Knowledge of obstetric danger signs and its determinants among household heads of a rural community in North-Western Nigeria

Abstract

Background: Birth preparedness and complication readiness remains one of the important strategies for reducing maternal mortality. One of its important components is knowledge of obstetric danger signs (KODS). The KODS is as important to men as it is to women, especially in African countries where majority of the household heads are men and are the major decision makers. Objective: The objective of the study was to determine the KODS among the household heads of Nasarawan Buhari, Nigeria. Materials and Methods: A cross-sectional community-based descriptive study was conducted among 104 household heads (or their representatives) of Nasarawan Buhari, Giwa Local Government Area Kaduna State, Nigeria, from April 15 to May 10, 2019. Data were collected using pretested semi-structured interviewer-administered questionnaires. Data were analyzed using IBM SPSS version 25 (2017). Results: Majority of the respondents were aged between 40 and 49 years, with a mean age of 40 ± 12.6 years. The overall KODS was poor (70.2%). After controlling for confounders, the only determinant of good KODS was the age of respondents. Household heads older than 30 years were more likely to have good KODS than those younger than 30 years (odds ratio 1.04, 1.001–1.07). Conclusion: The overall KODS among the respondents was poor, while the age of respondents was a determinant of having good KODS. The Authority of Giwa Local Government Area Council (LGC) of Kaduna State should design and implement a program aimed at educating the household heads in the LGC.

Keywords

• determinants
• household heads
• knowledge
• nigeria
• obstetric danger signs