Child Care Practices and Associated Factors among Women of Childbearing Age Attending Health Facilities in Dekina, North-Central, Nigeria
Science Journal of Public Health
Volume 4, Issue 5, September 2016, Pages: 366-374
Received: Jul. 18, 2016;
Accepted: Jul. 26, 2016;
Published: Aug. 15, 2016
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Olaoluwa Samson Agbaje, Department of Public Health, Faculty of Health Sciences, Madonna University, Elele, Nigeria
Benedicta Ndidi Agu, Department of Public Health, Faculty of Health Sciences, Madonna University, Elele, Nigeria
Prince Christian Ifeanachor Umoke, Department of Human Kinetics and Health Education, University of Nigeria, Nsukka, Nigeria
Felicia Saturday Ekpu, Department of Public Health, Faculty of Health Sciences, Madonna University, Elele, Nigeria;Department of Physical and Health Education, University of Uyo, Uyo, Nigeria
Nkiruka Hope Orungbe, Department of Public Health, Faculty of Health Sciences, Madonna University, Elele, Nigeria
Child care practices have contributed immensely to decreased child mortality especially in developing nations. Investigation of child care practices and associated factors among women is necessary to provide insight into extent of adoption of maternal, newborn and child health strategies and suggest enhancement strategies where possible. This examines child care practices and associated factors among women in Dekina LGA, Kogi State. Cross-sectional survey research design was adopted for the study. The population of the study comprised 971 women of childbearing age accessing health services at health facilities in Dekina LGA, Kogi State, North-Central Nigeria. A sample of 384 women of child bearing age was selected through multi-stage sampling procedure. Well-completed 299 copies of the researcher-designed Women’s Child Care Practices and Associated Factors Questionnaire (WCCPAFQ), which comprised sections A, B and C was used for data collection. The reliability co-efficient of the instrument was determined using Split-half method and Spearman-Brown Correction Formula. The reliability co-efficient of the instrument was 0.65. Frequency and percentage, Spearman’s p (rho) rank Correlation Coefficients and logistic regressions were employed for data analyses. A logistic regression was run to investigate the relationship between the dependent and independent variables. Results showed that women moderately practised (57.5%), 51.9% of women perceived that the outlined factors affected child care practices while there was low relationship between outlined factors and child care practices among women (maternal age r = 0.11, p < 0.05; maternal education r = 0.10, p < 0.05). Independent variables of age [OR = 1.65, 95% (C. I: 0.56 - 4.88)] and maternal education [OR = 2.45, 95% (C. I: 1.01 - 5.94)] had significant influence on child health care practices. It was recommended that government; private organizations, Non-governmental Organizations (NGOs) and other stakeholders in the health sector should implement holistic programmes that will enhance women’s capacity to effectively and efficiently adopt integrated maternal, newborn child health survival strategies for quality child care practices. The general public should also be enlightened via health education programmes on the associated health risks of poor child care practices prevalent in many rural communities.
Olaoluwa Samson Agbaje,
Benedicta Ndidi Agu,
Prince Christian Ifeanachor Umoke,
Felicia Saturday Ekpu,
Nkiruka Hope Orungbe,
Child Care Practices and Associated Factors among Women of Childbearing Age Attending Health Facilities in Dekina, North-Central, Nigeria, Science Journal of Public Health.
Vol. 4, No. 5,
2016, pp. 366-374.
World Health Organization (2013). America’s children and the environment: Measures of contaminants, body burdens, and illnesses (Report No 240-R-03-001). Washington DC. https://www.epa.gov/sites/production/files/2015-06/documents/ace3_2013.pdf Accessed August 14, 2015.
World Bank (2012). Better health for our children: A national strategy (Volume III). Washington DC: Author: Select Panel for the Promotion of Child Health a Statistical Profile.
Federal Ministry of Health (2010). National Strategic Health Development Plan (NSHDP) 2010–2015. Abuja, Nigeria: FMOH. Retrieved from: http: //www.health.gov.ng/doc/NSHDP.pdf. July, 2016.
Federal Ministry of Health, Nigeria (2012). Saving Newborn Lives in Nigeria: Newborn Health in the Context of the Integrated Maternal, Newborn and Child Health Strategy. Abuja, Nigeria: FMOH. Retrieved from http://countdown2015mnch.org/documents/countdown-news/nigeria-full-report.pdf July 15, 2016
Tukur, J., Ahonsi, B., Ishaku, S. M., Araoyinbo, I., Okereke, E., & Babatunde, A. O. (2013). Maternal and fetal outcomes after introduction of magnesium sulphate for treatment of preeclampsia and eclampsia in selected secondary facilities: A low-cost intervention. Maternal Child Health Journal, 17 (7), 1191–1198.
Ushie, B. A., Fayehun, O. A., & Ugal, D. B. (2014). Trends and patterns of under-5 vaccination in Nigeria, what manner of progress? Child Care Health Development, 40 (2), 267–274.
Findley, S. E., Doctor, H. V., Ashir, G. M., Kana, M. A., Mani, A. S., Green, C., et al. (2015). Reinvigorating health systems and community-based services to improve maternal health outcomes: Case study from Northern Nigeria. Journal of Primary Care Community Health, 6 (2), 88–99.
United Nations Population Fund-UNPFA (2012, July). Key national indicators of well-being. Washington, DC: U.S. Government Printing Office: Health Resources and Services Administration Information Center.
Balls, W. G. (2013). Origins and consequences of age at first drink. II: Familial risks and heritability. Alcoholism Clinical and Experimental Research, 25 (8), 1166–1173.
Abel, E. L. (2010). Incidence of fetal alcohol syndrome and economic impact of FAS related anomalies. Drug and Alcohol Dependence, 19 (1), 51–70.
National Research Council and Institute of Medicine (2004). Children's health, the nation's wealth: Assessing and improving child health. Washington, DC: NPA.
Sanders, M. (2009). Infant feeding practices of low-income, African-American adolescent mothers: An ecological, multigenerational perspective. Social Science and Medicine, 49, 1085-1100.
United Nations Children’s Fund (2011). The effects of poverty on children and youth. Future of children. 55–71.
Huston, A. C., Chang, Y. E., & Gennetian, L. (2002). Family and individual predictors of child care use by low-income families in different policy contexts. Early Childhood Research Quarterly, 17, 441-469.
Anderson, S. G., Ramsburg, D. M., & Scott, J. (2005). Illinois study of license-exempt child care: Final report. Washington, D. C.: U. S. Department of Health and Human Services. Administration on Children, Youth, and Families, Child Care Bureau. Retrieved from www.researchconnections.org/location/ccrca7350
Center for Community Child Health (2004). The underlying factors affecting child health, development and family functioning. Australia, Melbourne: Center for Community Child Health, Royal Children’s Hospital, Melbourne. pp. 1-21.
Hornby, A. S. (2001). Oxford advanced learners’ dictionary of English (6th ed.). New York: Oxford University Press.
UNICEF (2005). State of the world’s children 2005- childhood under threat. New York: UNICEF.
Ortiz, I., Daniels, L. M., & Engilbertsdóttir, S. (Eds.) (2012). Child poverty and inequality new perspectives. New York: United Nations Children’s Fund, Division of Policy and Practice.
Newman, J., & Pittman, T. (2000). The ultimate breastfeeding book of answers. New York, NY: Three Rivers Press.
Scott, J. A., & Mostyn, T. (2003). Women’s experiences of breastfeeding in a bottle-feeding culture. Journal of Human Lactation, 19 (3), 270-277.
Irwin, L. G., Siddiqi, A., & Hertzman, A. (2007). Early child development: A powerful equalizer. Final report of the Early Child Development Knowledge Network. Geneva: World Health Organization. Retrieved from http://www.who.int/social_determinants/publications/earlychilddevelopment/en/index.html
Borg, W. R. (1963). Educational research: An introduction. London: Longman.
Akinware, M. A., & Ojomo, A. A. (1993). Childrearing practices and their associated beliefs in Nigeria: A paper based on the baseline studies conducted in five Local Government Areas in Nigeria. UNICEF (1987-1990). Paper presented at the Workshop on Childrearing Practices and Beliefs, Windhoek, Namibia, October 26-29.
Pungello, E. P., & Kurtz-Costes, B. (2000). Working women’s selection of care for their infants: A prospective study. Family Relations, 49 (3), 245-255.
De Marco, A. C. (2006). Child care options and choices for families on welfare in rural northern California counties. Unpublished dissertation, UCLA, Berkeley.
Kulkarni, M., & Nimbalkar, M. (2008). Influence of socio-demographic factors on the use of antenatal care. Indian Journal of Preventive Social Medicine, 39 (3 & 4), 98–102.
Regassa, N. (2011). Antenatal and postnatal care service utilization in southern Ethiopia: A population-based study. African Health Science, 11 (3), 390–397.
Bick, D. E., MacArthur, C., & Lancashire, R. J. (1998). What influences the uptake and early cessation of breastfeeding? Midwifery, 14 (4), 242-247.
Sika-Bright, S. (2010). Socio-cultural factors influencing infant feeding practices of mothers attending welfare clinic in Cape Coast, Ghana. Small Grants Programme in the Humanities and Social Sciences by the French Embassy, Accra, Ghana.
Bronfenbrenner, U. (1994). Ecological model of human development. In International Encyclopedia of Education, Vol. 3, 2nd. Ed. In M. Gauvain, & M. Cole, (Eds), Readings on the development of children, 2nd Ed. (1993, pp. 37-43). Oxford: Elsevier.