North-South Differential and Determinants of Maternal Health Services Utilization among Urban Poor in Nigeria

Abstract

This study investigated maternal health service utilization among urban poor women in Nigeria, with a focus on North-South differentials. Using 2018 Nigeria Demographic and Health Survey data on 373 women aged 15-49 years, the study found substantial disparities in ideal maternal healthcare use between the North (3%) and South (19%). In the North, husband’s education and health facility visits were significantly associated with maternal health service (MHS) utilization, while in the South, women’s level of education, occupation, and exposure to family planning information on television were significant factors. There was a significant relationship between predisposing, enabling, and needs factors on MHS use in the South versus the North. Overall, the study highlights how regional demographic and socioeconomic characteristics greatly influence MHS utilization in Nigeria. The findings emphasize the need for tailored interventions to address North-South disparities and improve maternal health outcomes among urban poor women.