Investigation into the Determinants of Adequate and Appropriate Quality Antenatal Care Among Nursing Mothers at Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria

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September 17, 2024

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Background: Despite major advancements in healthcare, approximately 830 women die daily due to pregnancy-related complications, with the majority of these deaths occurring in developing countries. Antenatal care (ANC) is critical in preventing such complications by providing comprehensive health services to pregnant women. Adequate and appropriate ANC is vital for reducing maternal mortality and ensuring maternal and fetal health.

Objective: This study aimed to assess the determinants of adequate and appropriate quality antenatal care among nursing mothers attending Olabisi Onabanjo University Teaching Hospital in Sagamu, Ogun State, Nigeria. The focus was on understanding factors influencing knowledge, perception, and utilization of ANC services.

Method: A cross-sectional descriptive study was conducted at Olabisi Onabanjo University Teaching Hospital, formerly Ogun State University Teaching Hospital. The study included women of reproductive age attending the antenatal clinic. A systematic random sampling technique was used to select participants, who were given questionnaires to assess their knowledge, perception, and determinants of ANC. Data were analyzed using descriptive and inferential statistics with SPSS version 23.

Findings: The majority of respondents (87.4%) demonstrated good knowledge of ANC, although there was a gap in awareness regarding the frequency of visits. A positive perception of ANC was found in 81.8% of respondents. Key determinants influencing ANC utilization included family income, socio-cultural expectations, the influence of significant others, and the availability of quality healthcare workers. Most respondents recognized the benefits of ANC and were motivated by their health status and the desire to improve their child’s health.

Conclusion: The study concluded that while the majority of respondents had good knowledge and a positive perception of ANC, there were areas needing improvement, such as education about visit frequency and addressing variations in care perceptions. The availability of quality healthcare services and socio-cultural influences were significant factors in ANC utilization.

Recommendation: Enhance antenatal care services by increasing educational efforts, improving healthcare delivery, and addressing socio-economic barriers to ensure better maternal health outcomes