Perceptions and Attitudes of the Population of Mbandaka Regarding Preventable Maternal Mortality: A Cross-Sectional Study in the Democratic Republic of the Congo
Abstract
Introduction
Maternal mortality remains a major public health problem in many developing countries, particularly in sub-Saharan Africa. In the Democratic Republic of the Congo (DRC), maternal mortality ratios remain alarmingly high despite national and international efforts. Community perceptions and attitudes play a crucial role in the use of maternal health services. This study aimed to analyze the perceptions and attitudes of the population of Mbandaka regarding preventable maternal mortality.
Methods
A community-based cross-sectional descriptive study was conducted from October to December 2025 in Mbandaka city, Équateur Province, DRC. A total of 120 adults aged 18 years and above were selected using simple random sampling. Data were collected using a structured questionnaire administered through face-to-face interviews. Descriptive statistics (frequencies and percentages) were computed for all variables.
Results
The sample was predominantly female (56.7%) and aged 26–35 years (35%). The majority (70%) had heard of maternal mortality, with health personnel being the main information source (33.3%). Hemorrhages were perceived as the leading cause of maternal death (28.3%). While 85% recognized maternal mortality as a serious problem, 11.6% still preferred home delivery, 16.7% would consult a traditional healer in case of complications, and 10% would simply wait. Favorable attitudes toward antenatal care (ANC) were expressed by 76.7%, and 85% recognized the importance of community sensitization. Notably, 30% of respondents had no knowledge of maternal mortality at all.
Conclusion
Although the majority of the population has positive attitudes toward maternal health services, significant gaps remain. Approximately one-third lacks basic knowledge of maternal mortality, and harmful practices (home delivery, traditional healer consultation, inaction during complications) persist in the community. Strengthening community-based awareness programs, improving access to emergency obstetric care, and actively involving men in maternal health are urgently needed.
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How to cite
Tolomba Batu, A. (2026). Perceptions and Attitudes of the Population of Mbandaka Regarding Preventable Maternal Mortality: A Cross-Sectional Study in the Democratic Republic of the Congo. SDF Journal of Public Health. https://sfoundation.one/articles/sdf-2026-0026-perceptions-and-attitudes-of-the-population-of-mbandaka-regarding-prev