2026-10-06T05:21:39Z
https://api.figshare.com/v2/oai
oai:figshare.com:article/34072639
2026-10-05T17:39:09Z
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<p>Null model results (Model 0).</p>
Gideon Ikemdinachi Nwankwo (25317076)
Rejoice Uche Obiora (25317079)
Delight Mawufemor Agbi (25317082)
Bisola Olubiyi (25317085)
Daniel Mumba (25317088)
Herbert Tafadzwa Kazonda (25317091)
Isaac Isiko (18399616)
Edson Mwebesa (15187994)
Charles Natuhamya (21094571)
Medicine
Cell Biology
Biotechnology
Mathematical Sciences not elsewhere classified
Developmental Biology
Cancer
Science Policy
xlink "> overall
saharan africa bearing
relative risk ratio
study utilized data
includes antenatal care
nigeria remains suboptimal
2024 nigeria demographic
significant inequities driven
partially utilized services
maternal deaths worldwide
women &# 8217
achieved adequate utilization
achieve adequate utilization
study examines
postnatal care
nigeria accounts
lower utilization
weighted n
wealth status
variables significant
statistical significance
socioeconomic status
rural residence
reflects gaps
neonatal outcomes
multivariable models
media exposure
maternal healthcare
income countries
improving maternal
higher parity
health survey
health insurance
health facilities
disproportionate burden
contextual predictors
composite outcome
bivariate analysis
assess individual
anc attendance
81 ).
49 ).
<div>
<p>Background</p><p>Maternal mortality remains a major public health challenge, particularly in low- and middle-income countries, with Sub-Saharan Africa bearing a disproportionate burden. Nigeria accounts for over one-quarter of all maternal deaths worldwide. This reflects gaps in access to and continuity of maternal healthcare. The continuum of maternal healthcare, which includes antenatal care (ANC), skilled delivery, and postnatal care (PNC) is critical for improving maternal and neonatal outcomes. This study examines the determinants of continuum of maternal healthcare service utilization in Nigeria.</p>
<p>Methods</p><p>This study utilized data from 13,596 women (weighted n = 14,183) from the 2024 Nigeria Demographic and Health Survey. Maternal Health Services Utilization (MHSU) was operationalized as a composite outcome (none, partial, adequate) based on ANC attendance, place of delivery, maternal and child PNC. Multilevel multinomial logistic regression models were fitted to assess individual, household, and contextual predictors. Variables significant at <i>p</i> < 0.20 in bivariate analysis were included in multivariable models. Statistical significance was set at <i>p</i> < 0.05.</p>
<p>Results</p><p>Overall, 44.0% of women did not utilize any services, 44.4% partially utilized services, and only 11.6% achieved adequate utilization. Women with secondary or higher education were significantly more likely to achieve adequate utilization (Relative Risk Ratio (RRR) = 12.10, 95% CI: 8.72, 16.81). Wealth status, media exposure, employment, and health insurance were positively associated with utilization, while higher parity and decision-making barriers reduced utilization. Rural residence was associated with lower utilization (RRR = 0.38, 95% CI: 0.29, 0.49). Distance to health facilities was not significant in the adjusted model.</p>
<p>Conclusion</p><p>Maternal healthcare service utilization in Nigeria remains suboptimal, with significant inequities driven by socioeconomic status, education, and women’s autonomy. Strengthening the continuum of care requires multisectoral interventions addressing structural and social determinants of health.</p></div>
2026-10-05T17:39:03Z
Dataset
Dataset
10.1371/journal.pone.0359946.t003
https://figshare.com/articles/dataset/_p_Null_model_results_Model_0_p_/34072639
CC BY 4.0