Studying women within the socio-cultural context in which they live to identify factors
influencing the level of maternal mortality and morbidity, constitute an important
component of the effort to help minimize death or disability from complications of
pregnancy and child birth. Maternal mortality in the Ayawaso Sub-Metro district
increased from 4 in 2006 to 14 in 2007, pregnancy related complications rose from 817 in
2006 to 1521 in 2007(Annual Report of Ayawaso Sub-Metro, 2007). The study objective
was to identify socio-cultural factors associated with maternal mortality and morbidity.
This cross sectional survey sampled 368 women aged 15-49 years. Structured
questionnaire, In-depth interview (IDI) and Focus group discussion (FGD) were used as
data collection techniques.
Some of the key findings were knowledge about causes of maternal mortality and these
were (Haemorrhage (30%), retained placenta (25%), abortion complications (25%) and
prolonged labour (20%)). Secondly, 84% of respondents were able to identify danger
signs in pregnancy, delivery and after delivery. Some of the danger signs identified were:
non movement of fetus, bleeding, abdominal pains, severe headache, hypertension,
abdominal lie of fetus, multiple pregnancy and anaemia. In addition, beliefs and cultural
practices play significant role in the community and this puts pregnant women at a higher
risk, for instances prolonged labour is attributed to infidelity and curse, swelling in
pregnancy traditionally signifies a baby boy and 70.4% of respondents mentioned this. Similarly, a woman delivering at the health facility is expected to spend less time for
(instance less than three hours) in order to prove that she is a real woman. Decision
making in relation to reproductive health issues is solely the responsibility of the
husbands and this was said by, 78.9 % of 151 married women. Also some of the cultural
practices pertaining in the community were as follows: blowing a bottle to expel placenta,
using concoctions to stimulate contraction and boasting HB levels, keeping mother and
baby indoors for a period after delivery. Among 207 mothers who delivered at the health
facility 40.5% did not visit the health facility for at least a two weeks and the reasons
given were solely cultural practice. Poor attitude of health professionals was also
identified to influence the decision to seek care. Diseases identified during pregnancy and
after child birth were hypertension, infection, haemorrhage, anaemia and malaria.
The study concluded that women’s reproduction is influence by culture and traditional
practices which puts them at a higher risk during pregnancy, delivery and after birth.
The study therefore suggests all hands on deck approach in reducing maternal mortality
and morbidity, that is traditional leaders should help modify some cultural and traditional
practices that might be harmful to pregnant women, community groups should encourage
pregnant women to improve upon their health seeking behaviour by visiting the health
facility whenever they identify danger signs and health professionals should make health
facility customer friendly by being receptive and opening up to clients.
CDR, C (2021). SOCIO-CULTURAL FACTORS ASSOCIATED WITH MATERNAL MORTALITY AND MORBIDITY IN THE AYAWASO SUBMETROPOLITAN DISTRICT. Afribary.com: Retrieved April 11, 2021, from https://afribary.com/works/socio-cultural-factors-associated-with-maternal-mortality-and-morbidity-in-the-ayawaso-submetropolitan-district
Coalition, CDR. "SOCIO-CULTURAL FACTORS ASSOCIATED WITH MATERNAL MORTALITY AND MORBIDITY IN THE AYAWASO SUBMETROPOLITAN DISTRICT" Afribary.com. Afribary.com, 05 Apr. 2021, https://afribary.com/works/socio-cultural-factors-associated-with-maternal-mortality-and-morbidity-in-the-ayawaso-submetropolitan-district . Accessed 11 Apr. 2021.
Coalition, CDR. "SOCIO-CULTURAL FACTORS ASSOCIATED WITH MATERNAL MORTALITY AND MORBIDITY IN THE AYAWASO SUBMETROPOLITAN DISTRICT". Afribary.com, Afribary.com, 05 Apr. 2021. Web. 11 Apr. 2021. < https://afribary.com/works/socio-cultural-factors-associated-with-maternal-mortality-and-morbidity-in-the-ayawaso-submetropolitan-district >.
Coalition, CDR. "SOCIO-CULTURAL FACTORS ASSOCIATED WITH MATERNAL MORTALITY AND MORBIDITY IN THE AYAWASO SUBMETROPOLITAN DISTRICT" Afribary.com (2021). Accessed April 11, 2021. https://afribary.com/works/socio-cultural-factors-associated-with-maternal-mortality-and-morbidity-in-the-ayawaso-submetropolitan-district