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Factors associated with the use of maternity services in Enugu, southeastern Nigeria

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  • Onah, Hyacinth Eze
  • Ikeako, Lawrence C.
  • Iloabachie, Gabriel C.

Abstract

The maternal mortality ratio and other maternal health indicators are worse for developing countries than for the developed world due to improved access to quality care during pregnancy and especially at delivery in the industrialized world. This study was carried out to identify the factors which influenced choice of place of delivery by pregnant women in Enugu, southeastern Nigeria, and to recommend ways to improve women's access to skilled attendants at delivery. A pre-tested questionnaire was administered by interviewers to women who had delivered within 3 months prior to date of data collection. The response rate was 75.5% (n=1098). Of the respondents, 52.9% delivered outside health institutions and 47.1% in health institutions. The major factors influencing choice of place of delivery included promptness of care, competence of midwife/doctor, affordability, health education, 24Â h presence of doctors, team work among doctors and presence of specialist obstetricians. There were statistically significant associations between choice of institutional or non-institutional deliveries and socio-demographic/economic factors such as place of residence (urban/rural), religion, educational status, tribe, marital status, occupational level, husband's occupational and educational levels, age and parity (p

Suggested Citation

  • Onah, Hyacinth Eze & Ikeako, Lawrence C. & Iloabachie, Gabriel C., 2006. "Factors associated with the use of maternity services in Enugu, southeastern Nigeria," Social Science & Medicine, Elsevier, vol. 63(7), pages 1870-1878, October.
    • Handle: RePEc:eee:socmed:v:63:y:2006:i:7:p:1870-1878
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    Citations

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    Cited by:

    1. Sadatoshi Matsuoka & Sumiko Koga & Emiko Suzui & Yoshiko Tsukada & Kazutomo Ohashi & Taiwo Johnson, 2017. "Impact assessment of a maternal health project in a megacity, Nigeria: toward a future with more demand for maternal health services," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(4), pages 465-480, October.
    2. Weitzman, Abigail, 2017. "The effects of women's education on maternal health: Evidence from Peru," Social Science & Medicine, Elsevier, vol. 180(C), pages 1-9.
    3. Hadiza Mustapha Namadi & Aondover Eric Msughter, 2020. "Survey of Reproductive Health Information Seeking Behaviour among Pregnant Women in Some Selected Hospitals in Kano Metropolis, Nigeria," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 30(5), pages 23699-23708, September.
    4. De Allegri, Manuela & Ridde, Valéry & Louis, Valérie R. & Sarker, Malabika & Tiendrebéogo, Justin & Yé, Maurice & Müller, Olaf & Jahn, Albrecht, 2011. "Determinants of utilisation of maternal care services after the reduction of user fees: A case study from rural Burkina Faso," Health Policy, Elsevier, vol. 99(3), pages 210-218, March.
    5. Ivy Kodzi & Øystein Kravdal, 2013. "What has high fertility got to do with the low birth weight problem in Africa?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 28(25), pages 713-732.
    6. Paul, Sohini & Paul, Sourabh & Gupta, Ashish Kumar & James, K.S., 2022. "Maternal education, health care system and child health: Evidence from India," Social Science & Medicine, Elsevier, vol. 296(C).
    7. Lila C. Fleming & Rashid Ansumana & Alfred S. Bockarie & Joel D. Alejandre & Karen K. Owen & Umaru Bangura & David H. Jimmy & Kevin M. Curtin & David A. Stenger & Kathryn H. Jacobsen, 2016. "Health-care availability, preference, and distance for women in urban Bo, Sierra Leone," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(9), pages 1079-1088, December.
    8. Burroway, Rebekah & Hargrove, Andrew, 2018. "Education is the antidote: Individual- and community-level effects of maternal education on child immunizations in Nigeria," Social Science & Medicine, Elsevier, vol. 213(C), pages 63-71.
    9. Kruk, Margaret E. & Rockers, Peter C. & Mbaruku, Godfrey & Paczkowski, Magdalena M. & Galea, Sandro, 2010. "Community and health system factors associated with facility delivery in rural Tanzania: A multilevel analysis," Health Policy, Elsevier, vol. 97(2-3), pages 209-216, October.
    10. Tadashi Yamashita & Sherri Ann Suplido & Cecilia Ladines-Llave & Yuko Tanaka & Naomi Senba & Hiroya Matsuo, 2014. "A Cross-Sectional Analytic Study of Postpartum Health Care Service Utilization in the Philippines," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-6, January.
    11. Olusanya, Bolajoko O. & Roberts, Alero A. & Olufunlayo, Tolulope F. & Inem, Victor A., 2010. "Preference for private hospital-based maternity services in inner-city Lagos, Nigeria: An observational study," Health Policy, Elsevier, vol. 96(3), pages 210-216, August.

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