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A secondary cross-sectional analysis of factors associated with maternal mortality and its prevalence between 2012 and 2015 in Ogbomoso, Oyo State, Nigeria

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It is estimated that the maternal mortality ratio (MMR) is 630 of every 100,000 live births in Nigeria (WHO, 2012). The indices in Ogbomoso North LGA of Oyo State in Nigeria is of concern in order to ensure Nigeria’s effort in achieving an improved
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  UNIVERSITY OF LIVERPOOL A secondary cross-sectional analysis of factors associated with maternal mortality and its prevalence between 2012 and 2015 in Ogbomoso, Oyo State, Nigeria by ADEWUMI, BANKOLE ADEYEMI (Student ID: H00032093) Email address:  bankole.adewumi@online.liverpool.ac.uk    being Dissertation submitted in partial fulfilment of the requirements for the award of the Degree of Master of Public Health of the University of Liverpool (Advisor – Sonila Tomini) October, 2018.  ii DEDICATION To God Almighty who has made this possible  iii DECLARATION  No portion of this work has been submitted in support of an application for degree or qualification of this or any other University or institute of learning. Bankole Adeyemi ADEWUMI  iv ABSTRACT Background It is estimated that the maternal mortality ratio (MMR) is 630 of every 100,000 live births in  Nigeria (WHO, 2012). The indices in Ogbomoso North LGA of Oyo State in Nigeria is of concern in order to ensure Nigeria’s effort in achieving an improved Maternal Mortality Rate figure in keeping of the SDG-3. The Aim The study aims to determine the prevalence of maternal mortality in Ogbomoso North LGA  between 2012 and 2015 and see if there is any association between maternal mortality and the socio-demographic characteristics of the pregnant women inclusive of their number of hospital visits in order to inform health policy makers on suitable maternal health intervention  programmes that may be associated with improved pregnancy outcomes. Methodology A positivist approach was adopted making use of a secondary cross-sectional survey of quantitative data of pregnant women who had ANC and delivery at five (5) selected PHCs in Ogbomoso North LGA during the period of 2012 to 2015. The data was analysed both descriptively and analytically using the chi square test and multilevel logistic regression to test for associations between Maternal Mortality and sociodemographic variables inclusive of number of ANC visits. Results The prevalence rate of maternal mortality in Ogbomoso North is 18.9% of 892 selected  pregnant women records between 2012 and 2015. Age above 40yrs (p-0.015, OR-0.1) , Divorced Marital Status (p-0.00, OR-1.7),  Parity above 4 (p-0.005, OR-0.6) , Religion (p-0.02)  and ANC visits fewer than 4 time (p-0.02)  were discovered to be significantly associated with Maternal Mortality.  v Conclusion Maternal Health Awareness Educational campaigns with focus on the sociodemographic and/or predictors of maternal mortality should be encouraged to enable a reduced the  prevalence of maternal mortality. Abstract Word Count : 278 Keywords: Maternal Mortality, Sociodemographic factors, Maternal Death Dissertation Word Count : 9,967 (excluding Title Page, Dedication, Declaration, Acknowledgement, Abstract, References, Appendices, Tables, and stand-alone text-boxes)
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