Concurrent Use of Multiple Antenatal Care Providers by Women Utilising Free Antenatal Care at Ebonyi State University Teaching Hospital, Abakaliki

Sunday Adeoye, L U Ogbonnaya, OUJ Umeorah, O Asiegbu


Observation has revealed that women who book at Ebonyi State University Teaching Hospital, Abakaliki, concurrently use multiple antenatal care givers (formal and non-formal). This study was therefore conducted to identify the other sources of antenatal care for the women and to examine them in relation to their socio-demographic characteristics. A total of 200 antenatal women chosen from two randomly selected booking clinics were interviewed using a structured questionnaire. The results show that 25% and 30.5% respectively from the two clinics were concurrently using formal and unorthodox ANC givers. Age and education were significantly related to the practice (p < 0.0002 and p < 0.02 respectively). These findings suggest that free services alone may not be enough to make women attend ANC in the hospital. A larger study, especially investigating patient's perspective of the quality of care, is recommended. (Afr J Reprod Health 2005; 9[2]: 101-106)


Keywords: Antenatal, Care, Women, Clinic

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Kean L. Routine antenatal management. In: Current Obstetrics and Gynaecology. Harcourt Publishers Ltd., 2001; 11, 63-69.

Matthews M. Pattern of routine antenatal care for low risk pregnancy. WHO Reproductive Health Library No. 6, Geneva, WHO, 2003. (WHO/RHR/03.5).

Nylander PP and Adekunle AO. Antenatal care in developing countries. BaillClinObstetGynaecol 1990; 4 (1): 169-186.

Brieger WR and Luchok KJ. Use of maternity services by pregnant women in a small Nigerian community. Health Care Women Int 1994; 15(2): 101-110.

Adamu YM and Salihu HM. Barriers to the use of antenatal and obstetric services in Rural Kano, Nigeria. J ObstetGynaecol 2002; 22(6): 600-603.

Gharoro EP and Okonkwo CA. Changes in service organization; antenatal care policy to improve attendance and reduce maternal mortality. Int J GynaecolObstet 1999; (3): 179-181.

Chukudebelu WO and Ozumba BC. Maternal mortality at the University Teaching Hospital Enugu. A 10 year survey. Trop J ObstetGynaecol 1988; 1(1): 23-26.

Ekele BA, Audu LR and Muyibi S. Uterine rupture in Sokoto, northern Nigeria-are we winning? Afr J Med Sci 2000; 29(3 4): 191-193.

Etuk SJ, Itam IH and Asuquo EE. Role of spiritual churches in antenatal clinic default in Calabar. Nig East Afr Med J 1999; 76(11): 639-643.

Walker JB. High risk behaviour related to maternal and child health. West Afr J Med 2001; 20(4): 203-209.

Harrison KA. Maternal mortality. Trans R.Soc Trop Med Hyg 1989; 83(4): 449-453.


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