title: Client education experiences and expectations of women at the first level of maternal and child care in Kaduna state, Nigeria.
abstract: OBJECTIVE
  to explore the client education experiences of women at first level maternal and child health-care facilities in Kaduna State Nigeria. The lack of access to appropriate information to assist women in making decisions about their health and utilize available services is recognized as a major contributory factor to the unabated high maternal and child mortality rates in Nigeria.
  
  
  METHODS
  a qualitative descriptive study was conducted. Nine focus group discussions were held with 65 women across the three senatorial zones of Kaduna State, Nigeria. Participants were recruited using maximum variation sampling technique. Audio recordings of the discussions were transcribed and the content analysed. The themes were determined by a priory approach and findings compared across groups through manually developed data matrices.
  
  
  RESULTS
  midwives were the major source of useful health information to the women who wished the midwives could cover more issues. The information provided by the midwives was skewed towards children and postnatal care, and some midwives ignored, or considered some of the women's questions interrupting. The harshness of midwives in emphasizing the need for prompt care, to women who came late to register or deliver, kept some women away. Women who never delivered in the facilities were not aware that the 'nurses' at the clinics were midwives, and desired to know more about midwifery in the facilities being tired of traditional birth attendants.
  
  
  CONCLUSIONS
  the desire of women for more information and to know the 'midwife' suggests a gap between what the women expected and what they were provided.
  
  
  CONCLUSIONS
  it is important to expand the scope of client education to include critical pregnancy and labour related issues and friendly midwifery practices in the facility.
authors.affiliation: School of Nursing, 5th Floor, Desmond Clarence Building, University of KwaZulu-Natal, Durban 4041, South Africa. wumiakinotiko@yahoo.com
authors.forename: Bridget O
authors.initials: BO
authors.lastname: Akin-Otiko
authors.forename: Busisiwe R
authors.initials: BR
authors.lastname: Bhengu
mesh_terms: D000328:Adult; D055812:Community-Based Participatory Research; D005260:Female; D017144:Focus Groups; D006801:Humans; D007229:Infant Welfare / Q000706:statistics & numerical data; D007231:Infant, Newborn; D008429:Maternal Welfare / Q000706:statistics & numerical data; D008430:Maternal-Child Health Centers / Q000458:organization & administration*; D008880:Midwifery / Q000379:methods*; D009549:Nigeria; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010353:Patient Education as Topic / Q000379:methods*; D011247:Pregnancy; D055815:Young Adult