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Women who have not utilized health Service for Delivery in Nigeria : who are they and where do they live?
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Adedokun, Sulaimon T. and Uthman, Olalekan A. (2019) Women who have not utilized health Service for Delivery in Nigeria : who are they and where do they live? BMC Pregnancy and Childbirth, 19 (1). 93. doi:10.1186/s12884-019-2242-6
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Official URL: https://doi.org/10.1186/s12884-019-2242-6
Abstract
Background
Health facility delivery has been described as one of the major contributors to improved maternal and child health outcomes. In sub-Saharan Africa where 66% of the global maternal mortality occurred, only 56% of all births take place in health facility. This study examined the individual and contextual predictors of non-use of health service for delivery in Nigeria where less than 40% births occur in health facility.
Methods
Data from 2013 Nigeria Demographic and Health Survey (DHS) involving 20,192 women who had delivery within 5 years of the survey were used in the study. Multilevel multivariable logistics regression models which had the structure of non-use of health service for delivery defined at individual, community and state levels were applied in the analysis. Spatial analysis was also used to capture the locations where the phenomenon is prevalent in the country.
Results
About 62% of the women did not utilize health service during delivery. More than three-quarter of those with no education and 92% of those who did not attend antenatal clinic during pregnancy never utilized health service for delivery. The odds of non-use of health service during delivery increased for women who had no education, from poor households, aged 25–34 years, unmarried, never attended antenatal clinic, experienced difficulty getting to health facility and lived in the most socioeconomically disadvantaged communities and states.
Conclusions
This study has demonstrated that non-utilization of health service for delivery is influenced by individual, community and state level factors, with substantial proportions of women not utilizing such service residing in the northern region of Nigeria. Each level should be adequately considered in the design of the appropriate interventions.
| Item Type: | Journal Article | ||||||||||||||||||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine | ||||||||||||||||||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | ||||||||||||||||||||||||
| Library of Congress Subject Headings (LCSH): | Women's health services -- Utilization -- Nígería, Mother and child -- Health aspects -- Nígería | ||||||||||||||||||||||||
| Journal or Publication Title: | BMC Pregnancy and Childbirth | ||||||||||||||||||||||||
| Publisher: | BioMed Central Ltd. | ||||||||||||||||||||||||
| ISSN: | 1471-2393 | ||||||||||||||||||||||||
| Official Date: | 13 March 2019 | ||||||||||||||||||||||||
| Dates: |
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| Volume: | 19 | ||||||||||||||||||||||||
| Number: | 1 | ||||||||||||||||||||||||
| Article Number: | 93 | ||||||||||||||||||||||||
| DOI: | 10.1186/s12884-019-2242-6 | ||||||||||||||||||||||||
| Status: | Peer Reviewed | ||||||||||||||||||||||||
| Publication Status: | Published | ||||||||||||||||||||||||
| Access rights to Published version: | Open Access | ||||||||||||||||||||||||
| RIOXX Funder/Project Grant: |
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