In the state effort reduce the number of maternal death, a free child and maternal healthcare programme were introduced called Successful delivery. This main aim of this research is to evaluate if women registered with the programme had a better chance of accessing the services in the state. A cross- sectional quantitative study involving household interviews of all women of the reproductive age group (15–49 years) residing in Jigawa state from February to April 2019. Logistic regression analysis at 95% confidence interval was used to determine the independent associations between the scheme and use of antenatal care, hospital delivery and postnatal care services. Successful delivery program influenced the antenatal care visit as women registered with the schemes are more likely to have maximum of six visit 39.5 times than those who did not and also more likely to have four visit 2.6 times than those without scheme. Hospital delivery is also attached to the scheme as women registered with the scheme is 5.3 times likely to deliver at hospital when compared to those with not. Successful delivery program influence antenatal care visit and hospital base delivery. Nevertheless many of the pregnant women after delivery did not attend postnatal care.
One of the important goals of launching the Millennium Development Goals (MDGs) is maternal health. Nigeria was not able to achieved the target of reduction the maternal mortality as set by MDGs as a target. Nigeria has 37 state and Jigawa state is one of those state. The state has poor indices of health indicator, the maternal mortality is high and also antenatal visit in the state is not encouraging. The objective of the study was to find out the degree (extent) of the usage of the services of the maternal health care and to examine the role of socio-demographic variables and antenatal visit on the uses of the services of maternal health system available in the state. Logistic regression (Binary), chi- square, and bivariate analysis were used and the study used the data collected from the state ministry of health. The study utilized the data for two year (2017-2018) . The finding of this study revealed that socio-economic factors greatly influence the uses of maternal health care services. Level of education (Women’s education) influences the maternal health care utilization. The study found that, the hospital based delivery, antenatal care visit utilization and seeking service after delivery varies among the women with the different level of education, age at marriage, women’s age and residence of women. The study revealed that, the women’s with the high level of education (literate) is 2 times compared to illiterate women likely to use antenatal services (OR=1.97, ANC1.95, full ANC p<0.01), also in terms of hospital delivery literate women is (OR=1.52, p<0.01) or 1.53 times. Women’s education encouragement and support should be advocated because is one among the many strategies to improve the utilisation of the services of maternal health.
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