Trend and Social Determinants of Non-Utilisation of Skilled Birth and Postpartum Care Services in North-Western Nigeria: Policy Implications for Sustainable Development Goal-3.1

Seminar no. 1244
20 December 2023 Time 12.30 – 13.30 hrs.

Speaker: Mr. Abubakar Yakubu Abbani

Nigeria has very poor maternal health conditions and is among the countries with the highest maternal mortality ratio in the world. Numerous policies, programmes and interventions have been implemented with the aim of improving maternal health in the country, but with little success, as a large proportion of women do not utilize skilled maternal healthcare services, especially during childbirth and the postpartum period. The situation is worst in the north-western geographical zone, which is the largest sub-region in the country, with the majority of women giving birth at home without the assistance of trained health professionals and not seeking care after childbirth. This study analyzed the trend in non-utilisation of skilled birth and postpartum care services, their social determinants over time, and implications for attaining SDG-3.1 by the year 2030. The study pooled data from the 2003, 2008, 2013, and 2018 rounds of the Demographic and Health Surveys for analysis. The findings revealed that while the prevalence of non-utilisation of skilled birth services slightly reduced from 87% in 2003 to 84% in 2018, the non-utilisation of postpartum care services within the most critical period, 24 hours after childbirth, increased from 77% to 87% between 2003 and 2018 in the sub-region. Education, parity, contraceptive knowledge and use, and household wealth were the most consistently influential social determinants of non-use of skilled birth and postpartum care services during the period.

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