MATERNAL HEALTH CARE SEEKING
BEHAVIOUR AND PREGNANCY OUTCOME IN
LAGOS STATE
ENUGU STATE
vi
TABLE OF CONTENT
Title page i
Approval ii
Certification iii
Dedication iv
Acknowledgment v
Table of content vi
List of Appendix vii
List of Tables viii
Abstract ix
CHAPTER ONE: INTRODUCTION
Background to the
study 1
Statement of problem 3
Purpose of the study 4
Research objective 4
Research hypothesis 4
Significance of the study 5
Scope of the study 5
Operational definition of terms 6
CHAPTER TWO: LITERAURE REVIEW
Conceptual review 7
Concept of maternal health care 7
Concept of pregnancy and childbirth 7
Concept of maternal health care seeking behaviour 10
Factors influencingmaternal health care seeking behaviour 11
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Factors influencing pregnancy outcome 15
Theoretical review 16
Theoryof planned behaviour 16
Empirical review 19
Summary of literature review 24
CHAPTER THREE: RESEARCH METHODS
Research design 26
Area of study 26
Population of the study 27
Sample size 27
Inclusion criteria 27
Sampling procedure 27
Instrument for data collection 27
Validity of instrument 28
Reliability of instrument 28
Ethical consideration 28
Procedure for data collection 28
Method of data analysis 29
CHAPTER FOUR: PRESENTATION OF RESULT 30
CHAPTER FIVE: DISCUSSION OF FINDINGS
Discussion of major findings 35
Summary of the study 39
Conclusion 40
Implication of the study 41
Recommendations 41
viii
Limitations to the study 42
Suggestion for further study 42
REFERENCES 43
APPENDICES
Appendix 1: Reliability test result47
Appendix 2: Questionnaire 48
Appendix 3: Igbo version of the Questionnaire Translated 51
Appendix 4:Observation guide54
Appendix5: Ethical clearance 55
Appendix 6: Permission letter from traditional ruler ofUdi 56
Appendix7:Permission letter from traditional ruler
of Abia 57
Appendix8:Permission letter from Chairman Udi L.G.A. 58
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LIST OF TABLES
Demographic characteristics of respondents 38
Time of booking 39
Frequency of ANC in third trimester 39
Problems in pregnancy and place of care 40
Pregnancy outcome 41
Cross-tabulation of respondents’ age and educational level with respondents’
healthcare seeking behaviour 42
Cross-tabulation of respondents’health care seeking behavior with pregnancy
outcome 43
LIST OF FIGURES
Theory
of plannedbehaviour by IcekAjzan 16
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ABSTRACT
The purpose of this study was to examine the maternal health care
seeking behaviour and pregnancy outcome of pregnant women in two rural
communities in Lagos State. The objectives of study were to: (i) determine the
gestational age at which pregnant women book for Antenatal Care(ANC) in
Lagos state, (ii)determine how often pregnant women attend Antenatal
Care(ANC)during the third trimester, (iii) ascertain the facilities utilized by
pregnant women with complications for care and (iv) ascertain their pregnancy
outcome. Cross-sectional survey design was adopted for the study. A sample size
of 207 respondents was drawn from a population of 586 pregnant women. The
instrument for data collection was the researcher-developed questionnaire that
was used as an interview guide. Observation guide was also used to corroborate
the findings of the questionnaire. The design of the study was descriptive cross-
sectional survey. Convenience sampling was used to select a sample size of 207
respondents from a population of 586 pregnant women. Collected
data wereanalysed using descriptive statistics of frequencies and percentages.
Chi-square was used to test for significant association atsignificancelevel of 0.05.
Major findings show that most of the respondents (79.7%) booked for ANC
during the first trimester. On frequency of ANC during the third trimester,
81.1% maintained weekly attendance while 100% of the respondents with
complications accessed care from health facilities especially the general
hospital under skilled healthcare providers. On pregnancy outcome, 84.5% of
the babies cried vigorously at birth and 0.5% did not cry at all. On maternal
delivery outcome, 83.1% were strong to take care of self and baby after
delivery. There was no significant association (p > 0.05) between the
respondents’ demographic variables (age and educational status) and their
healthcare seeking behaviour. There was no significant association (p > 0.05)
between maternal healthcare seeking behaviour and mothers’ delivery
outcome (women that were strong to take care of self and baby and those that
were weak to take care of self and baby after delivery). There was significant
association (p < 0.05) between maternal healthcare seeking behaviour and
babies’ birth outcome (number of babies that cried vigorously at birth and
those that did not cry at all).
REG.NO.PG/M.Sc.
