ArticleBMC health services research2020
Geographical and socioeconomic inequalities in the utilization of maternal healthcare services in Nigeria: 2003-2017.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.
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Who cites it
55 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Inequity in uptake of maternal health care services in developing countries: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Suffering, justice, and scarcity: philosophical reflections on the burden of cancer in LMICS using Nigeria as a case study.Philosophy, ethics, and humanities in medicine : PEHM · 2026Article
- Perceived barriers to maternal healthcare utilization: insights from skilled birth attendants in six high-burden states of northern Nigeria.BMC public health · 2026Article
- Assessment of emergency care services in Nigerian hospitals: A cross-sectional study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Trend and social determinants of non-facility births in Northwestern Nigeria: pooled analysis of demographic and health survey 2003-2018.BMC public health · 2026Article
- Sociodemographic Determinants of Health Facility Delivery Among Women in Nigeria: A Cross-Sectional Study Using 2018 NDHS Data.Health science reports · 2026Article
- Using performance-based grants to subnational governments to improve health outcomes: a repeated cross-sectional evaluation of the Saving One Million Lives Programme in Nigeria.BMJ public health · 2026Article
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- Assessing the antenatal care-seeking determinants associated with the penetration of the WHO eight-visit antenatal care policy across states in Nigeria.BMC pregnancy and childbirth · 2025Article
- Inequality in Utilization of Maternal Healthcare Services in Low‑ and Middle‑Income Countries: A Scoping Review of the Literature.Maternal and child health journal · 2025Article
- Census block based loglinear regression analysis of health and social determinants of maternal mortality in Indonesia 2010-2021.Scientific reports · 2025Article
- Global dominance of non-institutional delivery and the risky impact on maternal mortality spike in 25 Sub-Saharan African Countries.Global health research and policy · 2025Article
- Individual, household, and community-level factors associated with high-risk fertility behaviour among Nigerian women: secondary analysis of the 2018 demographic and health survey data.Reproductive health · 2025Article
- Who Is Most Likely to Experience Corruption When Seeking Healthcare in Nigerian Healthcare Facilities?International journal of health policy and management · 2025Article
- Parental preferences for sex of children in Nigeria: Cultural influences and family structure.PloS one · 2025Article
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- Experiences with facility delivery services within the context of a maternal neonatal health project in Gombe State, Northeast Nigeria: a qualitative study.The Pan African medical journal · 2025Article
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4 authors.
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Abstract
backgroundMaternal mortality has remained a challenge in many low-income countries, especially in Africa and in Nigeria in particular. This study examines the geographical and socioeconomic inequalities in maternal healthcare utilization in Nigeria over the period between 2003 and 2017.
methodsThe study used four rounds of Nigeria Demographic Health Surveys (DHS, 2003, 2008, 2013, and 2018) for women aged 15-49 years old. The rate ratios and differences (RR and RD) were used to measure differences between urban and rural areas in terms of the utilization of the three maternal healthcare services including antenatal care (ANC), facility-based delivery (FBD), and skilled-birth attendance (SBA). The Theil index (T), between-group variance (BGV) were used to measure relative and absolute inequalities in the utilization of maternal healthcare across the six geopolitical zones in Nigeria. The relative and absolute concentration index (RC and AC) were used to measure education-and wealth-related inequalities in the utilization of maternal healthcare services.
resultsThe RD shows that the gap in the utilization of FBD between urban and rural areas significantly increased by 0.3% per year over the study period. The Theil index suggests a decline in relative inequalities in ANC and FBD across the six geopolitical zones by 7, and 1.8% per year, respectively. The BGV results do not suggest any changes in absolute inequalities in ANC, FBD, and SBA utilization across the geopolitical zones over time. The results of the RC and the AC suggest a persistently higher concentration of maternal healthcare use among well-educated and wealthier mothers in Nigeria over the study period.
conclusionWe found that the utilization of maternal healthcare is lower among poorer and less-educated women, as well as those living in rural areas and North West and North East geopolitical zones. Thus, the focus should be on implementing strategies that increase the uptake of maternal healthcare services among these groups.
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