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KNOWLEDGE ABOUT MATERNAL AND CHILD HEALTH SERVICES AND BARRIERS TO THEIR UTILIZATION AMONG WOMEN OF CHILD BEARING AGE IN NKUME COMMUNITY, ENUGU STATE

CHAPTER ONE

 INTRODUCTION 

Background to the Study

 High maternal and infant morbidity and mortality rate is a huge public health problem in developing countries of the World, Nigeria inclusive. According to the World Health Organisation (2014), approximately 800 women die from preventable causes related to pregnancy and childbirth everyday globally and 99% of all the maternal deaths occur in developing countries. More than half of these deaths occur in sub Saharan Africa (62%) and almost 1/3 occur in south Asia (24%). The National Demographic Health Survey (2013) recorded that Nigeria accounts for about 13% of the global maternal death rates with an estimated 36,000 women dying in pregnancy or child birth each year. It is also reported that for every woman that dies from pregnancy related causes, 20 to 30 more will develop short and long term damage to their reproductive organs resulting in disabilities such as fistula, pelvic inflammatory disease, ruptured uterus (World Health Organisation, 2007). According to the World Health Organisation(WHO),(2013), 6.3 million children under age five die annually, globally and nearly 17,000 die every day. The risk of a child dying before completing five years of age is still highest in the African region (55 per 1000 live births), 4.5 million of these deaths occur within the first year of life (WHO, 2015). Nigeria has about 260,000 neonatal deaths annually, 13% of which can be prevented with life saving interventions such as provision of required maternal health medicines and supplies (WHO, 2015). Maternal Health Care is the care given to mothers to ensure healthy mothers which covers antenatal care, intrapartum care, postnatal care in the antenatal clinic, labour ward, postnatal ward and infant welfare clinic (Fraser & Cooper, 2009). Sanders, (2012) opined that Maternal health care services embrace services for mothers throughout the child bearing age (18-49 years), while child health care covers the services from conception through adolescence and these services include promotive services, preventive services, curative services and rehabilitative services. Reducing child mortality and improving maternal health occupy a prominent space in the millennium Development goals (MDG), 4 and 5 (Chopra & Baron, 2009). Programmes of action of the international conference on population and development along with the millennium development goal (MDGs) and safe motherhood initiative call for concerted action to reduce maternal and infant mortality, promote maternal and child health and empower women with knowledge so that they are more useful to themselves, their families and communities (World Health Organi[sation, United Nation Population fund, United Nations Children Fund (UNICEF), 2005). In order to move towards achieving these MDG goals, adequate knowledge of maternal and child health is a pre-requisite. Higher education is strongly correlated with improved maternal health knowledge (Yarzever & Said, 2013). Currently 57 million children of primary school age are estimated to be out of school, of these, 33million are in sub-Saharan Africa and more than half (55%) are girls (MDG report 2015). Despite the existence of these national programs for improving maternal and child health, maternal mortality and morbidity continue to be high. Studies have suggested that the majority of these deaths can be prevented or reduced if women had access to or visited maternal health services during pregnancy, childbirth and the first month after delivery (WHO, 2004; FMH, 2005).

Project detailsContents
 
Number of Pages82 pages
Chapter one Introduction
Chapter two Literature review
Chapter three  methodology
Chapter  four  Data analysis
Chapter  five Summary,discussion & recommendations
ReferenceReference
QuestionnaireQuestionnaire
AppendixAppendix
Chapter summary1 to 5 chapters
Available documentPDF and MS-word format


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