Determinants of Skilled Care Utilization among Pregnant Women Residents in an Urban Community in Kwara State, Northcentral Nigeria

Abstract

BACKGROUND: Skilled attendant at delivery (SBA) is one of thekey indicators used in assessing progress towards improvedmaternal health. This study aimed at identifying factorsinfluencing SBA utilization in Ilorin, Nigeria.METHODS: This cross-sectional study was carried out usingmulti-stage sampling technique among 400 participants in Ilorin,Northcentral Nigeria. A pre-tested questionnaire was used for datacollection, and data analysis was done using descriptive andinferential statistics.RESULTS: SBA supervised 73.8% births. Determinants of skilledbirth attendance at delivery include higher education (AOR; 10.94,95% CI; 3.60-33.26), having only one child (AOR; 4.33, 95% CI;1.18-15.82), having at least 4 ANC attendance (AOR; 18.84, 95%CI; 8.95-55.82) and residing near delivery sites (AOR; 11.49, 95%CI; 2.43-55.56).CONCLUSION: The proportion of births supervised by SBA needsimprovement in Northcentral Nigeria. Full implementation ofreproductive health policies will enhance skilled births in Nigeria.