Available online Jul 18, 2018.
[ Original ] Volume 23, Issue 1, 2014, Pages 61-69
OBJECTIVE: This study determined and compared the level and pattern of utilization of maternal services
in urban and rural communities in Anambra State.
DESIGN AND METHOD: A comparative cross-sectional study was carried out in two local government
areas (LGA); Nnewi North (urban) and Dunukofia (rural). A total of 338 mothers of children aged 0-59
months in each of the two LGAs selected by multistage cluster sampling technique were studied. Data
were collected using an interviewer administered questionnaire, analyzed and tests of significance
performed with the p-value set at 0.05.
RESULTS: Women in the rural area had higher fertility rate (t=4.53, p<0.05) and more children than their
urban counterparts (t=4.79, p<0.05). The mean number of antenatal care (ANC) before delivery in urban
and rural areas were 8.0±4.2 and 5.9±2.4 respectively and the difference was statistically significant (t =
7.52, p <0.05). Half of the urban respondents delivered in private hospitals while 43.8% of rural respondents
delivered in maternity homes. There was no significant difference in the pattern of post natal care
utilization in both localities (÷2=0.695, p=0.405), as most of the women in both localities went for post natal
consultation within 6 weeks of delivery.
CONCLUSION: Measures to improve maternal health service utilization especially in rural areas should
not only address the issue of access to care, but also improvement in quality of care and women
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Volume 23 | Issue 1
Page Nos. 61-69
Online since Jul 13, 2018