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...

Full description

Bibliographic Details
Main Authors: Tukur Dahiru, Oche Mansur Oche
Format: Article
Language:English
Published: The Pan African Medical Journal 2015-08-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/21/321/pdf/321.pdf
_version_ 1818909727735676928
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.
first_indexed 2024-12-19T22:31:31Z
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