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Landmark Research Journals of Medicine and Medical Sciences
May 2017 Vol. 4(1), pp. 001-015
Copyright © 2017 Landmark Research Journals
Full Length Research Paper
Factors Associated with the Utilization of Maternal Health Services Amongst Adult Women of Child-Bearing Age in South-Western Nigeria.
Balogun Tolulope Mary, Usman Shamsudeen Ayomide, Odeyemi Joseph Olufemi and Ayeni Ayodeji Akinwunmi.
Department of Community Medicine and Primary Care, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University, Sagamu, Ogun State, Nigeria
*Corresponding Author's Email: firstname.lastname@example.org
Accepted 19 February, 2017
Maternal health is the health of women during pregnancy, childbirth and the postpartum period. It encompasses the health care dimensions of family planning, preconception, prenatal and postnatal care in order to reduce maternal morbidity and mortality. The maternal mortality rate in Nigeria is 630 deaths per thousand live births and Nigeria ranks 10th position in the world record of health indicators of maternal mortality. Studies suggested that the majority of maternal deaths can be prevented or reduced if women had access to, or visited maternal health services during pregnancy, childbirth and the first month after delivery. Therefore, this study aims to contribute to providing a better understanding to explain the perception of women on utilization of maternal health services and the subsequent health outcomes. Materials and Methods. A cross-sectional descriptive survey of 462 women of child bearing age (women between the ages of 18-45 years old) was carried out in Sagamu, a town in Ogun state, South-Western Nigeria. Respondents must have delivered a child at least once. Data was collected via semi-structured, interviewer and self-administered questionnaires. The data was analyzed using IBM’s Statistical Package for Social Sciences version 20. Results, While 50·4% of the respondents preferred to use Private clinics for their Antenatal care, 55·4% had their most recent deliveries at Private clinics. 24% of the respondents cited long waiting periods as their reason for not using Government hospitals. 79·9% of the respondents received postnatal care. The age of the mother(p=0·004), religion (p=0·018) and educational level (p=0·0001) were found to be significantly associated with the type of facility she prefers to use for antenatal care. The employment level(p=0·583), however, had no relationship with the mother’s choice of facility for ANC. Similarly, the age of the mother (p=0·001) and highest educational level (p=0·001) were found, to be significantly associated with the type of facility she last delivered in. The employment level (p=0·086) and religion (p=0·150) however, had no relationship with the mother’s choice of facility for ANC. Reports of complications resulting from child-bearing was low as just 10·6% of the respondents complained of complications. Conclusion. This study revealed a high level of utilization of maternal health services. It was observed that factors like age, highest educational level and religion significantly affected the utilization of maternal health services. Employment status, however, had no bearing on the choice of facilities used for antenatal care and for delivery.
Keywords: Maternal Health, Pregnancy, Antenatal Care, Postnatal care.