PATTERNS AND DETERMINANTS OF MATERNAL HEALTH CARE PRACTICES AMONG HAUSA WOMEN IN SABO, IBADAN, NIGERIA

Introduction: Despite global advancement in reduction of mortality, maternal mortality remains disproportionately high in certain regions of the world, particularly in sub-Saharan African countries. Maternal health care practices have contributed to this high rate of maternal mortality in these regions. Maternal health care practices are influenced by a complex array of determinants, and the patterns vary across regions and cultures, and they significantly impact maternal mortality. Therefore, this study examines the patterns and determinants of maternal health care practices of Hausa women in Sabo, Ibadan, Nigeria. This study made use of the “behavioural model of health service use” proposed by Andersen and Newman. Methodology: This study made use of qualitative data collected through in-depth interviews and focused group discussions among 20 Hausa women who have reached reproductive age and reside in the Sabongari area of Ibadan. The data collected was contently analyzed. Results: The patterns reveal that there is still strong interest in home delivery, as most of them were delivered at home. It is also revealed that the women deliver in the hospital only when there is a complication during birth. Before delivery the women attend ANC and also prepare themselves through religious rites for home delivery. Religious belief, cultural belief and cost of health care services were found to significantly determine the maternal health care practice of women in Sabo. Conclusion: To enhance maternal health and reduce maternal mortality in Sabo, it is essential to address the determinants through a community-based intervention and strategies that respect the religious and cultural practices while promoting safer maternal health care practices. Addressing the maternal health of Sabo women will contribute to better maternal health outcomes and wellbeing for women.