An analysis of Sociocultural Factors associated with home delivery in Kano, Nigeria.

Volume 4, Issue 5, October 2019     |     PP. 149-164      |     PDF (214 K)    |     Pub. Date: August 25, 2019
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Ibrahim S. Yar’Zever, Department of Behavioral Sciences, Bayero University Kano, Nigeria
Ibrahim Rabiu, Department of Community Medicine, Gombe State University, Nigeria

Background: In Nigeria generally and Kano in particular pregnant mothers increasingly attend antenatal clinics but utilization of skilled delivery service remains very low. The individual or health system factors that affect women’s preferences for delivery places are not clearly well known. Method: A case control study was conducted in July 2017 to assess factors associated with utilization of hospital delivery service. A total of 324 mothers who recently delivered and visited either postnatal care or sought immunization services were included. Cases (n = 108) were mothers who gave birth at home and controls (n = 216) were those who delivered at health facility. Pre-tested and standardized questionnaires were used to collect relevant data by trained data collectors. Logistic regression model was used to control for confounding. Result: The likelihood of delivering at home was greater among mothers with inadequate knowledge of maternal health related services (AOR = 62, 95% CI: 3, 128.4), those who started attending ANC after 24 weeks of gestation (AOR 8.7, 95% CI: 2.2, 33.3), mothers having no formal education (Adjusted OR 4.2, 95% CI 1.63, 11.27) and rural residents (AOR = 3.6, 95%CI: 1.4, 9.0). Conclusion: The predominant factors associated with home delivery services were lack of knowledge about maternal health care services, delay in starting Antenatal Care (ANC) follow up, Illiteracy and rural residence. Audience specific behavioral change communication should be designed to improve the demand for delivery services. Health professionals should take the opportunity to encourage mothers attend delivery services during ANC follow up. Improvements should be made in social conditions including literacy and major social mobilization endeavors.

Sociocultural, Factors, associated, home delivery in Kano.

Cite this paper
Ibrahim S. Yar’Zever, Ibrahim Rabiu, An analysis of Sociocultural Factors associated with home delivery in Kano, Nigeria. , SCIREA Journal of Clinical Medicine. Volume 4, Issue 5, October 2019 | PP. 149-164.


[ 1 ] Nuhu,N B, Babayo, T, Hadiza, I,Farouq, A, Kelly, D K, (2010) Knowledge and perception of Maternal health in Kaduna state. Afr. J. Reprod. Health 2010; 14[3]: 71-76).
[ 2 ] NDHS, (2008) Assessment of DHS Maternal Mortality Indicators Studies in Family Planning 31:111–23.
[ 3 ] Onwuhafua PI, Oguntayo A.(2006) Perinatal mortality associated with eclampsia in Kaduna, Northern Nigeria.Niger J Med ;15:397-400.
[ 4 ] Okolocha C, Chiwuzie J, Braimoh S, Unigbe J, Olumeko P.,(1998) Socio-cultural factors in maternal morbidity and mortality: a study of a semi-urban community in southern Nigeria. J Epidemiol Commun Health.52:293–297.
[ 5 ] Yar’zever IS (20013) Temporal analysis of Maternal Mortality in Kano State, Northern Nigeria: A Six-Year Review. African J.Rep health. 22(6) 600-3 2013.
[ 6 ] Pattinson, R. C., and J. Moodley., (2005) Saving Mothers. Second Report on Confidential Enquiries into Maternal Deaths in Pretoria, South Africa, 1999–2001. Department of Health, South Africa.
[ 7 ] Stanton C., Hobcraft J., Hill K., Kodjogbe N., Mapeta W. T.,(2001) Every Death Counts: Measurement of Maternal Mortality Via Census. Bulletin of the World Health Organization. 79(7): 657–64.
[ 8 ] Starrs A., ( 2006)’’Safe Motherhood Initiative: 20 years and counting’’. The Lancet Maternal Survival Series, UN Millenium Project, Investing in Development; A Practical Plan to Achieve the Millenium Development Goals, UNDP, 2005.
[ 9 ] Ujah IA, Aisien OA, Mutihir JT, Vanderjagt DJ, Glew RH, Uguru VE.(2005) Maternal mortality among adolescent women in Jos, North Central, Nigeria. J Obstet Gynaecol; 25:3-6.
[ 10 ] UNFPA, (2007) Maternal Morbidity, Accessed May 13, 2008.
[ 11 ] U.S. Agency for International Development (USAID),(2008) Nigeria Integrated Health & Education Project, 2008,, accessed April 26, 2008.
[ 12 ] WHO, UNICEF, UNFPA, (2004) maternal mortality in 2000. Estimates developed by UNICEF, WHO, UNFPA. World Health Organization, Geneva, Switzerland, World Health Organization (WHO), (2005) Maternal Mortality in 2005: Estimates Developed by WHO, UNICEF, UNFPA, and the World Bank, Geneva.
[ 13 ] WHO, UNICEF, UNFPA (2010). Advancing Safe Motherhood through Human Rights. Available safe motherhood
[ 14 ] Yahaya MK,(2004) Analysis of women's reproductisve health situation in Bida Emirate of Niger State, Nigeria. Afr J Reprod Health. 6(1):50–64
[ 15 ] Yar’zever IS (2012) Factors Influencing the Altitudes of Hausa Male Parents toward Girl-Child Education in Kano, Nigeria, J of Research on Humanities and Social Sciences IISTE Vol.3, No.2.
[ 16 ] Audu LR, Ekele BA,(2002) A ten year review of maternal mortality in Sokoto Northern Nigeria. West Afr. J med. 21: 74-6
[ 17 ] Dan Yaro, M.M (ed.) (1987) Kano State between 1985-1989 Kano State Ministry of Information Youth and culture, Kano..
[ 18 ] NDHS, (2008) Assessment of DHS Maternal Mortality Indicators Studies in Family Planning 31:111–23.
[ 19 ] Chandola T, Jenkinson C.,(2000) The new UK National statistics socio-economic classification (NS-SEC) investigating social class differences in self reported health status. J Public Health Med.22 (2):182–190.
[ 20 ] Chiwuzie, J and Okolocha C., (2001) "Traditional belief systems and Maternal Mortality in a Semi Urban Community in Southern Nigeria". African Journal of Reproductive Health, 5 (1), 75-82.
[ 21 ] Duze, M. C., (1997) Antenatal participation in Northern Nigeria, a basedline study,Zaria , Nigeria
[ 22 ] Eboiyehi, F. A. and Muoghalu, C. O. (2008). "Globalization and Gender Equity in Nigeria", African Journal of Gender and Development, 1 (1), 12-32.
[ 23 ] El- Nafaty AU, Melah GS, Massa AA, Audu BM, Madziga N.,(2004) The analysis of Eclamptics morbidity and mortality in the Specialist Hospital Gombe, Nigeria. J Obstet Gynaecol; 24:142-7.
[ 24 ] Ejembi CL, Alti- Muazu M, Chirdan O, Ezeh HO, Sheidu S., (2004) Utilization of maternal health services by rural Hausa women in Zaria environs, northern Nigeria: has primary health care made a difference? Journal of Community Medicine and Primary Health Care.16 (2): 47-54.
[ 25 ] Yar’zever IS (2013) Knowledge and Barriers in Utilization of Maternal health care services in Kano State, Northern Nigeria. J of Biology and Medical science Research, European Centre for Research, Training and Development vol. 18 125-1
[ 26 ] FMOH, (2008) Advocacy Kit : Improving maternal, newborn and child health, Federal Ministry of Health, (2005). Nigeria National Reproductive Health Strategic Framework and Plan, 2002 -2006. Abuja, Nigeria.
[ 27 ] Galadanci, H., Kunzel, W., Shitu, O., et al, (2010) Obstetric quality assurance to reduce maternal and fetal mortality in Kano and Kaduna States, Nigeria. Int. J. of Gynecology and Obstetrics. 114, 23-28.
[ 28 ] Ladipo, O.A., (2006) Delivery of an effective maternal and child health services in Nigeria, Paper presentation at an annual Guest Lecture of society of Gynaecologist of Nigeria held in Abuja, Nigeria.
[ 29 ] Adamu M Yusuf, Hamisu M Salihu, Nalini Sathiakumar ,(2003) Maternal mortality in northern Nigeria: a population-based study. Euro J Obstet Gynecol Reprod Biol 109(2): 153–159.
[ 30 ] Advocacy Brief, (2007) Integrated Approach to Improved Maternal, Newborn and Child Health Action Points for the Media. Produced by the Federal Ministry of Health with support from ENHANCE project/USAID.
[ 31 ] Lambo E, (2003) Breaking the cycle of poverty, ill-health and underdevelopment in Nigeria, paper presented at a special Guest Lecture of the College of Medical Sciences, University of Benin, Benin City, Nigeria.
[ 32 ] Adetoro AA, Taiwo OL, Martins OO,Ann MT,(2007) A community based investigation of the avoidable factors of maternal mortality in Nigeria: The pilot experience. Afr Health sc, 7: 176-81