Determinants Of Poor Utilization Of Orthodox Health Facilities In A Nigerian Rural Community

  • JEN Okonkwo Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital Nnewi, Nigeria
  • JN Ngene Chumaoke Hospital and Maternity Obuofia Awkunanaw Enugu, Nigeria
Keywords: Determinants, maternal health, rural community


Objective: To determine some factors limiting the utilization of orthodox health care facilities in Enugu State
Methods: Interview was conducted between September 2001 and November 2002 on 474 randomly selected pregnant women who received antenatal care in places other than the orthodox facilities in Nkanu. The interviewees were had experience with orthodox care
Results: Determinants of poor utilization of orthodox health facilities in Nkanu include some traditional and religious beliefs, extended family relationships, poor finances, long waiting hours and attitudes of the healthcare providers. About 96.5% of the respondents felt “omugwo” rite was not respected in the orthodox facilities. Religion influenced the choice of healthcare provider in 94.1% of respondents. Large volume of work was disliked by 93.2w% and being addressed by fist name was cherished by 89.8% of the respondents. Lack of guidance in moving round some was of the facilities was highlighted by 58.9%, while financial difficulty was experienced by 50.6% of respondents
Conclusion: Development of community – defined model, l in which health as well as acceptable traditional cultural practices, which have long been the key to individual and community health should be pursued. This may involve both the community and the care providers
Key Words: Determinants, maternal health, rural community.
Nigerian Journal of Clinical Practice Vol.7(2) 2004: 74-78

Journal Identifiers

eISSN: 1119-3077