THE CONTRIBUTIONS OF COMMUNITY FACTORS IN EXPLAINING VARIATIONS IN THE USE OF HEALTH FACILITIES FOR DELIVERY IN NIGERIA

Simple item page
dc.contributor.authorOYERINOLA, DAVID SUNDAY
dc.date.accessioned2026-05-25T10:29:09Z
dc.date.available2026-05-25T10:29:09Z
dc.date.issued2025-10
dc.description.abstractNigeria faces significant maternal health issues with low utilizations of health facilities for childbirth despite global initiatives to enhance maternal health.This research assesses the impact of community-level factors in explaining the use of maternal health services (antenatal care, skilled delivery, and postnatal care) in Nigeria.We used the 2008 Nigeria Demographic and Health Survey (NDHS) data on 17,542 women aged 15-49 years who had a live birth in the five years before the survey.A multilevel logistic regression was used to examine the effects of individual, household, community and state factors on the use of maternal health services.The results of the empty models show significant clustering at the state level with intra-class correlations (ICC) of 0.372 for antenatal care, 0.401 for skilled delivery and 0.341 for postnatal care, suggesting big state-level differences.The full model findings reveal that mothers' education, household wealth and parities also affect Utilization.At the community level, urbanization, media reach and social norms are significant predictors of the likelihood of institutional delivery, with state-level health system capacity significantly predicting utilizations.In summary, this study shows that in Nigeria, community and structural factors are important determinants of maternal health behaviors.Therefore, policies should empower individuals and invest in other factors such as health system infrastructure and community-level interventions.
dc.identifier.citationMaternal health; Facility-based delivery; Antenatal care; postnatal care; Community factors; multilevel analysis
dc.identifier.issn2756-5149
dc.identifier.urihttps://uilspace.unilorin.edu.ng/handle/123456789/18458
dc.language.isoen
dc.publisherLapai International Journal of Politics
dc.relation.ispartofseriesVol. 11 No 2; 434-452
dc.titleTHE CONTRIBUTIONS OF COMMUNITY FACTORS IN EXPLAINING VARIATIONS IN THE USE OF HEALTH FACILITIES FOR DELIVERY IN NIGERIA
dc.typeArticle

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
9.pdf
Size:
8.67 MB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections