CONCLUSION AND GLOBAL HEALTH IMPLICATIONS

The majority of the women had ANC and delivered in health institutions, though a few used home, spiritual houses, or TBAs. The findings support continued attention to the perceived quality and availability of maternity services. Promoting institutional ANC/delivery through improvement in the perceived factors that attracted women to the various health facilities where they delivered will assist in reducing maternal death.

Key Messages

• Antenatal care and delivery rate in healthcare facilities is relatively high in Enugu compared to the general population in Nigeria.
• Education, maternal age, and family income as well as quality and perceived quality of care are critical in healthcare facility delivery.
• Community education and women’s empowerment, alongside improvement in the quality of care in healthcare facilities, will further enhance the use of skilled care during pregnancy and delivery.

Acknowledgments: The authors wish to express their appreciation to the nurses, resident doctors, and management staff of ESUT Teaching Hospital for their assistance during this study.