Utilization of maternal health care services among married adolescent women: insights from the Nigeria Demographic and Health Survey, 2008. 2012

Rajesh Kumar Rai, and Prashant Kumar Singh, and Lucky Singh
Braun School of Public Health and Community Medicine, Hebrew University-Hadassah, Jerusalem, Israel. rajesh.iips28@gmail.com

BACKGROUND An ongoing social catastrophe of very poor performance in maternal health coupled with an unacceptably high number of maternal deaths is evident in Nigeria, especially among adolescent women. This study examines the factors associated with selected maternity services-married adolescent women who have had at least four antenatal care (ANC) visits, those who have undergone safe delivery care, and those who received postnatal care within 42 days of delivery. METHODS Data from Nigeria Demographic and Health Survey, 2008, were used. An eligible sample of 2,434 married adolescent (aged 15-19 years) women was included in the analysis. Pearson chi-square test and binary logistic regression were performed to fulfill the study objective. RESULTS It was found that about 35% of adolescent women had at least four ANC visits, a little over 25% had undergone safe delivery care, and nearly 32% received postnatal care within 42 days of delivery. Women's education, husband's education, wealth quintile, and region of residence were documented as the most important factors associated with maternal healthcare service utilization. The ANC visit was found to be vital in the utilization of safe delivery and postnatal care. CONCLUSIONS Findings indicate that programs to improve maternal healthcare have not succeeded in overcoming the socioeconomic obstacles in the way of adolescents' utilizing maternity services. In the long run, the content and service delivery strategy of maternity programs must be designed in keeping with the socioeconomic context with special attention to adolescent women who are uneducated, poor, and residing in rural areas.

UI MeSH Term Description Entries
D007722 Health Knowledge, Attitudes, Practice Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL). Knowledge, Attitudes, Practice
D008393 Marriage The social institution involving legal and/or religious sanction whereby individuals are joined together. Marital Relationship,Arranged Marriage,Commonlaw Marriage,Consensual Union,Consummation of Marriage,Dowry,Husband-Wife Comparisons,Intermarriage,Marriage Age,Marriage Duration,Marriage Patterns,Marriage Postponement,Mate Selection,Multiple Marriages,Nuptiality,Polygamy,Polygyny,Remarriage,Same-Sex Marriage,Age, Marriage,Ages, Marriage,Arranged Marriages,Commonlaw Marriages,Comparison, Husband-Wife,Comparisons, Husband-Wife,Consensual Unions,Dowries,Duration, Marriage,Husband Wife Comparisons,Husband-Wife Comparison,Intermarriages,Marital Relationships,Marriage Ages,Marriage Consummation,Marriage Consummations,Marriage Pattern,Marriage Postponements,Marriage, Arranged,Marriage, Commonlaw,Marriage, Same-Sex,Marriages,Marriages, Arranged,Marriages, Commonlaw,Marriages, Multiple,Marriages, Same-Sex,Mate Selections,Postponement, Marriage,Postponements, Marriage,Relationship, Marital,Relationships, Marital,Remarriages,Same Sex Marriage,Same-Sex Marriages,Selection, Mate,Selections, Mate,Union, Consensual,Unions, Consensual
D008427 Maternal Health Services Organized services to provide health care to expectant and nursing mothers. Health Services, Maternal,Services, Maternal Health,Health Service, Maternal,Maternal Health Service
D008429 Maternal Welfare Organized efforts by communities or organizations to improve the health and well-being of the mother. Welfare, Maternal
D009549 Nigeria A republic in western Africa, south of NIGER between BENIN and CAMEROON. Its capital is Abuja. Federal Republic of Nigeria
D010342 Patient Acceptance of Health Care Patients' willingness to receive health care. Acceptability of Health Care,Health Care Seeking Behavior,Acceptability of Healthcare,Acceptors of Health Care,Health Care Utilization,Nonacceptors of Health Care,Patient Acceptance of Healthcare,Care Acceptor, Health,Care Acceptors, Health,Care Nonacceptor, Health,Care Nonacceptors, Health,Health Care Acceptability,Health Care Acceptor,Health Care Acceptors,Health Care Nonacceptor,Health Care Nonacceptors,Healthcare Acceptabilities,Healthcare Acceptability,Healthcare Patient Acceptance,Healthcare Patient Acceptances,Utilization, Health Care
D011181 Postnatal Care The care provided to women and their NEWBORNS for the first few months following CHILDBIRTH. Postpartum Care,Postpartum Programs,Care, Postnatal,Care, Postpartum,Postpartum Program,Program, Postpartum,Programs, Postpartum
D011203 Poverty A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level. Federal Poverty Level,Federal Poverty Threshold,Indigency,Low-Income Population,Absolute Poverty,Extreme Poverty,Indigents,Low Income Population,Federal Poverty Levels,Indigent,Level, Federal Poverty,Low Income Populations,Low-Income Populations,Population, Low Income,Population, Low-Income,Poverty Level, Federal,Poverty Threshold, Federal,Poverty, Absolute,Poverty, Extreme
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011256 Pregnancy Outcome Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; or SPONTANEOUS ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO. Outcome, Pregnancy,Outcomes, Pregnancy,Pregnancy Outcomes

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