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INOSR APPLIED SCIENCES 12(3):29-35, 2024 ISSN: 2705-165X

©INOSR PUBLICATIONS INOSR12.3.2935.000
International Network Organization for Scientific Research
https://doi.org/10.59298/INOSRAS/2024/12.3.2935

The Impact of Socio-Economic Factors on Maternal

Health in Rural Africa
Alberta Jeanne N.

School of Applied Health Sciences Kampala International University Uganda

ABSTRACT
Maternal health was a critical indicator of societal well-being, reflecting the quality of healthcare systems and
socio-economic conditions. In rural Africa, maternal health outcomes were alarmingly poor, with high maternal
mortality rates persisting despite global efforts. This review explored the impact of socio-economic factors on
maternal health in rural Africa, focusing on economic barriers, educational attainment, gender inequality, access to
healthcare services, and social support networks. Economic barriers such as poverty and healthcare costs
significantly limit access to essential maternal care. Educational attainment influences health literacy and the
utilization of maternal healthcare services, with higher education levels correlating with better health outcomes.
Gender inequality and entrenched cultural norms restrict women's autonomy and decision-making power,
negatively affecting maternal health. Access to healthcare services in rural areas is severely constrained by
geographic isolation, inadequate infrastructure, and resource limitations. Social support networks, including
family, friends, community members, and traditional birth attendants, play a crucial role in maternal health by
providing emotional, informational, and practical support. This review used a comprehensive analysis of existing
literature to discuss these factors and propose solutions to improve maternal health outcomes in rural Africa.
Strategies such as financial assistance programs, expanding educational opportunities, empowering women,
improving healthcare infrastructure, and strengthening social support networks are essential for addressing these
challenges. By implementing these targeted interventions, significant improvements in maternal health can be
achieved, leading to healthier mothers and stronger communities in rural Africa.
Keywords: Maternal Health, Socio-Economic Factors, Rural Africa, Gender Inequality, Healthcare Access.

INTRODUCTION
Maternal health is a crucial indicator of the overall restrict women's autonomy and decision-making
health and well-being of a society, reflecting the power, further impacting their health outcomes [11–
quality of healthcare systems and the socio-economic 13]. Additionally, the lack of access to healthcare
conditions within a region [1] [2, 3]. In rural services in remote rural areas and the weak social
Africa, maternal health outcomes are alarmingly support networks available to many women
poor, with maternal mortality rates among the compound these issues [14–16]. Understanding the
highest in the world [4, 5]. Despite global efforts to impact of these socio-economic factors is essential
improve maternal health, many women in rural for devising effective interventions and policies to
African communities continue to face significant improve maternal health in rural Africa [17, 18].
challenges that hinder their ability to receive This review aims to explore the intricate
adequate care during pregnancy, childbirth, and the relationship between socio-economic conditions and
postpartum period [6–8]. These challenges are maternal health, highlighting the major barriers and
deeply rooted in various socio-economic factors that proposing potential solutions to address these
interplay to exacerbate the situation. Economic challenges. By examining the economic, educational,
barriers, including poverty and the high cost of gender-related, healthcare access, and social support
healthcare services, limit women's access to aspects, this review seeks to provide a
necessary medical care [9, 10]. Educational comprehensive overview of the socio-economic
attainment significantly influences health literacy determinants of maternal health in rural African
and the utilization of maternal healthcare services. settings and suggest pathways for sustainable
Gender inequality and entrenched cultural norms improvement.
29
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ECONOMIC BARRIERS TO MATERNAL HEALTH IN RURAL AFRICA

Economic barriers are a significant impediment to mortality [22–24]. Women may delay seeking care
improving maternal health in rural Africa. High until it is absolutely necessary, resulting in worse
poverty levels restrict access to essential healthcare health outcomes. Additionally, the financial burden
services, as many families cannot afford the costs may force families to prioritize other expenses over
associated with prenatal, delivery, and postnatal care maternal healthcare, further compromising the
[19–21]. This financial strain is exacerbated by health of pregnant women. To address these
indirect costs such as transportation and the loss of economic barriers, several strategies can be effective
income during healthcare visits. In rural areas, [25]. By addressing these economic barriers
where healthcare facilities are often sparse and through targeted interventions, access to quality
located at great distances, these costs can be maternal healthcare in rural Africa can be
prohibitive. The economic constraints faced by rural significantly improved, leading to better health
families often lead to delayed or inadequate maternal outcomes for mothers and their children.
care, which increases the risk of complications and
EDUCATIONAL ATTAINMENT AND MATERNAL HEALTH IN RURAL AFRICA
Educational attainment plays a critical role in To improve maternal health through education, the
shaping maternal health outcomes in rural Africa. following strategies are essential:
Higher levels of education among women are Expanding Educational Opportunities: Increasing
associated with increased health literacy, which access to quality education for girls and women in
enhances their ability to make informed decisions rural areas can improve health literacy and health-
about their health and utilize maternal healthcare seeking behaviors.
services effectively [26]. Educated women are more Health Education Programs: Implementing
likely to understand the importance of prenatal and targeted health education initiatives within
postnatal care, adhere to medical advice, and seek communities can raise awareness about maternal
timely intervention, all of which contribute to better health and encourage the use of healthcare services.
maternal health outcomes. Conversely, lower Community-Based Education: Engaging
educational levels are linked to poorer health community leaders and educators to promote
literacy and less frequent use of maternal health maternal health education can help address cultural
services. Women with limited education may lack and informational barriers.
knowledge about the risks of pregnancy and the By enhancing educational attainment and
benefits of early and regular medical care, leading to integrating health education into the curriculum,
higher rates of complications and mortality. maternal health outcomes in rural Africa can be
Additionally, educational disparities often reflect significantly improved, leading to healthier mothers
broader socio-economic inequalities, which further and better overall community health [27, 28].
compound barriers to accessing quality healthcare.
GENDER INEQUALITY AND MATERNAL HEALTH IN RURAL AFRICA
Gender inequality is a profound barrier to improving Empowerment Programs: Initiatives that focus on
maternal health in rural Africa. Societal norms and empowering women through education, economic
cultural practices often restrict women's autonomy opportunities, and legal rights can enhance their
and decision-making power, limiting their ability to ability to make autonomous health decisions.
seek and receive appropriate maternal care [29, 30]. Engaging Men and Boys: Programs that involve
Women may face barriers such as gender-based men and boys in discussions about gender equality
violence, restricted mobility, and lack of control over and maternal health can help shift cultural norms
financial resources, which can all adversely affect and support women’s health needs.
their health outcomes. In many rural communities, Policy and Legal Reforms: Enforcing policies and
traditional gender roles prioritize men's decisions laws that protect women's rights and promote
over women's health needs, leading to delays in gender equality can create a supportive environment
seeking medical care or neglect of maternal health for better maternal health.
services [31, 32]. Additionally, gender-based By tackling gender inequality through these
violence can have severe physical and psychological strategies, maternal health outcomes in rural Africa
effects, further complicating pregnancy and can improve, leading to healthier and more
childbirth. Addressing gender inequality requires empowered women.
multifaceted approaches:

30
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ACCESS TO HEALTHCARE SERVICES IN RURAL AFRICA
Access to healthcare services is a fundamental preventing them from seeking care independently
determinant of maternal health, yet it remains [30, 38, 39]. Addressing these barriers requires
significantly constrained in rural Africa. Geographic comprehensive and multi-faceted strategies:
isolation, inadequate infrastructure, and resource i. Infrastructure Development: Investing in
limitations create substantial barriers for women transportation infrastructure, such as
seeking maternal healthcare in these regions [6]. building and maintaining roads and
Rural areas in Africa often suffer from poor providing reliable transport services, can
transportation networks and long distances to improve physical access to healthcare
healthcare facilities. Women in remote villages may facilities.
have to travel hours or even days to reach the ii. Mobile Health Clinics: Implementing
nearest clinic or hospital [33, 34]. This geographic mobile health clinics can bring essential
isolation is compounded by inadequate maternal healthcare services directly to
infrastructure, such as poorly maintained roads and remote and underserved communities,
lack of reliable transportation, which can delay or reducing the need for long-distance travel.
prevent timely access to care. Healthcare facilities in iii. Training and Retaining Healthcare
rural Africa are frequently under-resourced. They Workers: Expanding training programs
often lack essential medical supplies, equipment, and for healthcare professionals and
medications necessary for maternal care. incentivizing their deployment to rural
Additionally, there is a significant shortage of areas can address the shortage of skilled
trained healthcare professionals, including doctors, personnel.
midwives, and nurses [35–37]. This scarcity of iv. Financial Assistance Programs:
resources results in suboptimal care, longer waiting Introducing subsidies, vouchers, or
times, and higher risks during childbirth. Economic community-based health insurance schemes
constraints further hinder access to healthcare can alleviate the financial burden on
services. The cost of care, including fees for medical families and make healthcare more
consultations, medications, and transportation, can affordable.
be prohibitively expensive for many families in rural v. Community Engagement and Education:
areas. Without financial assistance or insurance Engaging community leaders and
schemes, many women forgo necessary prenatal and implementing health education programs
postnatal care, leading to increased maternal and can promote the importance of maternal
infant morbidity and mortality. Cultural beliefs and healthcare and address cultural barriers.
practices also play a role in limiting access to By enhancing access to healthcare services through
healthcare. In some communities, traditional beliefs these targeted interventions, maternal health
may discourage the use of modern medical services, outcomes in rural Africa can be significantly
favoring home births or reliance on traditional improved, leading to lower maternal mortality rates
healers. Furthermore, societal norms may restrict and healthier communities [40, 40].
women's mobility or decision-making power,
SOCIAL SUPPORT NETWORKS AND MATERNAL HEALTH IN RURAL AFRICA
Social support networks play a crucial role in particularly if the mother faces stigmatization or
maternal health outcomes, particularly in rural domestic issues. Access to accurate health
Africa, where formal healthcare services are often information is critical for making informed decisions
limited. These networks, comprising family, friends, about maternal care. Social support networks can be
community members, and traditional birth valuable sources of information on pregnancy,
attendants, can provide emotional, informational, childbirth, and postnatal care [12]. Elders and
and practical support that significantly impacts experienced mothers in the community often share
maternal health [41]. Emotional support from knowledge and advice, which can help expectant
family and friends during pregnancy and childbirth mothers navigate their pregnancies. Nonetheless,
is vital for the well-being of expecting mothers. In misinformation and reliance on traditional practices
rural African communities, close-knit family that may not align with modern medical advice can
structures and community bonds often mean that sometimes lead to adverse health outcomes [44, 45].
women receive considerable emotional support, Practical support includes help with daily tasks,
which can reduce stress and anxiety, positively financial assistance, and accompaniment to
influencing maternal health [42, 43]. However, in healthcare appointments. In rural Africa, women
some cases, traditional gender roles and societal often rely on their social networks for practical
expectations may limit the extent of this support, support due to the limited availability of formal
31
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healthcare services. Family members and neighbors practices may sometimes lack the medical training
may assist with chores, provide transportation to required to handle complications, highlighting the
distant healthcare facilities, or offer financial help for need for integrating TBAs with formal healthcare
medical expenses. This support is crucial in systems through training and collaboration.
alleviating some of the economic and logistical Community-based organizations and women's
barriers to accessing maternal healthcare. groups also contribute to social support networks by
Traditional birth attendants (TBAs) are a vital part advocating for maternal health, providing education,
of social support networks in many rural African and organizing collective resources. These
communities [46-49]. They provide care and organizations can empower women by raising
assistance during pregnancy and childbirth, often in awareness about maternal health issues, promoting
settings where access to trained medical gender equality, and facilitating access to healthcare
professionals is limited. While TBAs play an services [50].
essential role in supporting maternal health, their
Challenges
Despite the benefits of social support networks, Cultural Barriers: Deeply rooted cultural practices
several challenges persist: and gender norms can restrict women's access to
Resource Limitations: Social networks in necessary support and healthcare.
impoverished rural areas may also be resource- Lack of Integration with Formal Healthcare:
constrained, limiting their ability to provide Informal support systems often operate
adequate support. independently of formal healthcare services, which
can result in gaps in care [27, 51]].
Solutions
To enhance the effectiveness of social support support networks and formal healthcare providers
networks in improving maternal health, several can improve the continuum of care for expectant
strategies can be implemented: mothers.
Education and Training: Providing education and Promoting Gender Equality: Addressing gender
training for TBAs and community health workers norms and empowering women through education
can ensure that they offer safe and effective care. and economic opportunities can enhance their ability
Strengthening Community Programs: Supporting to seek and receive support.
community-based organizations with resources and By recognizing and strengthening the role of social
training can enhance their capacity to support support networks, maternal health outcomes in rural
maternal health. Africa can be significantly improved, leading to
Integrating Social Support with Healthcare healthier mothers and stronger communities [52].
Systems: Encouraging collaboration between social
REFERENCES
1. S, J., S, P.: Examining socioeconomic factors Global Health Reports. 7, e2023070 (2023).
influencing maternal health in pregnancy. https://doi.org/10.29392/001c.88917
Journal of Human Behavior in the Social 5. Ope, B.W.: Reducing maternal mortality in
Environment.0,1–19. Nigeria: addressing maternal health services’
https://doi.org/10.1080/10911359.2024.23102 perception and experience. Journal of Global
72 Health Reports. 4, e2020028 (2020).
2. Sajedinejad, S., Majdzadeh, R., Vedadhir, A., https://doi.org/10.29392/001c.12733
Tabatabaei, M.G., Mohammad, K.: Maternal 6. Dahab, R., Sakellariou, D.: Barriers to Accessing
mortality: a cross-sectional study in global Maternal Care in Low Income Countries in
health. Global Health. 11, 4 (2015). Africa: A Systematic Review. Int J Environ Res
https://doi.org/10.1186/s12992-015-0087-y Public Health. 17, 4292 (2020).
3. Crear-Perry, J., Correa-de-Araujo, R., Lewis https://doi.org/10.3390/ijerph17124292
Johnson, T., McLemore, M.R., Neilson, E., 7. Souza, J.P., Day, L.T., Rezende-Gomes, A.C.,
Wallace, M.: Social and Structural Zhang, J., Mori, R., Baguiya, A., Jayaratne, K.,
Determinants of Health Inequities in Maternal Osoti, A., Vogel, J.P., Campbell, O., Mugerwa,
Health. J Womens Health (Larchmt). 30, 230– K.Y., Lumbiganon, P., Tunçalp, Ö., Cresswell,
235(2021). J., Say, L., Moran, A.C., Oladapo, O.T.: A global
https://doi.org/10.1089/jwh.2020.8882 analysis of the determinants of maternal health
4. Ajegbile, M.L.: Closing the gap in maternal and transitions in maternal mortality. The
health access and quality through targeted Lancet Global Health. 12, e306–e316 (2024).
investments in low-resource settings. Journal of
32
This is an Open Access article distributed under the terms of the Creative Commons Attribution License
(http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in
any medium, provided the original work is properly cited.
https://www.inosr.net/inosr-applied-sciences/ Alberta
https://doi.org/10.1016/S2214- 16. Chinyakata, R., Roman, N.V., Msiza, F.B.:
109X(23)00468-0 Stakeholders’ Perspectives on the Barriers to
8. Sumankuuro, J., Mahama, M.Y., Crockett, J., Accessing Health Care Services in Rural
Wang, S., Young, J.: Narratives on why Settings: A Human Capabilities Approach.
pregnant women delay seeking maternal health https://doi.org/10.2174/187494450211401033
care during delivery and obstetric complications 6
in rural Ghana. BMC Pregnancy and 17. Abraham, J.M., Melendez-Torres, G.: A realist
Childbirth. 19, 260 (2019). review of interventions targeting maternal
https://doi.org/10.1186/s12884-019-2414-4 health in low- and middle-income countries.
9. 4 barriers to health equity - and how to Womens Health (Lond). 19,
overcomethem, 17455057231205687(2023).
https://www.weforum.org/agenda/2023/05/g https://doi.org/10.1177/17455057231205687
rowth-summit-2023-health-equity-data- 18. Habonimana, D., Batura, N.: Empirical analysis
worker-shortages/ of socio-economic determinants of maternal
10. Social determinants and the health of health services utilisation in Burundi. BMC
Indigenous peoples in Australia | Australian Pregnancy Childbirth. 21, 684 (2021).
Human Rights Commission, https://doi.org/10.1186/s12884-021-04162-0
https://humanrights.gov.au/about/news/speec 19. Nambile Cumber, S., Atuhaire, C., Namuli, V.,
hes/social-determinants-and-health- Bogren, M., Elden, H.: Barriers and strategies
indigenous-peoples-australia needed to improve maternal health services
11. Amwonya, D., Kigosa, N., Kizza, J.: Female among pregnant adolescents in Uganda: a
education and maternal health care utilization: qualitative study. Global Health Action. 15,
evidence from Uganda. Reproductive Health. 2067397(2022).
19,142(2022). https://doi.org/10.1186/s12978- https://doi.org/10.1080/16549716.2022.20673
022-01432-8 97
12. Kalindi, A.M., Houle, B., Smyth, B.M., 20. Kalu-Umeh, N.N., Sambo, M.N., Idris, S.H.,
Chisumpa, V.H.: Gender inequities in women’s Kurfi, A.M.: Costs and Patterns of Financing
access to maternal health care utilisation in Maternal Health Care Services in Rural
Zambia: a qualitative analysis. BMC Pregnancy Communities in Northern Nigeria: Evidence for
and Childbirth. 23, (2023). Designing National Fee Exemption Policy. Int
https://doi.org/10.1186/s12884-023-06078-3 J MCH AIDS. 2, 163–172 (2013)
13. Shibeshi, K., Lemu, Y., Gebretsadik, L., 21. Grand-Guillaume-Perrenoud, J.A., Origlia, P.,
Gebretsadik, A., Morankar, S.: Gender-based Cignacco, E.: Barriers and facilitators of
roles, psychosocial variation, and power maternal healthcare utilisation in the perinatal
relations during delivery and postnatal care: a period among women with social disadvantage:
qualitative case study in rural Ethiopia. Front A theory-guided systematic review. Midwifery.
Glob Womens Health. 4, 1155064 (2023). 105,103237(2022).
https://doi.org/10.3389/fgwh.2023.1155064 https://doi.org/10.1016/j.midw.2021.103237
14. Aminzadeh-Gohari, S., Feichtinger, R.G., 22. Jang, S.Y., Seon, J.Y., Oh, I.-H.: Influencing
Vidali, S., Locker, F., Rutherford, T., O’Donnel, Factors of Transportation Costs Regarding
M., Stöger-Kleiber, A., Mayr, J.A., Sperl, W., Healthcare Service Utilization in Korea. J
Kofler, B.: A ketogenic diet supplemented with Korean Med Sci. 35, e290 (2020).
medium-chain triglycerides enhances the anti- https://doi.org/10.3346/jkms.2020.35.e290
tumor and anti-angiogenic efficacy of 23. Kornelsen, J., Khowaja, A.R., Av-Gay, G.,
chemotherapy on neuroblastoma xenografts in a Sullivan, E., Parajulee, A., Dunnebacke, M.,
CD1-nu mouse model. Oncotarget. 8, 64728– Egan, D., Balas, M., Williamson, P.: The rural
64744(2017). tax: comprehensive out-of-pocket costs
https://doi.org/10.18632/oncotarget.20041 associated with patient travel in British
15. Zimmermann, K., Carnahan, L., Paulsey, E., Columbia. BMC Health Serv Res. 21, 854
Molina, Y.: Healthcare eligibility and (2021). https://doi.org/10.1186/s12913-021-
availability and healthcare reform: Are we 06833-2
addressing rural women’s barriers to accessing 24. Kaiser, N., Barstow, C.K.: Rural Transportation
care? J Health Care Poor Underserved. 27, 204– Infrastructure in Low- and Middle-Income
219(2016). Countries: A Review of Impacts, Implications,
https://doi.org/10.1353/hpu.2016.0177 and Interventions. Sustainability. 14, 2149
(2022). https://doi.org/10.3390/su14042149
33
This is an Open Access article distributed under the terms of the Creative Commons Attribution License
(http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in
any medium, provided the original work is properly cited.
https://www.inosr.net/inosr-applied-sciences/ Alberta
25. Lassi, Z.S., Middleton, P., Bhutta, Z.A., resource and humanitarian settings. Conflict
Crowther, C.: Health care seeking for maternal and Health. 13, 6 (2019).
and newborn illnesses in low- and middle- https://doi.org/10.1186/s13031-019-0189-x
income countries: a systematic review of 33. Syed, S.T., Gerber, B.S., Sharp, L.K.: Traveling
observational and qualitative studies. Towards Disease: Transportation Barriers to
F1000Res. 8, 200 (2019). Health Care Access. J Community Health. 38,
https://doi.org/10.12688/f1000research.17828. 976–993(2013).
1 https://doi.org/10.1007/s10900-013-9681-1
26. Morgan, L., Stanton, M.E., Higgs, E.S., Balster, 34. Dowhaniuk, N.: Exploring country-wide
R.L., Bellows, B.W., Brandes, N., Comfort, A.B., equitable government health care facility access
Eichler, R., Glassman, A., Hatt, L.E., Conlon, in Uganda. Int J Equity Health. 20, 38 (2021).
C.M., Koblinsky, M.: Financial Incentives and https://doi.org/10.1186/s12939-020-01371-5
Maternal Health: Where Do We Go from Here? 35. Jaeger, F.N., Bechir, M., Harouna, M., Moto,
J Health Popul Nutr. 31, S8–S22 (2013) D.D., Utzinger, J.: Challenges and opportunities
27. le Roux, K.W., Almirol, E., Rezvan, P.H., le for healthcare workers in a rural district of
Roux, I.M., Mbewu, N., Dippenaar, E., Stansert- Chad. BMC Health Services Research. 18, 7
Katzen, L., Baker, V., Tomlinson, M., (2018). https://doi.org/10.1186/s12913-017-
Rotheram-Borus, M.J.: Community health 2799-6
workers impact on maternal and child health 36. Kolié, D., Van De Pas, R., Codjia, L., Zurn, P.:
outcomes in rural South Africa – a non- Increasing the availability of health workers in
randomized two-group comparison study. BMC rural sub-Saharan Africa: a scoping review of
Public Health. 20, 1404 (2020). rural pipeline programmes. Hum Resour
https://doi.org/10.1186/s12889-020-09468-w Health. 21, 20 (2023).
28. Gamberini, C., Angeli, F., Ambrosino, E.: https://doi.org/10.1186/s12960-023-00801-z
Exploring solutions to improve antenatal care 37. Ahmat, A., Okoroafor, S.C., Kazanga, I.,
in resource-limited settings: an expert Asamani, J.A., Millogo, J.J.S., Illou, M.M.A.,
consultation. BMC Pregnancy and Childbirth. Mwinga, K., Nyoni, J.: The health workforce
22,449(2022). https://doi.org/10.1186/s12884- status in the WHO African Region: findings of
022-04778-w a cross-sectional study. BMJ Global Health. 7,
29. Morgan, R., Tetui, M., Muhumuza Kananura, e008317(2022).
R., Ekirapa-Kiracho, E., George, A.S.: Gender https://doi.org/10.1136/bmjgh-2021-008317
dynamics affecting maternal health and health 38. Ngere, S.H., Akelo, V., Ondeng’e, K., Ridzon, R.,
care access and use in Uganda. Health Policy Otieno, P., Nyanjom, M., Omore, R., Barr,
Plan. 32, v13–v21 (2017). B.A.T.: Traditional Medicine Beliefs and
https://doi.org/10.1093/heapol/czx011 Practices among Caregivers of Children under
30. Omer, S., Zakar, R., Zakar, M.Z., Fischer, F.: Five Years—The Child Health and Mortality
The influence of social and cultural practices on Prevention Surveillance (CHAMPS), Western
maternal mortality: a qualitative study from Kenya: A qualitative study. PLoS One. 17,
South Punjab, Pakistan. Reproductive Health. e0276735(2022).
18, 97 (2021). https://doi.org/10.1186/s12978- https://doi.org/10.1371/journal.pone.0276735
021-01151-6 39. Ahmed, G.E.M., Ahmed, E.Y.M., Ahmed, A.E.,
31. Mehra, D., Srivastava, S., Chandra, M., Hemmeda, L., Birier, A.B., Abdelgadir, T.,
Srivastava, N., Laaksonen, M., Saarinen, H.E., Hassan, H.M.A., Alfadul, E.S.A., Bakr, M.,
Mehra, S.: Effect of physical mobility, decision Sadig, E.: Prevalence and reasons to seek
making and economic empowerment on gender- traditional healing methods among residents of
based violence among married youth in India- two localities in North Kordofan State, Sudan
SAWERA project. BMC Public Health. 23, 548 2022: A cross‐sectional study. Health Sci Rep. 6,
(2023). https://doi.org/10.1186/s12889-023- e1487(2023).
15421-4 https://doi.org/10.1002/hsr2.1487
32. Perrin, N., Marsh, M., Clough, A., Desgroppes, 40. Bossman, E., Johansen, M.A., Zanaboni, P.:
A., Yope Phanuel, C., Abdi, A., Kaburu, F., mHealth interventions to reduce maternal and
Heitmann, S., Yamashina, M., Ross, B., Read- child mortality in Sub-Saharan Africa and
Hamilton, S., Turner, R., Heise, L., Glass, N.: Southern Asia: A systematic literature review.
Social norms and beliefs about gender based Front Glob Womens Health. 3, 942146 (2022).
violence scale: a measure for use with gender https://doi.org/10.3389/fgwh.2022.942146
based violence prevention programs in low-
34
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(http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in
any medium, provided the original work is properly cited.
https://www.inosr.net/inosr-applied-sciences/ Alberta
41. Adatara, P., Afaya, A., Baku, E.A., Salia, S.M., Expectant Mothers with Sickle Cell Anemia:
Asempah, A.: Perspective of Traditional Birth Best Practices and Challenges. IAA Journal of
Attendants on Their Experiences and Roles in Applied Sciences. 2024; 11(1):30-39.
Maternal Health Care in Rural Areas of https://doi.org/10.59298/IAAJAS/2024/4.78.
Northern Ghana. Int J Reprod Med. 2018, 99.11
2165627(2018). 48 Alum, E. U., Ugwu, O. P. C., Obeagu, E. I., Orji,
https://doi.org/10.1155/2018/2165627 O. U., Edwin, N., Okon, M.B. Religious Leaders
42. Al-Mutawtah, M., Campbell, E., Kubis, H.-P., as Advocates for Promoting Exclusive
Erjavec, M.: Women’s experiences of social Breastfeeding in East Africa. International
support during pregnancy: a qualitative Journal of Innovative and Applied Research. 2023;
systematic review. BMC Pregnancy Childbirth. 11(12):10-15.ArticleDOI:
23,782(2023). https://doi.org/10.1186/s12884- 10.58538/IJIAR/2056 DOI URL:
023-06089-0 http://dx.doi.org/10.58538/IJIAR/2056
43. Al-Mutawtah, M., Campbell, E., Kubis, H.-P., 49 Alum, E. U., Ugwu, O. P. C., Obeagu, E. I., Aja,
Erjavec, M.: Women’s experiences of social P. M., Ugwu, C. N., Uti, D. E., Samson, A. O.,
support during pregnancy: a qualitative and Akinloye, D. I.Nutritional Requirements
systematic review. BMC Pregnancy and During Pregnancy: A Comprehensive
Childbirth. 23, 782 (2023). Overview. International Journal of Innovative and
https://doi.org/10.1186/s12884-023-06089-0 Applied Research. 2023; 11(12):26-34. Article
44. Delzer, M.E., Kkonde, A., McAdams, R.M.: DOI: 10.58538/IJIAR/2058 DOI URL:
Viewpoints of pregnant mothers and http://dx.doi.org/10.58538/IJIAR/2058.
community health workers on antenatal care in 50 Lwamba, E., Shisler, S., Ridlehoover, W.,
Lweza village, Uganda. PLoS One. 16, Kupfer, M., Tshabalala, N., Nduku, P., Langer,
e0246926(2021). L., Grant, S., Sonnenfeld, A., Anda, D., Eyers, J.,
https://doi.org/10.1371/journal.pone.0246926 Snilstveit, B.: Strengthening women’s
45. Comfort, A.B., El Ayadi, A.M., Camlin, C.S., empowerment and gender equality in fragile
Tsai, A.C., Nalubwama, H., Byamugisha, J., contexts towards peaceful and inclusive
Walker, D.M., Moody, J., Roberts, T., Senoga, societies: A systematic review and
U., Krezanoski, P.J., Harper, C.C.: The role of meta‐analysis. Campbell Syst Rev. 18, e1214
informational support from women’s social (2022). https://doi.org/10.1002/cl2.1214
networks on antenatal care initiation: 51 Adam, R., Njogu, L.: A review of gender
qualitative evidence from pregnant women in inequality and women’s empowerment in
Uganda. BMC Pregnancy and Childbirth. 22, aquaculture using the reach-benefit-empower-
708 (2022). https://doi.org/10.1186/s12884- transform framework approach: A case study of
022-05030-1 Nigeria. Front. Aquac. 1, (2023).
46. Garces, A., McClure, E.M., Espinoza, L., https://doi.org/10.3389/faquc.2022.1052097
Saleem, S., Figueroa, L., Bucher, S., Goldenberg, 52 Elmusharaf, K., Byrne, E., O’Donovan, D.:
R.L.: Traditional Birth Attendants and Birth Strategies to increase demand for maternal
Outcomes in Low-Middle Income Countries: A health services in resource-limited settings:
Review. Semin Perinatol. 43, 247–251 (2019). challenges to be addressed. BMC Public Health.
https://doi.org/10.1053/j.semperi.2019.03.013 15,870(2015). https://doi.org/10.1186/s12889-
47 Obeagu, E. I., Obeagu, G. U., Ugwu, O. P. C. and 015-2222-3
Alum, E. U. Navigating Hemolysis in

CITE AS: Alberta Jeanne N. (2024). The Impact of Socio-Economic Factors on Maternal Health in
Rural Africa. INOSR APPLIED SCIENCES 12(3):29-35.
https://doi.org/10.59298/INOSRAS/2024/12.3.2935

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