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A Conceptual Framework for Improving Facility-Based Delivery Among Women in Bayelsa State, Nigeria
Subject area: Biological & Medical Sciences · Area of research: Community Health Care
DOI: 10.64388/IREV9I10-1716068
Abstract
Improving facility-based delivery remains a critical strategy for reducing maternal and neonatal mortality, particularly in low-resource settings such as Nigeria (World Health Organization [WHO], 2020). This study aimed to develop a conceptual framework to enhance the utilization of hospital delivery services among women in Bayelsa State. The framework was derived from empirical findings of a cross-sectional study that examined socio-demographic, cultural, institutional, and healthcare provider factors influencing women’s choice of delivery location. An integrative approach, guided by the Health Belief Model (Rosenstock, 1974), was employed to synthesize these determinants into a multi-level framework. The resulting model identifies key influences operating at the individual, community, and health system levels. Targeted interventions including culturally sensitive health education, community engagement, health system strengthening, and respectful maternity care were proposed. The framework provides a practical and context-specific tool for policymakers, healthcare providers, and program planners to design interventions aimed at increasing facility-based delivery and improving maternal health outcomes.
Keywords
Facility-Based Delivery, Conceptual Framework, Maternal Health, Nigeria
References
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[2] Gabrysch, S., & Campbell, O. M. R. (2009). Still too far to walk: Literature review of the determinants of delivery service use. BMC Pregnancy and Childbirth, 9(1), 34.
[3] Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., García-Elorrio, E., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., Malata, A., … Pate, M. (2018). High-quality health systems in the Sustainable Development Goals era: Time for a revolution. The Lancet Global Health, 6(11), e1196–e1252.
[4] National Population Commission (NPC) [Nigeria], & ICF. (2019). Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, MD: NPC and ICF.
[5] Rosenstock, I. M. (1974). Historical origins of the Health Belief Model. Health Education Monographs, 2(4), 328–335.
[6] World Health Organization. (2020). Trends in maternal mortality 2000–2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. WHO.
How to cite this paper
@article{1716068,
author = {Tari Amakoromo, Helen Idubamo Wankasi, Diepreye Okodoko},
title = {A Conceptual Framework for Improving Facility-Based Delivery Among Women in Bayelsa State, Nigeria},
journal = {Iconic Research And Engineering Journals},
year = {2026},
volume = {9},
number = {10},
pages = {1666-1669},
issn = {2456-8880},
url = {https://www.irejournals.com/formatedpaper/1716068.pdf},
abstract = {Improving facility-based delivery remains a critical strategy for reducing maternal and neonatal mortality, particularly in low-resource settings such as Nigeria (World Health Organization [WHO], 2020). This study aimed to develop a conceptual framework to enhance the utilization of hospital delivery services among women in Bayelsa State. The framework was derived from empirical findings of a cross-sectional study that examined socio-demographic, cultural, institutional, and healthcare provider factors influencing women’s choice of delivery location. An integrative approach, guided by the Health Belief Model (Rosenstock, 1974), was employed to synthesize these determinants into a multi-level framework. The resulting model identifies key influences operating at the individual, community, and health system levels. Targeted interventions including culturally sensitive health education, community engagement, health system strengthening, and respectful maternity care were proposed. The framework provides a practical and context-specific tool for policymakers, healthcare providers, and program planners to design interventions aimed at increasing facility-based delivery and improving maternal health outcomes.},
keywords = {Facility-Based Delivery, Conceptual Framework, Maternal Health, Nigeria},
month = {April},
doi = {https://doi.org/10.64388/IREV9I10-1716068}
}