Infant mortality (IM) incidence in health facility systems during or after infant delivery is
substantially high in Nigeria. In this quantitative, cross-sectional study, the effects of skill
birth attendants (SBAs), prenatal care, and providers of prenatal care on IM in health
facility delivery centers were examined. The Mosley and Chen theoretical framework
informed this study and was used to explain the relationship between SBAs, prenatal
care, and providers of prenatal care and IM. One hundred and sixty infant deaths were
examined among mothers who used an SBA versus those who did not, mothers who had
prenatal care versus those without, and mothers who received prenatal care from a health
facility versus traditional providers. The 2014 verbal and social autopsy secondary data
set was analyzed using binary logistic regression technique. There was no significant
difference in risk of IM between mothers who had SBA during infant delivery in health
facility compared to those without SBA during delivery. Mothers who received prenatal
care had a significant higher risk of infant death in a health facility compared to those that
did not receive prenatal care. Mothers who received prenatal care from traditional
providers did not have a statistically significant risk of IM compared to mothers who
received prenatal care from a health facility. The findings could have positive social
change implications by encouraging multilevel public health stakeholders to support and
promote the use of health surveillance in understanding the barriers and challenges of
health facility delivery practices, prenatal care, and use of SBA as it relates to IM to
facilitate policy change in maternal and infant care practices in Nigeria.
| Identifer | oai:union.ndltd.org:waldenu.edu/oai:scholarworks.waldenu.edu:dissertations-8715 |
| Date | 01 January 2019 |
| Creators | Ukwu, Susan Adaku |
| Publisher | ScholarWorks |
| Source Sets | Walden University |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | Walden Dissertations and Doctoral Studies |
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