ArticlePloS one2024
Regional trends, spatial patterns and determinants of health facility delivery among women of reproductive age in Nigeria: A national population based cross-sectional study.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Spatial variation and determinants of hepatitis B birth dose vaccination in Nigeria: a population-based study.BMC public health · 2026Article
- Improving maternal and neonatal outcomes in low-income communities in lagos state, Nigeria: an overview of the mamabase pilot program.Frontiers in global women's health · 2026Article
- Spatial distribution and associated factors of public healthcare infrastructure in tourism-oriented environments: evidence from Southwest China in the context of residential tourism.Frontiers in public health · 2026Article
- Prevalence and determinants of cervical cancer screening among women aged 30-49 years in Nigeria: A population-based cross-sectional study.PLOS global public health · 2026Article
- Where Women Give Birth Is Changing in Sub-Saharan Africa: Evidence From 30 Countries Using DHS Data.Journal of pregnancy · 2026Article
- Regional trends, spatial patterns and factors associated with health facility delivery among women of reproductive age in Sierra Leone.Reproductive health · 2025Article
- Armed conflict and child vaccination in Nigeria: the deprioritised preventive care.BMJ global health · 2025Article
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6 authors.
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Abstract
backgroundGlobally, about 810 women die daily from pregnancy and childbirth complications, and the burden is highest in Africa. The United Nations sustainable development goal has a maternal mortality ratio (MMR) target of 70 per 100,000 live births by 2030. Nigeria, the largest country in Africa, has an MMR of 512 per 100,000 live births, thus there is need for intensified efforts to reduce maternal deaths in the country. Proper utilisation of maternal health services including health facilities for delivery is crucial to achieving this. This study assesses the regional trends, spatial patterns and determinants of health facility delivery among women of reproductive age in Nigeria.
methodsThis is a weighted secondary analysis of the Nigerian Demographic and Health Survey (NDHS). The sample included women who had a live birth in the preceding 5 years of the NDHS 2008, 2013 and 2018. Bivariate analysis and multilevel logistic regression were carried out to assess the determinants of health facility delivery. Trends analysis was done using bar graphs and spatial analysis showed the distribution of health facility delivery by State.
resultsForty-one percent of women delivered their last child in a health facility. The proportion of women who delivered at a health facility increased from 2008 to 2018 for all regions, with exception of the South-south region. Determinants of facility-based delivery include; ethnicity, level of education, wealth index, exposure to mass media (AOR 1.34; 95% CI 1.20-1.50), number of childbirths, number of antenatal visits (AOR 4.03; 95% CI 3.51-4.62), getting a companion to go the health facility (AOR 0.84; 95% CI 0.72-0.98), community level poverty, community level of female education, community distance to health facility, and geographical region.
conclusionThere is an urgent need to deploy appropriate strategies and programme to improve health facility delivery in Nigeria.
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