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Risk factors affecting maternal health outcomes in Rivers State of Nigeria: Towards the PRISMA model
journal contribution
posted on 2023-09-01, 15:07 authored by Viviane Chinwah, Frank Nyame-Asiamah, Ignatius EkanemExisting research suggests that Nigeria accounts for about 23% of the world's maternal mortality ratio, with negative impacts on women's wellbeing and the country's socio-economic development. The underlying risk factors can be categorized into political influences, poor access to healthcare, inadequate utilization of health facilities, poor family planning support and complex pregnancy-related illness. Yet, the complex interrelations amongst the factors makes it difficult to ascertain the riskiest ones that affect women's reproduction and child death, with the existing intervening strategies failing to address the problem. This study identifies maternal health risk factors and prioritizes their management in Rivers State of Nigeria, using the Prevention and Recovery Information System for Monitoring and Analysis (PRISMA) model. Taking a quantitative turn, we applied exploratory factor analysis to analyze 174 returned questionnaires from healthcare professionals working in Rivers State and used the results to establish relationships between maternal health risk factors, prioritizing the riskiest factors. The outcomes indicate that the PRISMA model provides an effective framework for identifying and managing maternal mortality risks that can enable healthcare experts and managers to address the avoidable risk factors and mitigate the unavoidable patient-related risk factors in Nigeria. The implications for theory, practice and policy are discussed.
History
Refereed
- Yes
Volume
265Publication title
Social Science & MedicineISSN
1873-5347External DOI
Publisher
Elsevier BVFile version
- Accepted version
Language
- eng
Legacy posted date
2022-12-07Legacy creation date
2022-12-07Legacy Faculty/School/Department
Faculty of Business & LawUsage metrics
Categories
No categories selectedKeywords
Science & TechnologySocial SciencesLife Sciences & BiomedicinePublic, Environmental & Occupational HealthSocial Sciences, BiomedicalBiomedical Social SciencesPRISMA modelMaternal healthMaternal mortalityPatient safetyNigeriaFactor analysisPATIENT SAFETYREFERRAL HOSPITALSCAREMORTALITYWOMENKNOWLEDGEDEATHEXPERIENCESFACILITIESMULTISITE