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Utilization of maternal health services and its determinants among mothers attending primary health care clinics in Kwara State, Nigeria


M.M. Fasiku
K.A. Durowade
M.O. Osinubi
T.M. Akande
G.K. Osagbemi
A.G. Salaudeen
T.A. Oloyede
V.O. Ayoola

Abstract

Objective: There is unacceptably high maternal mortality with about 800 women dying from pregnancy or delivery complications around the world daily. The study assessed the utilization of Maternal Health Services and its determinants among mothers attending primary health care clinics in Ilorin Metropolis, Kwara State, Nigeria.

Methods: It was a descriptive cross-sectional study and data was collected through the use of a pre-tested semi-structured interviewer-administered questionnaire from 400 participants, using multistage sampling technique. The level of significance was pre-determined at p-value < 0.05 at a confidence level of 95%.

Results: A total of 387 (96.8%) utilized at least one session of antenatal care (ANC) during their last pregnancy, 310 (77.6%) utilized health facilities for delivery while 48 (12%) delivered at home. Only about 68 (17%) utilized postnatal services. Women with secondary education were two times more likely
to deliver in health facility compared with those with no education (AOR=2.337,CI=1.178-4.637), whereby those who attended ANC more than four visit were two times more likely to deliver in health facility than those who attended less than that (AOR=2.398,CI=1.410-4.077).

Conclusion: A higher education status and more than 4 ANC visits positively influenced utilization of health facility for delivery.

Keywords: Utilization, Health Services, Mothers, Delivery, Primary Health Care


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eISSN: 2467-8252
print ISSN: 2360-7793