Prevalence and Correlates of Reproductive Morbidity among Female Traders in Ibadan Nigeria

Background: Efforts to mobilise resources for reproductive health services require data on common reproductive morbidities which constitute a significant proportion of global ill-health among women of reproductive age. This study assessed the prevalence and correlates of reproductive morbidity among female traders of reproductive age in Ibadan, Nigeria.Methods: Using systematic random sampling, 410 female traders aged 15-49 years were selected and data collected with interviewer-administered structured questionnaires in a cross-sectional study at a major Ibadan market. Univariate, bivariate and multivariate analysis were done using SPSS version 23.0 and WINPEPI version 11.65 at 5% significance level.Results: The respondents’ mean age was 34.6±7.8 years and 223 (58.7%) had secondary education. Most 349 (91.8%) had experienced reproductive morbidity, of which 279 (79.9%) had gynaecologic morbidities with menstrual problems (273; 97.8%) being the commonest; 262 (75.1%) had obstetric morbidities among whom 221 (84.4%) had pregnancy complications while 185 (53.0%) experienced intimate partner violence (IPV). Women aged 30-39 years had lower odds of any reproductive (OR=0.27; 95% CI=0.08–0.89) and obstetric morbidities (OR=0.18; 95% CI=0.10–0.31) while those ≥40years had twice the odds of gynaecologic morbidity (OR=2.18; 95% CI=1.22–3.90) as those <30 years. The odds of IPV and of experiencing any reproductive morbidity reduced with increasing wealth status.Conclusion: Reproductive morbidity is common among traders in Ibadan. Obstetric and gynaecological morbidities were commoner among older women while higher wealth status was a protective factor. Reproductive health interventions should prioritise older and poorer women as at-risk groups for gynaecological interventions. Keywords: Reproductive morbidity; Female traders; Pregnancy complications; Menstrual problems; Intimate partner violence; Ibada

Maternal satisfaction with health facility- based delivery among mothers attending primary health care clinics in Ilorin Metropolis

Major challenges in the World today remain the health of women and children. Two hundred and eighty-seven thousand women die annually during and following pregnancy and child birth. The existence and accessibility of maternal health services do not guarantee their use by women; neither does the use of maternal health services guarantee optimal outcomes for women. The study assessed maternal satisfaction with health facility-based delivery among mothers attending primary health care clinics in Ilorin Metropolis, Kwara State, Nigeria.The study design was descriptive cross-sectional, data was collected using a pre-tested semi-structured interviewer administered questionnaire from about 400 respondents using multistage sampling technique. Data was analysed using Statistical Package for Social Sciences (SPSS) software version 20.0. Level of significance was pre-determined at p-value < 0.05 at a confidence level of 95%.  About 96.8% utilized at least one session of antenatal care during their last pregnancy, 77.6% utilized health facilities for delivery while 12% delivered at home. Only about 17% utilized postnatal services. Majority 92.3% of the mothers were satisfied with health facility-based delivery. Drug availability, doctor’s competence, nurses’ attitude, followed by complete information given on delivery and ward attendants’ attitudes were the areas where the clients were mostly satisfied.Those whose husbands were highly educated were likely to be more satisfied with health facility-based delivery. Majority of the respondents that delivered in health facilities were satisfied generally with care received at the health facility utilized for delivery. Despite the high level of satisfaction, there is still need to improve facility-based delivery services so that more women will be satisfied with it and as such utilize health facility for delivery.Keywords: Satisfaction, Health facility, Delivery, Primary Health Care, Maternal Mortalit