IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v265y2020ics0277953620307395.html
   My bibliography  Save this article

Risk factors affecting maternal health outcomes in Rivers State of Nigeria: Towards the PRISMA model

Author

Listed:
  • Chinwah, Viviane
  • Nyame-Asiamah, Frank
  • Ekanem, Ignatius

Abstract

Existing research suggests that Nigeria accounts for about 23% of the world's maternal mortality ratio, with negative impacts on women's wellbeing and the country's socio-economic development. The underlying risk factors can be categorized into political influences, poor access to healthcare, inadequate utilization of health facilities, poor family planning support and complex pregnancy-related illness. Yet, the complex interrelations amongst the factors makes it difficult to ascertain the riskiest ones that affect women's reproduction and child death, with the existing intervening strategies failing to address the problem. This study identifies maternal health risk factors and prioritizes their management in Rivers State of Nigeria, using the Prevention and Recovery Information System for Monitoring and Analysis (PRISMA) model. Taking a quantitative turn, we applied exploratory factor analysis to analyze 174 returned questionnaires from healthcare professionals working in Rivers State and used the results to establish relationships between maternal health risk factors, prioritizing the riskiest factors. The outcomes indicate that the PRISMA model provides an effective framework for identifying and managing maternal mortality risks that can enable healthcare experts and managers to address the avoidable risk factors and mitigate the unavoidable patient-related risk factors in Nigeria. The implications for theory, practice and policy are discussed.

Suggested Citation

  • Chinwah, Viviane & Nyame-Asiamah, Frank & Ekanem, Ignatius, 2020. "Risk factors affecting maternal health outcomes in Rivers State of Nigeria: Towards the PRISMA model," Social Science & Medicine, Elsevier, vol. 265(C).
    • Handle: RePEc:eee:socmed:v:265:y:2020:i:c:s0277953620307395
    DOI: 10.1016/j.socscimed.2020.113520
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953620307395
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2020.113520?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Bosede Awoyemi & Jacob Novignon, 2014. "Demand for abortion and post abortion care in Ibadan, Nigeria," Health Economics Review, Springer, vol. 4(1), pages 1-9, December.
    2. Smith, Stephanie L. & Hunsmann, Moritz, 2019. "Agenda setting for maternal survival in Ghana and Tanzania against the backdrop of the MDGs," Social Science & Medicine, Elsevier, vol. 226(C), pages 135-142.
    3. Atkin, Karl & Berghs, Maria & Dyson, Simon, 2015. "‘Who's the guy in the room?’ Involving fathers in antenatal care screening for sickle cell disorders," Social Science & Medicine, Elsevier, vol. 128(C), pages 212-219.
    4. Burroway, Rebekah & Hargrove, Andrew, 2018. "Education is the antidote: Individual- and community-level effects of maternal education on child immunizations in Nigeria," Social Science & Medicine, Elsevier, vol. 213(C), pages 63-71.
    5. Aborigo, Raymond Akawire & Allotey, Pascale & Reidpath, Daniel D., 2015. "The traditional healer in obstetric care: A persistent wasted opportunity in maternal health," Social Science & Medicine, Elsevier, vol. 133(C), pages 59-66.
    6. Msellati, Philippe, 2009. "Improving mothers' access to PMTCT programs in West Africa: A public health perspective," Social Science & Medicine, Elsevier, vol. 69(6), pages 807-812, September.
    7. Shiftman, J., 2007. "Generating political priority for maternal mortality reduction in 5 developing countries," American Journal of Public Health, American Public Health Association, vol. 97(5), pages 796-803.
    8. Bervell, Brandford & Al-Samarraie, Hosam, 2019. "A comparative review of mobile health and electronic health utilization in sub-Saharan African countries," Social Science & Medicine, Elsevier, vol. 232(C), pages 1-16.
    9. Kruk, Margaret Elizabeth & Porignon, Denis & Rockers, Peter C. & Van Lerberghe, Wim, 2010. "The contribution of primary care to health and health systems in low- and middle-income countries: A critical review of major primary care initiatives," Social Science & Medicine, Elsevier, vol. 70(6), pages 904-911, March.
    10. Frank Nyame-Asiamah, 2020. "Improving the ‘manager-clinician’ collaboration for effective healthcare ICT and telemedicine adoption processes – a cohered emergent perspective," Information Technology for Development, Taylor & Francis Journals, vol. 26(3), pages 525-550, July.
    11. Hollingshaus, Michael S. & Smith, Ken R., 2015. "Life and death in the family: Early parental death, parental remarriage, and offspring suicide risk in adulthood," Social Science & Medicine, Elsevier, vol. 131(C), pages 181-189.
    12. Okeke, Edward N. & Chari, A.V., 2018. "Health care at birth and infant mortality: Evidence from nighttime deliveries in Nigeria," Social Science & Medicine, Elsevier, vol. 196(C), pages 86-95.
    13. Adjiwanou, Vissého & Bougma, Moussa & LeGrand, Thomas, 2018. "The effect of partners' education on women's reproductive and maternal health in developing countries," Social Science & Medicine, Elsevier, vol. 197(C), pages 104-115.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hardon, Anita Petra & Oosterhoff, Pauline & Imelda, Johanna D. & Anh, Nguyen Thu & Hidayana, Irwan, 2009. "Preventing mother-to-child transmission of HIV in Vietnam and Indonesia: Diverging care dynamics," Social Science & Medicine, Elsevier, vol. 69(6), pages 838-845, September.
    2. Masiano, Steven P. & Green, Tiffany L. & Dahman, Bassam & Kimmel, April D., 2019. "The effects of community-based distribution of family planning services on contraceptive use: The case of a national scale-up in Malawi," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    3. Lê, Gillian & Morgan, Rosemary & Bestall, Janine & Featherstone, Imogen & Veale, Thomas & Ensor, Tim, 2016. "Can service integration work for universal health coverage? Evidence from around the globe," Health Policy, Elsevier, vol. 120(4), pages 406-419.
    4. Matthias Rosenbaum-Feldbrügge, 2019. "The Impact of Parental Death in Childhood on Sons’ and Daughters’ Status Attainment in Young Adulthood in the Netherlands, 1850–1952," Demography, Springer;Population Association of America (PAA), vol. 56(5), pages 1827-1854, October.
    5. Edgar Cambaza, 2023. "The Role of FinTech in Sustainable Healthcare Development in Sub-Saharan Africa: A Narrative Review," FinTech, MDPI, vol. 2(3), pages 1-17, July.
    6. Joshua Sumankuuro & Joseph K. Wulifan & William Angko & Judith Crockett & Emmanuel K. Derbile & John K. Ganle, 2020. "Predictors of maternal mortality in Ghana: evidence from the 2017 GMHS Verbal Autopsy data," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(6), pages 1512-1531, November.
    7. Braverman-Bronstein, Ariela & Ortigoza, Ana F. & Vidaña-Pérez, Dèsirée & Barrientos-Gutiérrez, Tonatiuh & Baldovino-Chiquillo, Laura & Bilal, Usama & Friche, Amélia Augusta de Lima & Diez-Canseco, Fra, 2023. "Gender inequality, women's empowerment, and adolescent birth rates in 363 Latin American cities," Social Science & Medicine, Elsevier, vol. 317(C).
    8. Cesur, Resul & Güneş, Pınar Mine & Tekin, Erdal & Ulker, Aydogan, 2017. "The value of socialized medicine: The impact of universal primary healthcare provision on mortality rates in Turkey," Journal of Public Economics, Elsevier, vol. 150(C), pages 75-93.
    9. Thoresen, Stian H. & Fielding, Angela, 2011. "Universal health care in Thailand: Concerns among the health care workforce," Health Policy, Elsevier, vol. 99(1), pages 17-22, January.
    10. Patricia I. Ritter & Ricardo A. Sanchez, 2023. "The effects of an epidemic on prenatal investments, childhood mortality and health of surviving children," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(1), pages 505-544, January.
    11. Groenewegen, Peter P. & Dourgnon, Paul & Greß, Stefan & Jurgutis, Arnoldas & Willems, Sara, 2013. "Strengthening weak primary care systems: Steps towards stronger primary care in selected Western and Eastern European countries," Health Policy, Elsevier, vol. 113(1), pages 170-179.
    12. Friedman, Willa & Keats, Anthony & Mutua, Martin Kavao, 2022. "Disruptions to healthcare quality and early child health outcomes: Evidence from health-worker strikes in Kenya," Journal of Health Economics, Elsevier, vol. 86(C).
    13. Aggarwal, Shilpa, 2021. "The long road to health: Healthcare utilization impacts of a road pavement policy in rural India," Journal of Development Economics, Elsevier, vol. 151(C).
    14. Sérgio Santos & Carla Amado & Mauro Santos, 2012. "Assessing the efficiency of mother-to-child HIV prevention in low- and middle-income countries using data envelopment analysis," Health Care Management Science, Springer, vol. 15(3), pages 206-222, September.
    15. Berg, Mark T. & Simons, Ronald L. & Barr, Ashley & Beach, Steven R.H. & Philibert, Robert A., 2017. "Childhood/Adolescent stressors and allostatic load in adulthood: Support for a calibration model," Social Science & Medicine, Elsevier, vol. 193(C), pages 130-139.
    16. Voloshinskaya, Anna A. (Волошинская, Анна А.) & Komarov, Vladimir M. (Комаров, Владимир М.) & Kotsyubinskiy, Vladimir A. (Коцюбинский, Владимир), 2017. "Contemporary Theories of Sustainable Development: Approaches, Methodology, Practical Recommendations [Современные Теории Устойчивого Развития: Подходы, Методология, Прикладные Рекомендации]," Working Papers 021702, Russian Presidential Academy of National Economy and Public Administration.
    17. Atinga, Roger A. & Agyepong, Irene Akua & Esena, Reuben K., 2018. "Ghana's community-based primary health care: Why women and children are ‘disadvantaged’ by its implementation," Social Science & Medicine, Elsevier, vol. 201(C), pages 27-34.
    18. Solveig Danielsen & Frank B. Matsiko, 2016. "Using a plant health system framework to assess plant clinic performance in Uganda," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 8(2), pages 345-359, April.
    19. Cesur, Resul & Gunes, Pinar Mine & Tekin, Erdal & Ulker, Aydogan, 2015. "The Value of Socialized Medicine: The Impact of Universal Primary Healthcare Provision on Birth and Mortality Rates in Turkey," IZA Discussion Papers 9329, Institute of Labor Economics (IZA).
    20. Grépin, Karen A. & Habyarimana, James & Jack, William, 2019. "Cash on delivery: Results of a randomized experiment to promote maternal health care in Kenya," Journal of Health Economics, Elsevier, vol. 65(C), pages 15-30.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:265:y:2020:i:c:s0277953620307395. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.