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Risk factors affecting maternal health outcomes in Rivers State of Nigeria: Towards the PRISMA model

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  • Chinwah, Viviane
  • Nyame-Asiamah, Frank
  • Ekanem, Ignatius

Abstract

Existing research suggests that Nigeria accounts for about 23% of the world's maternal mortality ratio, with negative impacts on women's wellbeing and the country's socio-economic development. The underlying risk factors can be categorized into political influences, poor access to healthcare, inadequate utilization of health facilities, poor family planning support and complex pregnancy-related illness. Yet, the complex interrelations amongst the factors makes it difficult to ascertain the riskiest ones that affect women's reproduction and child death, with the existing intervening strategies failing to address the problem. This study identifies maternal health risk factors and prioritizes their management in Rivers State of Nigeria, using the Prevention and Recovery Information System for Monitoring and Analysis (PRISMA) model. Taking a quantitative turn, we applied exploratory factor analysis to analyze 174 returned questionnaires from healthcare professionals working in Rivers State and used the results to establish relationships between maternal health risk factors, prioritizing the riskiest factors. The outcomes indicate that the PRISMA model provides an effective framework for identifying and managing maternal mortality risks that can enable healthcare experts and managers to address the avoidable risk factors and mitigate the unavoidable patient-related risk factors in Nigeria. The implications for theory, practice and policy are discussed.

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  • Chinwah, Viviane & Nyame-Asiamah, Frank & Ekanem, Ignatius, 2020. "Risk factors affecting maternal health outcomes in Rivers State of Nigeria: Towards the PRISMA model," Social Science & Medicine, Elsevier, vol. 265(C).
    • Handle: RePEc:eee:socmed:v:265:y:2020:i:c:s0277953620307395
    DOI: 10.1016/j.socscimed.2020.113520
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    1. Bosede Awoyemi & Jacob Novignon, 2014. "Demand for abortion and post abortion care in Ibadan, Nigeria," Health Economics Review, Springer, vol. 4(1), pages 1-9, December.
    2. Smith, Stephanie L. & Hunsmann, Moritz, 2019. "Agenda setting for maternal survival in Ghana and Tanzania against the backdrop of the MDGs," Social Science & Medicine, Elsevier, vol. 226(C), pages 135-142.
    3. Atkin, Karl & Berghs, Maria & Dyson, Simon, 2015. "‘Who's the guy in the room?’ Involving fathers in antenatal care screening for sickle cell disorders," Social Science & Medicine, Elsevier, vol. 128(C), pages 212-219.
    4. Burroway, Rebekah & Hargrove, Andrew, 2018. "Education is the antidote: Individual- and community-level effects of maternal education on child immunizations in Nigeria," Social Science & Medicine, Elsevier, vol. 213(C), pages 63-71.
    5. Aborigo, Raymond Akawire & Allotey, Pascale & Reidpath, Daniel D., 2015. "The traditional healer in obstetric care: A persistent wasted opportunity in maternal health," Social Science & Medicine, Elsevier, vol. 133(C), pages 59-66.
    6. Msellati, Philippe, 2009. "Improving mothers' access to PMTCT programs in West Africa: A public health perspective," Social Science & Medicine, Elsevier, vol. 69(6), pages 807-812, September.
    7. Shiftman, J., 2007. "Generating political priority for maternal mortality reduction in 5 developing countries," American Journal of Public Health, American Public Health Association, vol. 97(5), pages 796-803.
    8. Bervell, Brandford & Al-Samarraie, Hosam, 2019. "A comparative review of mobile health and electronic health utilization in sub-Saharan African countries," Social Science & Medicine, Elsevier, vol. 232(C), pages 1-16.
    9. Kruk, Margaret Elizabeth & Porignon, Denis & Rockers, Peter C. & Van Lerberghe, Wim, 2010. "The contribution of primary care to health and health systems in low- and middle-income countries: A critical review of major primary care initiatives," Social Science & Medicine, Elsevier, vol. 70(6), pages 904-911, March.
    10. Frank Nyame-Asiamah, 2020. "Improving the ‘manager-clinician’ collaboration for effective healthcare ICT and telemedicine adoption processes – a cohered emergent perspective," Information Technology for Development, Taylor & Francis Journals, vol. 26(3), pages 525-550, July.
    11. Hollingshaus, Michael S. & Smith, Ken R., 2015. "Life and death in the family: Early parental death, parental remarriage, and offspring suicide risk in adulthood," Social Science & Medicine, Elsevier, vol. 131(C), pages 181-189.
    12. Okeke, Edward N. & Chari, A.V., 2018. "Health care at birth and infant mortality: Evidence from nighttime deliveries in Nigeria," Social Science & Medicine, Elsevier, vol. 196(C), pages 86-95.
    13. Adjiwanou, Vissého & Bougma, Moussa & LeGrand, Thomas, 2018. "The effect of partners' education on women's reproductive and maternal health in developing countries," Social Science & Medicine, Elsevier, vol. 197(C), pages 104-115.
    Full references (including those not matched with items on IDEAS)

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