Skip to main content
Have a personal or library account? Click to login
Can Clean Delivery Kits Prevent Infections? Lessons from Traditional Birth Attendants in Nigeria Cover

Can Clean Delivery Kits Prevent Infections? Lessons from Traditional Birth Attendants in Nigeria

Annals of Global Health
Volume 89 (2023): Issue 1
By: Adediwura Oladunni Arowosegbe,  Iyabode Olabisi Dedeke,  Olufunke Bolatito Shittu,  David Ajiboye Ojo,  Joy Stephen Amusan,  Opeoluwa Iwaloye and  Uwemedimo Friday Ekpo  
Open Access
|Dec 2023
Figures & tables

Figures & Tables

Plate 1

Map of Study Area.

Plate 2

Components of Clean Delivery Kit.

Table 1

Sociodemographic Characteristics of the Traditional Birth Attendants in the Study.

FEATURESVARIABLESFREQUENCY (N)PERCENTAGES (%)
SexFemale4582.1
Male1217.9
Age20–300507.5
30–401522.4
40–502638.8
>502131.3
Service providedGeneral5176.1
Perinatal1623.9
Average number of Delivery1–55073.1
5–100913.4
11–150710.4
16–20011.5
>20034.5
Study GroupIntervention3247.8
Control3552.2
Table 2

Signs and Symptoms in Mothers and Neonates.

SIGNS/SYMPTOMSFREQUENCY (N)PERCENTAGES (%)
MaternalHyperthermia122.4
Lower Abdominal Pain237.0
Lower Abdominal Tenderness216.8
NeonatalPoor Feeding Ability081.7
Poor spontaneous Movement0352.9
Hyperthermia327.0
Hypothermia153.3
Table 3

Association Between Puerperal Fever, Socio-demographic Factors, Perinatal Risk Factors and Kit Use.

VARIABLEINFECTIONSTATISTICS
ABSENTPRESENT
Maternal Age
<2069(95.8)3(4.2)X2 = 5.146
21–40379(99.5)2(0.5)P = 0.076
>403(100)0(0)
Marital status
Married433(98.9)5(1.1)X2 = 0.000
Single18(100)0(0)P = 1.000
Socioeconomic class
Low432(98.9)5(1.1)X2 = 0.000
Middle19(100)0(0)P = 1.000
Parity
Primiparous138(97.2)4(2.8)X2 = 5.324
Multiparous282(99.6)1(0.4)P = 0.070
Grand-multiparous30(100)0(0)
PROM
No433(99.5)2(0.5)X2 = 23.713
Yes18(85.7)3(14.3)P < 0.001
Prolonged labor
No445(99.3)3(0.7)X2 = 23.400
Yes6(75)2(25)P = 0.0026
Preterm Birth
No249(99.2)2(0.8)X2 = 0.052
Yes202(98.5)3(1.5)P = 0.820
Kit Use
Yes250(98)0(0)X2 = 2.382
No201(100)5(2)P = 0.123
Table 4

Association Between Neonatal Infection, Socio-demographic Factors, Perinatal Risk Factors and Kit Use.

VARIABLEINFECTIONSTATISTICS
ABSENTPRESENT
Sex
Female199(88.4)26(11.6)X2 = 0.506
Male210(90.9)21(9.1)P = 0.477
Age (hours)
0–24130(91.5)12(8.5)X2 = 1.133
25–48211(88.3)28(11.7)P = 0.568
49–7268(90.7)7(9.3)
Maternal Socioeconomic class
Low391(89.5)46(10.5)X2 = 0.125
Middle18(94.7)1(5.3)P = 0.724
Maternal Parity
Primiparous131(92.3)11(7.7)X2 = 1.664
Multiparous251(88.7)32(11.3)P = 0.435
Grand-multiparous26(86.7)4(13.3)
PROM
No390(89.7)45(10.3)X2 = 0.000
Yes19(90.5)2(9.5)P = 1.000
Prolonged labor
No402(89.7)46(10.3)X2 = 0.000
Yes7(87.5)1(12.5)P = 1.000
Preterm Birth
No228(90.8)23(9.2)X2 = 0.539
Yes181(88.3)24(11.7)P = 0.463
Kit Use
Yes234(91.8)21(8.2)X2 = 2.686
No175(87.1)26(12.9)P = 0.101
Table 5

Effectiveness of Clean Delivery Kits in Reducing the Risk of Infection in Mothers and their Neonates.

VARIABLEINFECTIONRELATIVE RISKP-VALUE
ABSENTPRESENT
MothersKit Use0.08 (0.004–1.35)0.079
Yes250(98)0(0)
No201(100)5(2)
NeonatesKit Use0.64 (0.37–1.1)0.10
Yes234(91.8)21(8.2)
No175(87.1)26(12.9)
DOI: https://doi.org/10.5334/aogh.4015 | Journal eISSN: 2214-9996
Journal RSS Feed
Language: English
Submitted on: Nov 13, 2022
Accepted on: Nov 3, 2023
Published on: Dec 6, 2023
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
Keywords:
Traditional Birth Attendants,
Clean Delivery kits,
Puerperal Fever,
Neonatal Infection,
WASH,
Nigeria

© 2023 Adediwura Oladunni Arowosegbe, Iyabode Olabisi Dedeke, Olufunke Bolatito Shittu, David Ajiboye Ojo, Joy Stephen Amusan, Opeoluwa Iwaloye, Uwemedimo Friday Ekpo, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 89 (2023): Issue 1
Previous article
Next article