Hostname: page-component-848d4c4894-hfldf Total loading time: 0 Render date: 2024-05-31T20:06:05.862Z Has data issue: false hasContentIssue false

Family planning communication through mass media and health workers for promoting maternal health care utilization in Nigeria

Published online by Cambridge University Press:  18 December 2020

Sanni Yaya*
Affiliation:
School of International Development and Global Studies, University of Ottawa, Ottawa, Canada The George Institute for Global Health, Imperial College London, UK
Ghose Bishwajit
Affiliation:
School of International Development and Global Studies, University of Ottawa, Ottawa, Canada
*
*Corresponding author. Email: sanni.yaya@uOttawa.ca

Abstract

Studies have demonstrated that health communication programmes, through community health workers or mass media, are a key strategy to promote awareness and uptake of essential maternal health services. This study investigated whether or not family planning communication through mass media and health workers has any association with maternal health care utilization uptake in Nigeria. Cross-sectional data were extracted from the 2003–13 Nigeria Demographic and Health Surveys. The study sample comprised 41,938 women aged 15–49 years who had a live birth during the 5 years preceding the survey. Outcome variables were adequacy of antenatal care visits and place of delivery. Receiving family planning messages from the radio, TV, newspapers, a family planning worker or during a health facility visit were considered as possible sources of exposure to family planning information. Radio (32.6%) was the most commonly reported source of family planning information, followed by TV (17.5%) and newspapers (6.1%). Less than one-tenth of respondents were visited by family planning workers (9.5%) and about one-third visited a health facility during the previous 12 months (30.3%). Those who reported receiving family planning information from the three types of mass media and who had contact with a family planning worker and/or health facility were more likely to have at least eight antenatal care contacts (odds ratio for TV use=1.172, 95% CI=1.058–1.297) and deliver at a health facility (odds ratio for TV use=1.544, 95% CI=1.350–1.766). These findings indicate that family planning communication through mass media and health workers could potentially improve the utilization of antenatal and health facility delivery services in Nigeria.

Type
Research Article
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

#

The authors contributed equally to this paper.

References

Ankomah, A, Adebayo, SB, Arogundade, ED, Anyanti, J, Nwokolo, E, Inyang, U et al. (2014) The effect of mass media campaign on the use of insecticide-treated bed nets among pregnant women in Nigeria. Malaria Research and Treatment, https://doi.org/10.1155/2014/694863 CrossRefGoogle ScholarPubMed
Asp, G, Pettersson, KO, Sandberg, J, Kabakyenga, J and Agardh, A (2014) Associations between mass media exposure and birth preparedness among women in southwestern Uganda: a community-based survey. Global Health Action 7, https://doi.org/10.3402/gha.v7.22904 CrossRefGoogle Scholar
Atekyereza, PR and Mubiru, K (2014) Influence of pregnancy perceptions on patterns of seeking antenatal care among women in reproductive age of Masaka District, Uganda. Tanzania Journal of Health Research 16(4), 312321.CrossRefGoogle ScholarPubMed
Bou-Karroum, L, El-Jardali, F, Hemadi, N, Faraj, Y, Ojha, U, Shahrour, M et al. (2017) Using media to impact health policy-making: an integrative systematic review. Implementation Science 12(1), 52.CrossRefGoogle Scholar
Hornik, R and McAnany, E (2001) Theories and evidence: mass media effects and fertility change. Communication Theory 11(4), 454471.CrossRefGoogle Scholar
Institute of Medicine et al. (2002) Media. In The Future of the Public’s Health in the 21st Century. National Academies Press (US), Washington, DC https://www.ncbi.nlm.nih.gov/books/NBK221224/ Google Scholar
Lan, CW and Tavrow, P (2017) Composite measures of women’s empowerment and their association with maternal mortality in low-income countries. BMC Pregnancy and Childbirth 17, Supplement 2.CrossRefGoogle Scholar
Morris, JL, Short, S, Robson, L and Andriatsihosena, MS (2014) Maternal health practices, beliefs and traditions in southeast Madagascar. African Journal of Reproductive Health 18(3), 101117.Google ScholarPubMed
NPC/Nigeria (2014) Nigeria Demographic and Health Survey 2013. URL: http://dhsprogram.com/publications/publication-fr293-dhs-final-reports.cfm (accessed 15th June 2019).Google Scholar
Sarker, BK, Ahmed, S, Islam, N and Khan, JA (2013) Cost of behavior change communication channels of Manoshi – a maternal, neonatal and child health (MNCH) program in urban slums of Dhaka, Bangladesh. Cost Effectiveness and Resource Allocation 11, 28.CrossRefGoogle ScholarPubMed
Schiavo, R (2016) The importance of community-based communication for health and social change. Journal of Communication in Healthcare 9(1), 13.CrossRefGoogle Scholar
Shahabuddin, A, Nöstlinger, C, Delvaux, T, Sarker, M, Delamou, A, Bardají, A et al. (2017) Exploring maternal health care-seeking behavior of married adolescent girls in Bangladesh: a social-ecological approach. PLoS One 12(1), https://doi.org/10.1371/journal.pone.0169109.CrossRefGoogle ScholarPubMed
Wakefield, MA, Loken, B and Hornik, RC (2010) Use of mass media campaigns to change health behaviour. The Lancet 376(9748), 12611271.CrossRefGoogle ScholarPubMed
Yaya, S, Bishwajit, G and Ekholuenetale, M (2017a) Factors associated with the utilization of institutional delivery services in Bangladesh. PloS One 12(2), e0171573.CrossRefGoogle ScholarPubMed
Yaya, S, Bishwajit, G, Ekholuenetale, M, Shah, V, Kadio, B and Udenigwe, O (2017b) Timing and adequate attendance of antenatal care visits among women in Ethiopia. PloS One 12(9), e0184934.CrossRefGoogle ScholarPubMed
Zamawe, COF, Banda, M and Dube, AN (2016) The impact of a community driven mass media campaign on the utilisation of maternal health care services in rural Malawi. BMC Pregnancy and Childbirth 16(21).CrossRefGoogle ScholarPubMed
Zureick-Brown, S, Newby, H, Chou, D, Mizoguchi, N, Say, L, Suzuki, E and Wilmoth, J (2013) Understanding global trends in maternal mortality. International Perspectives on Sexual and Reproductive Health 39(1), https://doi.org/10.1363/3903213.CrossRefGoogle ScholarPubMed