Rural-urban differences in utilization of antenatal and delivery services in Ebonyi State, Nigeria.

Nigerian Journal of Clinical Practice
P C EkeLawrence Ulu Ogbonnaya

Abstract

The high maternal death burden in developing countries when compared to the developed could be attributed to differences in use of antenatal and skilled delivery care. To assess the differences in utilization of antenatal and delivery services in urban and rural communities of Ebonyi state, Nigeria. A cross-sectional comparative study design was used. Two stage (cluster) sampling technique was used to select 660 women in 4 of 13 local government areas in the state. The respondents were women who were permanent residents of communities and have delivered in last one year. Outcome measure was good utilization of antenatal and delivery services and was assessed by proportion of respondents who obtained antenatal and delivery from a skilled provider and also made at least four antenatal visits. The mean age of respondents was urban, 29.6 ± 6.2 and rural, 28.6 ± 5.1 years. Majority in urban, 51.8% utilized tertiary health facility for antenatal care while in rural, 77.9% used primary health centers (P < 0.001). Comparable proportions in urban, (77.3%) and rural, (79.1%) had good use of antenatal and delivery services (P = 0.572). Predictors of good use of antenatal and delivery services in urban included having one child (AOR = 4.8;...Continue Reading

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