Social-Economic Determinants of Maternal Mortality in Rural Communities of Oyo State, Nigeria

Dr. Dawud Oyedemi Ibrahim,

Abstract


Women education is a distant factor that offers the
possibility of reduction in maternal mortality while distance and
transport issues in rural communities of Oyo State are highly
significant factors affecting women’s access to health services,
especially in emergency care. The descriptive survey research
design was adopted. Purposive sampling technique was used to
select nine out of the 18 identified rural local government areas
(LGAs). Systematic random sampling technique was used to
select 63 communities across the nine LGAs, while the simple
random sampling techniques was used to select 2,200 women of
child bearing age from the communities. Social Determinants
Scale (r=0.73), and economic Determinants Scale (r=0.71) were
used in data collection. Three hypotheses tested at 0.05 level of
significance. Data were analysed using descriptive statistics,
multiple regression and content analyses. Age of respondents
was 29+
2.1, 84.6% were married, while 48.1% had their first
pregnancy at age 16-20years. There was relative contribution of
educational status, proximity to health facilities, level of income
and purchasing power on maternal mortality. Proximity to health
facilities (β=0.30), level of income (β=0.19), purchasing power
(β=0.14), and educational status (β=0.08) had significant
contribution to mortality. Low access to health facilities, level of
income, purchasing power and educational status determined
maternal mortality in rural communities of Oyo State. Therefore,
intensive maternal health care awareness campaign should be
embarked upon. Efforts should also be geared towards the
adoption of modern health practices to reduce maternal mortality.

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