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Empowering members of a rural southern community in Nigeria to plan to take action to prevent maternal mortality: A participatory action research project

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  • Ekpoanwan E Esienumoh
  • Janette Allotey
  • Heather Waterman

Abstract

Aims and objectives To facilitate the empowerment of members of a rural community to plan to take action to prevent maternal mortality. Background Globally, about 300,000 maternal deaths occur yearly. Sub‐Saharan Africa and Southern Asia regions account for almost all the deaths. Within those regions, India and Nigeria account for over a third of the global maternal deaths. Problem of maternal mortality in Nigeria is multifaceted. About 80% of maternal deaths are avoidable, given strategies which include skilled attendants, emergency obstetric care and community mobilisation. In this article, a strategy of community empowerment to plan to take action to prevent maternal mortality is discussed. Design Participatory action research was used. Methods Twelve volunteers were recruited as coresearchers into the study through purposive and snowball sampling who, following an orientation workshop, undertook participatory qualitative data collection with an additional 29 community members. Participatory thematic analysis of the data was undertaken which formed the basis of the plan of action. Results Community members attributed maternal morbidities and deaths to superstitious causes, delayed referrals by traditional birth attendants, poor transportation and poor resourcing of health facilities. Following critical reflection, actions were planned to empower the people to prevent maternal deaths through community education and advocacy meetings with stakeholders to improve health and transportation infrastructures; training of existing traditional birth attendants in the interim and initiating their collaboration with skilled birth attendants. Conclusion The community is a resource which if mobilised through the process of participatory action research can be empowered to plan to take action in collaboration with skilled birth attendants to prevent maternal mortality. Relevance to clinical practice Interventions to prevent maternal deaths should include community empowerment to have better understanding of their circumstances as well as their collaboration with health professionals.

Suggested Citation

  • Ekpoanwan E Esienumoh & Janette Allotey & Heather Waterman, 2018. "Empowering members of a rural southern community in Nigeria to plan to take action to prevent maternal mortality: A participatory action research project," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1600-1611, April.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:e1600-e1611
    DOI: 10.1111/jocn.14244
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    1. Asbridge, Mark, 2004. "Public place restrictions on smoking in Canada: assessing the role of the state, media, science and public health advocacy," Social Science & Medicine, Elsevier, vol. 58(1), pages 13-24, January.
    2. World Health Organization & UNICEF & UNFPA & World Bank Group & United Nations, 2015. "Trends in Maternal Mortality," World Bank Publications - Books, The World Bank Group, number 23550, December.
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    1. Carlie D. Trott & Andrea E. Weinberg & Laura B. Sample McMeeking, 2018. "Prefiguring Sustainability through Participatory Action Research Experiences for Undergraduates: Reflections and Recommendations for Student Development," Sustainability, MDPI, vol. 10(9), pages 1-21, September.

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