Choice of place of Delivery amongst Women in a Rural Community in northeastern Nigeria
Bibliographic record
Abstract
Background: Maternal mortality remains as high as 567 deaths per thousand live births in Nigeria and 1, 549 deaths per 100,000 live birthsin the Northern regions of the country. Despite overwhelming evidence that maternal deaths can be averted with presence of a skilled attendant during delivery, most women in the rural communities in Northern Nigeria prefer to deliver at home. This study aimed at understanding women's perception of place of delivery options and factors that influence and guide the choice of place of delivery amongst pregnant women. Methods: A qualitative study, from a social constructionist viewpoint, was conducted in a rural community in Northeast Nigeria. Through purposeful sampling, women who recently delivered and those who were over 35 weeks of gestation participated in 12 in-depth interviews and 7 FGDs. Results: Three themes emerged from this study: perception of facility healthcare services, especially delivery service, as less than adequate; health seeking behaviour was influenced by incidence of complications in pregnancy, husband and home environment; while social support and the opinion of the community influence women decision on place of delivery. Husband and in-laws took prime position in making key decisions; the role of the Traditional Birth Attendant (TBA) was not an important factor for making decision on place of delivery. Conclusion: A combination of factors influenced women's decisions on where to deliver. Future intervention should be context specific; individual and cultural context in relation to maternal health of women should be taken into account before formulating interventions, while community education can change perceptions of the risk associated with deliveries and the need for skilled attendant at delivery.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.096 | 0.036 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.002 |
| Science and technology studies | 0.000 | 0.010 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".