Received: 26 November 2015 Accepted: 6 December 2015 Published: 22 December 2015

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Abstract

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.

Published in	American Journal of Health Research (Volume 3, Issue 6)
DOI	10.11648/j.ajhr.20150306.20
Page(s)	376-380
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Enugu, Obstetric Danger Signs, Rural Women, Knowledge, Predictors

References

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Chuka C. Agunwa, Chinomnso C. Nnebue, Chukwuma B. Duru, Patricia N. Aniebue, Uzochukwu U. Aniebue, et al. (2015). Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria. American Journal of Health Research, 3(6), 376-380. https://doi.org/10.11648/j.ajhr.20150306.20

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Chuka C. Agunwa; Chinomnso C. Nnebue; Chukwuma B. Duru; Patricia N. Aniebue; Uzochukwu U. Aniebue, et al. Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria. Am. J. Health Res. 2015, 3(6), 376-380. doi: 10.11648/j.ajhr.20150306.20

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Chuka C. Agunwa, Chinomnso C. Nnebue, Chukwuma B. Duru, Patricia N. Aniebue, Uzochukwu U. Aniebue, et al. Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria. Am J Health Res. 2015;3(6):376-380. doi: 10.11648/j.ajhr.20150306.20

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@article{10.11648/j.ajhr.20150306.20,
  author = {Chuka C. Agunwa and Chinomnso C. Nnebue and Chukwuma B. Duru and Patricia N. Aniebue and Uzochukwu U. Aniebue and Chigozie O. Ifeadike},
  title = {Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria},
  journal = {American Journal of Health Research},
  volume = {3},
  number = {6},
  pages = {376-380},
  doi = {10.11648/j.ajhr.20150306.20},
  url = {https://doi.org/10.11648/j.ajhr.20150306.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20150306.20},
  abstract = {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 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.},
 year = {2015}
}

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TY - JOUR
T1 - Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria
AU - Chuka C. Agunwa
AU - Chinomnso C. Nnebue
AU - Chukwuma B. Duru
AU - Patricia N. Aniebue
AU - Uzochukwu U. Aniebue
AU - Chigozie O. Ifeadike
Y1 - 2015/12/22
PY - 2015
N1 - https://doi.org/10.11648/j.ajhr.20150306.20
DO - 10.11648/j.ajhr.20150306.20
T2 - American Journal of Health Research
JF - American Journal of Health Research
JO - American Journal of Health Research
SP - 376
EP - 380
PB - Science Publishing Group
SN - 2330-8796
UR - https://doi.org/10.11648/j.ajhr.20150306.20
AB - 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 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.
VL - 3
IS - 6
ER -

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Author Information

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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Chuka C. Agunwa, Chinomnso C. Nnebue, Chukwuma B. Duru, Patricia N. Aniebue, Uzochukwu U. Aniebue, et al. (2015). Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria. American Journal of Health Research, 3(6), 376-380. https://doi.org/10.11648/j.ajhr.20150306.20

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ACS Style

Chuka C. Agunwa; Chinomnso C. Nnebue; Chukwuma B. Duru; Patricia N. Aniebue; Uzochukwu U. Aniebue, et al. Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria. Am. J. Health Res. 2015, 3(6), 376-380. doi: 10.11648/j.ajhr.20150306.20

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AMA Style

Chuka C. Agunwa, Chinomnso C. Nnebue, Chukwuma B. Duru, Patricia N. Aniebue, Uzochukwu U. Aniebue, et al. Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria. Am J Health Res. 2015;3(6):376-380. doi: 10.11648/j.ajhr.20150306.20

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@article{10.11648/j.ajhr.20150306.20,
  author = {Chuka C. Agunwa and Chinomnso C. Nnebue and Chukwuma B. Duru and Patricia N. Aniebue and Uzochukwu U. Aniebue and Chigozie O. Ifeadike},
  title = {Knowledge of Obstetric Danger Signs Among Women of Reproductive Age in Rural Communities in Enugu State, Nigeria},
  journal = {American Journal of Health Research},
  volume = {3},
  number = {6},
  pages = {376-380},
  doi = {10.11648/j.ajhr.20150306.20},
  url = {https://doi.org/10.11648/j.ajhr.20150306.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20150306.20},
  abstract = {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 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.},
 year = {2015}
}

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