Association Between Women’s Status and Use of Maternal Health Care Services of Primary Health Centres in Nando, Anambra East L.G.A, Anambra State

ABSTRACT The study examined the association between women’s status and utilisation of maternal health care services of primary health care centres in Nando, in Nando, Anambra east L.G.A of Anambra State. Five objectives were developed. A cross sectional descriptive research design was used. The study population consisted of women of child bearing age (15-49years) who had given birth in the last five years. A sample size of 500 participants was used after using the formula for estimating sample size from a finite population. However, only 482 copies of the questionnaire were returned, giving a response rate of 96.4%. The instrument for data collection was a questionnaire developed by the researcher based on literature review. Data were analysed using the statistical package for the social sciences (SPSS version 18). The major findings showed that 71.5% utilised ANC while 44.4% utilised delivery healthcare services; 40.2% of the women took decisions jointly with their husbands while 32.4% took decisions alone on utilisation of ANC. As regards utilisation of delivery care services, 39% took decisions alone while 36.5% took decisions jointly with their husbands on where to have their baby. There is a statistical significant association between women decision making autonomy and utilisation, women educational and utilisation, and women economic status and maternal health care service utilisation. However, the study showed no statistical significant association between occupational status and utilisation of maternal health care services. The study concluded that the factors that influence the utilisation of maternal health care services are women decision making autonomy, educational status and their economic status.