Department of Sociology

Permanent URI for this community

https://ir.unilag.edu.ng/handle/123456789/3464

Browse

Browsing Department of Sociology by Author "Atinge, S."

Now showing 1 - 2 of 2
  • Item
    Open Access
    Does where mothers live matter? Regional variations in factors influencing place of child delivery in Nigeria
    (Cambridge University Press, 2020-12-12) Alabi, T.A.; Atinge, S.; Ejim, C.; Adejoh, S.O.
    Utilization of health care facilities for child delivery is associated with improved maternal and neonatal outcomes, but less than half of mothers use these for child delivery in Nigeria. This study investigated the factors associated with facility delivery in Nigeria, and their variation between the Northern and Southern parts of the country – two regions with distinct socio-cultural make-ups. The study included 33,924 mothers aged 15–49 who had given birth in the last 5 years preceding the 2018 Nigeria Demographic and Health Survey. Overall, higher age, being educated, being a Christian, being an urban resident, being exposed to mass media, making joint decisions with partner on health care, beginning antenatal visits in the first trimester and attending antenatal clinics frequently were found to be associated with improved use of a health care facility for child delivery. An average mother in Northern Nigeria had a 38% chance of having a facility-based delivery, whereas the likelihood in the South was 76%. When other factors were adjusted for, age and listening to the radio were significant predictors of facility-based delivery in the South but not in the North. In the North, Christians were more likely than Muslims to have a facility-based delivery, but the reverse was true in the South. Rural women in the South had a 16% greater chance of having a facility-based delivery than urban women in the North. The study results suggest that there is inequality in access to health care facilities in Nigeria, and the differences in the socio-cultural make-up of the two regions suggest that uniform intervention programmes may not yield similar results across the regions. The findings give credence to, and expand on, the Cosmopolitan-Success and Conservative-Failure Hypothesis.
  • Item
    Open Access
    Social and bio-medical predictors of exclusive breastfeeding among nursing mothers in Lagos and Taraba States, Nigeria
    (Elsevier, 2019-12-19) Alabi, T.A.; Adejoh, S.O.; Atinge, S.; Umahi, E.
    Purpose Although exclusive breastfeeding (EBF) is known to have positive consequences for mothers and infants, EBF rate in Nigeria is <25%. This study investigated if social factors were stronger predictors of EBF than bio-medical factors in the metropolitan areas of Lagos and Taraba States. Social factors included mother's education, infant sex, place of birth, and nature of mother's employment, while bio-medical factors included nature of birth (whether vaginal or caesarean section), problems with breast/nipple, breast milk insufficiency, and mother's age. Design and methods The study adopted a cross-sectional survey design and mixed method of data collection. From the two states, 500 mothers with babies between 7 and 12 months of age completed a structured questionnaire. Twenty respondents from each state were interviewed using an in-depth interview guide. Results Education (β = 1.743; p < 0.001), infant sex (β = −0.454; p < 0.05), and place of delivery (β = −1.552; p < 0.001) were significant social predictors. Breast milk insufficiency (β = −1.851; p < 0.001) and mother's age (β = 0.064; p < 0.001) were significant bio-medical predictors. When all the eight factors were considered, only two of the three social factors, namely, education and infants' sex, remained significant, while three bio-medical factors, namely, breast milk insufficiency, mother's age, and nature of delivery, were significant. Conclusions Social and bio-medical factors co-determine the practice of EBF and must not be considered dichotomous. Practical implications Interventions to encourage EBF among Nigerian mothers must focus on education regarding its benefits and correction of misconceptions that breast milk alone is insufficient as an infant's diet.