THE MODERATING EFFECTS OF INTERVENTION PROGRAMS ON THE RELATIONSHIPS BETWEEN ATTITUDE, SUBJECTIVE NORMS, PERCEIVED BEHAVIOURAL CONTROL AND INTENTION TO SEEK TREATMENT AMONG OBSTETRIC FISTULA WOMEN IN NORTHERN NIGERIA

Authors

  • Muhammad Anka Nasiru Department of Nursing Sciences, College of Health Sciences, Usmanu Danfodiyo University Sokoto
  • Faruk U. Abubakar

Abstract

Previous studies have not been able to incorporate an appropriate intervention program as well as assess its suitability in interacting with Attitude, subjective norms, and perceived behavioral control to increase the treatment-seeking intention among obstetric fistula women, particularly in northern Nigeria. The primary objective of this study was, therefore, to assess the moderating effects of intervention programs on the relationship between attitudes, subjective norms, perceived behavioral control and intention to seek treatment. This study utilized the structural equation model, Partial Least Square (SEM-PLS) for the analysis of the data. A total of 321 questionnaires was administered, 302 were valid for further analysis. The result of this study indicated that there was a significant association between attitude, subjective norm, perceived behavioral control and intention to seek treatment. Also, the result of the moderating effects showed that intervention programs strengthen the relationships between subjective norm and intention to seek treatment, and between perceived behavioral control and intention to seek treatment. Therefore, the study's finding shows that effective intervention programs encourage obstetric fistula women to seek treatment. Consequently, this study recommends that eradicating obstetric fistula disease should be made a higher priority by the policymakers and health administrators through focusing attention on improving the rehabilitation and campaign programs, transportation, and gender equality.

Keywords: Moderating effects, intervention programs, attitude, subjective norm, perceived behavioral control, intention, treatment, obstetric fistula

References

Ajzen, I. (1991).The theory of planned behavior. Organizational Behavior and Human Decision Process, 50, 179-211.

Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behaviour. Englewood Cliffs, NJ: Prentice-Hall.

Akhter, S. Maternal health care-seeking behavior of women from lower and socio-economic groups of Dhaka, Bangladesh-fear or fusion? A Doctoral (PhD) dissertation thesis. 2015.

Baba, S. B. Birth and Sorrow: The psychosocial and medical consequences of obstetric fistula. International Journal of Medical Sociology and Anthropology, 2014; 2(2), 055-065.

Bagozzi, R., & Yi, Y. (1988). On the evaluation of structural equation model. Journal of the Academy of Marketing Science, 16, pp. 74-94. DOI: 10.1007/bf02723327

Baron, R. M. & Kenny D. A. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of personality and social psychology, 1986; 51(6) 1173-1182.

Behrami, M. A., Afashbahar, O., Shakahifar, M. & Montazeral, F. R. (2104). Developing a valid tool of treatment seeking behaviour survey for Iran. Journal of novel applied sciences 3(6), pp. 651-660. Retrieved from www.janascie.org

Bellows, B., Bach, R., Baker, Z. & Warren, C. Barriers to obstetric fistula treatment in low-income countries: A systematic review, Population council. 2014.

Cavusgil, S.T. and Nevin, J.R. (1981), "Internal Determinants of Export Marketing Behavior: An Empirical Investigation", Journal of Marketing Research, Vol. XVIII No. 1, pp. 114-19.

Cavusgil, S.T. and Naor, J. (1987), "Firm and Management Characteristics as Discriminators of Export Marketing Activity", Journal of Business Research, Vol. 15 No. 3, pp. 221-35.

Chin, W. W. (1998). The partial least squares approach to structural equation modeling. In G. A. Macrolides (Ed.), Modern Methods for Business Research, pp. 295-336, Mahwah, New Jersey: Laurence Erlbaum Associates.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences Hillsdale, NJ: Lawrence Erlbaum Associates.

David A, D., John M. N. & Jeff M. S. (1990). Physical Activity Participation: Social Cognitive Theory versus Theory of Reasoned Action and Planned Behavior. Journal of Sports and Exercise Psychology, 12, pp. 388-405

Dichtl, E. et al. (1990), "International Orientation as a Precondition for Export Success", Journal of International Business Studies, Vol. 21 No. 1, pp. 23-40.

Johnston, W. and Czinkota, M.R. (1985), "Export Attitudes of Industrial Manufacturers", Industrial Marketing Management, Vol. 14, pp. 123-32.

Federal Ministry of Health. National Strategic Framework for the Elimination of Obstetric fistula in Nigeria, 2011-2015, 2012; 7-20.

Fornell, C., & Larcker, D. F. (1981) Evaluating Structural Equation Models with unobservable variables and measurement error Journal of Marketing Research18, pp. 39-50,

Hair, J. F., Ringle, C. M., & Sarstedt, M. (2013) Partial least squares structural equation modeling: Rigorous applications, better results and higher acceptance Long Range Planning, 46(1–2), 1-12.

doi:http://dx.doi.org/10.1016/j.lrp.2013.01.001

Hausenblas H. A. Mack D. E. (1997). Application of Theory of Reasoned Action and Planned Behaviour to Exercise Behaviour- A Meta-Analysis. Journal of Sport and Exercise Psychology, 19, 36-51

Henseler, J., & Fassott, G. (2010b). Testing Moderating Effects in PLS Path Models: An illustration of available Procedures In V. Esposito Vinzi, W. W. Chin, J. Henseler & HWang (Eds.), Handbook of Partial Least Squares (pp. 713-735

Hur W. M., Kim H., & Kim W. M. (2014) the Moderating Roles of Gender and Age in Tablet Computer Adoption. Cyber psychology Behavior and Social Networking, 17(1), pp. 33-39. DOI: 10.1089/Cyber.2012.0435.

Irene F. T. (2016). Inconsistencies of Attitudes and Behavior in Family-Planning Studies. Journal of Marriage and Family, 34 (2), pp. 336-344

Jeremy, M. Transportation, distance and healthcare utilization for older adults in rural and small urban areas. Small Urban and Rural transit centre Upper Great Plains transportations institute, North Dakota State University, Fargo. 2010.

Kaewasawat, S. (2010). HIV/AIDS prevention behaviour among Malaysian male tourists in Thailand. A thesis submitted to the college of arts and sciences in fulfilment of the requirement for the degree of doctorate of philosophy (PhD thesis), Universiti Utara, Malaysia.

Keating, J. Meakers, D. & Adeniyi, A. (2006). Assessing effects of media campaign on HIV/AIDS awareness and prevention in Nigeria: results from the vision project. Biomed central, 6 (123). DOI: 10.1186/1471-2458-6-123

Odoemelam C. C. Pattern of exposure to communication intervention on obstetric fistula among men in Ebonyi state, Nigeria. New media and mass communication, 2015; 33, 1-12,

Ramayah T., Rouiba K., Gopi M., & Rangel G. J. (2009). A Decomposed Theory of Reasoned Action to explain Intention to use internet stock among Malaysian investors. Computers in Human Behavior, 25(2009), pp. 1222-1230

Schlegelmilch, B.B. and Crook, J.N. (1988), "Firm-Level Determinants of Export Intensity", Managerial and Decision Economics, Vol. 9, pp. 291-300.

Suki, N. M. and Ramayah, T. (2010) User Acceptance of the E-Government Services in Malaysia: Structural Equation Modelling Approach. Interdisciplinary Journal of Information, Knowledge, and Management, 5 (2010), pp. 395-413

Tlou, E. R. (2009). The application of theory of reasoned action and planned behaviour to a workplace HIV/AIDS health promotion programme. A PhD thesis, University of South Africa. Retrieved from www.tloupsychologist.co.za/

Wall, L. L. Overcoming phase 1 delays: the critical components of obstetric fistula prevention programs in resources-poor countries. Wall BMC pregnancy and childbirth, 2012; 12(68), 1-13.

Woldeammanuel (2012). Factors contributing to the delay in seeking treatment for women with obstetric fistula in Ethiopia. A thesis submitted in accordance with the requirements for the degree of Masters of public health, university of South Africa. Retrieved from www.uir.unisa.ac.za

Published

2020-03-05