Abstract 11.2.11



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Utilization of Maternal Health Services in a Rural District in Southern Nigeria


E.N. Nsan1, W.O. Ndifon1, A.E. Oyo-Ita1, M.O. Agogbuo1 and S.U. Akpovi2

1Department of Community Medicine, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria.

2Institutue of Public Administration and Extension Services, University of Benin, Benin City, Edo State, Nigeria.


Abstract: The maternal mortality ratio is unacceptably high in Nigeria. a major remote cause of maternal death in Nigeria is poor utilization of health services by women of reproductive age group. this study sought to determine the level of utilization and factors associated with the use of maternal health services among women of reproductive age group in Egor LGA of Edo State, Nigeria. A cross-sectional descriptive survey was carried out among 349 respondents in four communities. A multistage sampling technique was used to select respondents from whom data were collected using a pretested, interviewer-administered, semi-structured questionnaire and an observational checklist. Factors were identified with bivariate and multivariate analysis. The greatest preference by expectant mothers was for Traditional Birth Attendants (52.2%), followed by health centre (43.5%). Reasons for preference of choices included cheap cost (52.6%) and safety (37.8%). Reasons for dissatisfaction with services at the health centre were: lack of doctors (54.0%), poor attitude of health workers (27.2%) and lack of drugs (13.6%). On bivariate analysis, factors that were significantly associated with utilization were: respondentsí education, occupation, distance of respondentsí home from health facility and perception of adequacy of siting of health facility. Farmers and the unemployed were less likely to patronize health centres than civil servants. There should be appropriate and timely distribution of trained and motivated health care workers, including medical doctors, to the various health facilities in order to improve the utilization of maternal health services by clients.


Keywords: Utilization, maternal health services, reproductive age, maternal mortality ratio.



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