01-04-2021 | Care | Original Article
Pregnancy experiences and maternal health service utilisation among female traders in Ibadan, Nigeria
Published in: Journal of Public Health | Issue 2/2021
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Aim
The utilisation of antenatal care (ANC) and skilled birth attendants (SBAs) are important determinants of maternal and child health outcomes. Receiving ANC from a skilled provider and delivery by SBAs are both important for optimal maternal and neonatal outcomes. This study assessed pregnancy experiences and the use of ANC and delivery services among female traders in Ibadan, Nigeria.
Subjects and methods
Interviewer-administered questionnaires were used to obtain information from 380 female traders in Aleshinloye market, Ibadan. Data were analysed using SPSS version 22 with bivariate analysis and logistic regression at the 5% significance level.
Results
The mean age of the respondents was 34.6 ± 7.8 years; 78.2% of them were married and 82.6% had at least secondary education. About 27% reported having had an unwanted pregnancy. ANC had been received by 85.3%, whereas only 73.2% had delivered with an SBA. Medical problems in pregnancy had been experienced by 58.2%, while 31.1% had had complications during delivery. Factors predicting receipt of ANC included having tertiary education [odds ratio (OR) = 2.65; 95% confidence interval (CI) = 1.03–6.80)] and being married (OR = 2.16; 95% CI = 1.05–4.39). Predictors of SBA utilisation were having ANC in health facilities (OR = 7.81; 95% CI = 4.12–14.92), being married (OR = 3.62; 95% CI = 2.07–6.35) and being older than 30 years of age.
Conclusion
The utilisation of maternal health services was high among the participants in this study and increased the probability of SBA utilisation, which was also higher with utilisation of ANC services, high educational and high socioeconomic status, being above 30 years of age and being married. Interventions to improve maternal health service utilisation need to be targeted at women who are single, women with low educational achievements and those of low socioeconomic status.