Determinants of antenatal care, institutional delivery and postnatal care services utilization in Nigeria
INTRODUCTION: utilization of antenatal care, institutional delivery and postnatal care services in Nigeria are poor even by african average. METHODS: we analysed the 2013 Nigeria DHS to determine factors associated with utilization of these health MCH indicators by employing both bivariate and multi...
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Format: | Article |
Language: | English |
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The Pan African Medical Journal
2015-08-01
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Series: | The Pan African Medical Journal |
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https://www.panafrican-med-journal.com/content/article/21/321/pdf/321.pdf
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author | Tukur Dahiru Oche Mansur Oche |
author_facet | Tukur Dahiru Oche Mansur Oche |
author_sort | Tukur Dahiru |
collection | DOAJ |
description | INTRODUCTION: utilization of antenatal care, institutional delivery and postnatal care services in Nigeria are poor even by african average. METHODS: we analysed the 2013 Nigeria DHS to determine factors associated with utilization of these health MCH indicators by employing both bivariate and multivariate logistic regressions. RESULTS: overall, 54% of women had at least four ANC visits, 37% delivered in health facility and 29% of new born had postnatal care within two of births. Factors that consistently predict the utilization of the three MCH services are maternal and husband's level education, place of residence, wealth level and parity. Antenatal care strongly predicts both health facility delivery (OR=2.16, 95%CI: 1.99-2.34) and postnatal care utilization (OR=4.67, 95%CI: 3.95-5.54); while health facility delivery equally predicting postnatal care (OR=2.84, 95%CI: 2.20-2.80). CONCLUSION: improving utilization of these three MCH indicators will require targeting women in the rural areas and those with low level of education as well as creating demand for health facility delivery. Improving ANC use by making it available and accessible will have a multiplier effect of improving facility delivery which will lead to improved postnatal care utilization. |
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format | Article |
id | doaj.art-c6ea16122ab84ae08910ca901af5c590 |
institution | Directory Open Access Journal |
issn | 1937-8688 1937-8688 |
language | English |
last_indexed | 2024-12-19T22:31:31Z |
publishDate | 2015-08-01 |
publisher | The Pan African Medical Journal |
record_format | Article |
series | The Pan African Medical Journal |
spelling | doaj.art-c6ea16122ab84ae08910ca901af5c5902022-12-21T20:03:20ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882015-08-012132110.11604/pamj.2015.21.321.65276527Determinants of antenatal care, institutional delivery and postnatal care services utilization in NigeriaTukur Dahiru0Oche Mansur Oche1 Department of Community Medicine, Ahmadu Bello University, Zaria, Kaduna State, Nigeria Department of Community Health, Usmanu Danfodio University, Sokoto, Sokoto State, Nigeria INTRODUCTION: utilization of antenatal care, institutional delivery and postnatal care services in Nigeria are poor even by african average. METHODS: we analysed the 2013 Nigeria DHS to determine factors associated with utilization of these health MCH indicators by employing both bivariate and multivariate logistic regressions. RESULTS: overall, 54% of women had at least four ANC visits, 37% delivered in health facility and 29% of new born had postnatal care within two of births. Factors that consistently predict the utilization of the three MCH services are maternal and husband's level education, place of residence, wealth level and parity. Antenatal care strongly predicts both health facility delivery (OR=2.16, 95%CI: 1.99-2.34) and postnatal care utilization (OR=4.67, 95%CI: 3.95-5.54); while health facility delivery equally predicting postnatal care (OR=2.84, 95%CI: 2.20-2.80). CONCLUSION: improving utilization of these three MCH indicators will require targeting women in the rural areas and those with low level of education as well as creating demand for health facility delivery. Improving ANC use by making it available and accessible will have a multiplier effect of improving facility delivery which will lead to improved postnatal care utilization. https://www.panafrican-med-journal.com/content/article/21/321/pdf/321.pdf ancinstitutional deliverypostnatalnigeriadhs2013 |
spellingShingle | Tukur Dahiru Oche Mansur Oche Determinants of antenatal care, institutional delivery and postnatal care services utilization in Nigeria The Pan African Medical Journal anc institutional delivery postnatal nigeria dhs 2013 |
title | Determinants of antenatal care, institutional delivery and postnatal care services utilization in Nigeria |
title_full | Determinants of antenatal care, institutional delivery and postnatal care services utilization in Nigeria |
title_fullStr | Determinants of antenatal care, institutional delivery and postnatal care services utilization in Nigeria |
title_full_unstemmed | Determinants of antenatal care, institutional delivery and postnatal care services utilization in Nigeria |
title_short | Determinants of antenatal care, institutional delivery and postnatal care services utilization in Nigeria |
title_sort | determinants of antenatal care institutional delivery and postnatal care services utilization in nigeria |
topic | anc institutional delivery postnatal nigeria dhs 2013 |
url |
https://www.panafrican-med-journal.com/content/article/21/321/pdf/321.pdf
|
work_keys_str_mv | AT tukurdahiru determinantsofantenatalcareinstitutionaldeliveryandpostnatalcareservicesutilizationinnigeria AT ochemansuroche determinantsofantenatalcareinstitutionaldeliveryandpostnatalcareservicesutilizationinnigeria |