Socio -cultural and economic determinants of poor utilization of health facilities for child delivery among the Tarok in North -central Nigeria

Abstract

Context: The study was informed by the poor state of maternal health especially in northern Nigeria and the inadequacy of the medically oriented approach that emphasizes health -facility delivery at the expense of certain traditional cultural practices of the various ethnic groups. Aims: The paper investigated and identified certain crucial socio -cultural and economic factors that inhibit health facility delivery among Tarok women in north -central Nigeria. Settings and Design: Data were collected from four Tarok communities in Langtang North local government area of Plateau State in north -central Nigeria. Qualitative research design was used to collect and to analyze data. Materials and Methods: Tools used to generate data were in -depth interviews (IDIs) and focus group discussion (FGD) guides. Sixteen key informants were individually interviewed and 24 FGD sessions were conducted for various groups of men and women of 15 years and above based on their socio -demographic background. Statistical Analysis Used: Tables were used to show the social background of the IDI and FGD participants. Results: Emerging evidence from the exploratory study showed the prevalence of risky traditional delivery practices rooted in the high value placed by the Tarok society on bravery; perception of heath facilities as places of last resort; low level of education among girls/women; and poverty; among other factors. Conclusions: Socio -cultural and economic factors are key determinants of the use of health facilities for child delivery. Addressing these factors is imperative toward achieving improved maternal and child health in Nigeria.