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Utilization of Antenatal Care Services Among Pregnant Women Attending Public Hospitals in Awka-South Local Government Area Anambra State

Nzeukwu, A. C. Nworuh, B. O. Iwuoha, G. Nzeukwu, C. I.

Subject area: Biological & Medical Sciences  ·  Area of research: Antenatal Care Utilization

Abstract

Antenatal care services (ANCS) are provided for pregnant women and adolescent girls, to ensure the best health conditions for both mother and baby during pregnancy. Poor utilization of antenatal care services is still common in most societies, leading to unacceptably high level of complications developed during pregnancy from preventable or treatable diseases. This study aimed at investigating the Utilization of ANCS among pregnant women attending Public Hospitals in Awka-South Local Government Area, Anambra State. A total of 314 pregnant women volunteered for the study. Structured questionnaires were issued to the participants and the data collected were analyzed using descriptive statistics of frequency counts and percentage, Fisher’s exact and chi-square (X2) statistics was used to test the study hypotheses at P≤0.05 significance level. The result showed that among 341 pregnant women assessed, 92(29.3%) were utilizing the services properly while 222(70.7%) were utilizing it poorly. Highest utilization was found among the age group 26-30 years (33.5%), 31-35 years (33.8%), and over 35 years (33.3%), and less utilization was found among the younger women of less than 26 years old (17.1%). There was slightly significant difference between age and the level of proper utilization of antenatal care services among the study group (P=0.046). Married women and the divorced or separated properly utilized the antenatal care services more than the single women. There was significant difference between the marital status and the utilization of antenatal care services (P=0.021). Findings from this study shows that there is the underutilization of antenatal care services among the respondents which could lead to complications in pregnancy, therefore, adequate education and awareness are highly recommended in the among pregnant women in the study area.

Keywords

Utilization, Antenatal, Pregnant, Women, Public, Awka-South

References

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[2] Abimbola, J. M., Makanjuola, A. T., Ganiyu, S. A., Babatunde, U., Adekunle, D. K., & Olatayo,A. A. (2016). Pattern of utilization of ante-natal and delivery services in a semi-urban community of North-Central Nigeria.African health sciences, 16(4), 962–971. https://

[3] Awotunde, O., Amole, I., Adesina, S., Adeniran , A., OlaOlorun, D., Durodola, A. & Awotunde, A. (2019).Pattern of Antenatal Care Services Utilization in a Mission Hospital in Ogbomoso South-west Nigeria.Journal of Advances in Medical and Pharmaceutical Sciences. 1-11. 10.9734/jamps/2019/v21i230127

[4] Carla, A., Tessa, W., Blanc, A., & Van, P. (2003). Antenatal Care in developing countries, promises, achievements and missed opportunities; an analysis of trends, level and differentials. Geneva: World Health Organization 1990-2001

[5] Fagbamigbe, A.F., Idemudia, E.S. (2015). Barriers to antenatal care use in Nigeria: evidences from non-users and implications for maternal health programming. BMC Pregnancy Childbirth 15, 95. https://

[6] Kawungezi, P. C., Akiibua, D., Aleni, C., Chitayi, M., Niwaha, A., Kazibwe, A., … Nakubulwa, S. (2015). Attendance and utilization of antenatal care (ANC) services:Multi-center study in upcountry areas of Uganda. Open J Prev Med, 5(3), 132 – 142. 10.4236/ojpm.2015.53016.

[7] Lincetto, O., Mothebesoane-anoh, S., Gomez, P., & Munjanja, S. (2010). Antenatal Care: Opportunities for African’s Newborns. Newyork: World Health Organization.

[8] Onasoga, O. A., Afolayan, J. A., &Oladimeji B. D. (2012). Factors influencing utilization of antenatal care services among pregnant women in Ife Central lga, Osun State Nigeria. Advances in Applied Science Research, 3(3), 1309 – 1315. Retrieved from http://www.imedpub.com/articles/factors- influencing-utilization-of-antenatal-care- services-among-pregnantwomen-in-ife-central- lga-osun-state-nigeria.pdf

[9] Ronsman, C., and Graham, W. J. (2006). Maternal Mortality: Who, When, Where and Why. Lancet,368, 1189 – 200. 10.1016s0140-6736 (06) 69380-X

[10] World Health Organisation. (2016b). Fact sheet on maternal mortality. Retrieved from http://www.who.int/news-room/fact- sheets/detail/maternal-mortality

[11] World Health Organization (2016a) WHO recommendations on Antenatal Care for a Positive pregnancy experience. Retrieved from http://www.who.int/reproductivehealth/publicat ions/maternal_perinatal_health/anc-positive- pregnancy-experience/en/

How to cite this paper

Nzeukwu, A. C., Nworuh, B. O., Iwuoha, G., Nzeukwu, C. I. "Utilization of Antenatal Care Services Among Pregnant Women Attending Public Hospitals in Awka-South Local Government Area Anambra State" Iconic Research And Engineering Journals Volume 9 Issue 8 2026 Page 457-462
Nzeukwu, A. C., Nworuh, B. O., Iwuoha, G., Nzeukwu, C. I. "Utilization of Antenatal Care Services Among Pregnant Women Attending Public Hospitals in Awka-South Local Government Area Anambra State" Iconic Research And Engineering Journals, vol. 9, no. 8, Feb. 2026
Nzeukwu, A. C., Nworuh, B. O., Iwuoha, G., Nzeukwu, C. I. (2026). Utilization of Antenatal Care Services Among Pregnant Women Attending Public Hospitals in Awka-South Local Government Area Anambra State. Iconic Research And Engineering Journals, 9(8).
Nzeukwu, A. C., Nworuh, B. O., Iwuoha, G., Nzeukwu, C. I. "Utilization of Antenatal Care Services Among Pregnant Women Attending Public Hospitals in Awka-South Local Government Area Anambra State" Iconic Research And Engineering Journals, vol. 9, no. 8, Feb. 2026.
@article{1714164,
      author = {Nzeukwu, A. C., Nworuh, B. O., Iwuoha, G., Nzeukwu, C. I.},
      title = {Utilization of Antenatal Care Services Among Pregnant Women Attending Public Hospitals in Awka-South Local Government Area Anambra State},
      journal = {Iconic Research And Engineering Journals},
      year = {2026},
      volume = {9},
      number = {8},
      pages = {457-462},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1714164.pdf},
      abstract = {Antenatal care services (ANCS) are provided for pregnant women and adolescent girls, to ensure the best health conditions for both mother and baby during pregnancy. Poor utilization of antenatal care services is still common in most societies, leading to unacceptably high level of complications developed during pregnancy from preventable or treatable diseases. This study aimed at investigating the Utilization of ANCS among pregnant women attending Public Hospitals in Awka-South Local Government Area, Anambra State. A total of 314 pregnant women volunteered for the study. Structured questionnaires were issued to the participants and the data collected were analyzed using descriptive statistics of frequency counts and percentage, Fisher’s exact and chi-square (X2) statistics was used to test the study hypotheses at P≤0.05 significance level. The result showed that among 341 pregnant women assessed, 92(29.3%) were utilizing the services properly while 222(70.7%) were utilizing it poorly. Highest utilization was found among the age group 26-30 years (33.5%), 31-35 years (33.8%), and over 35 years (33.3%), and less utilization was found among the younger women of less than 26 years old (17.1%). There was slightly significant difference between age and the level of proper utilization of antenatal care services among the study group (P=0.046). Married women and the divorced or separated properly utilized the antenatal care services more than the single women. There was significant difference between the marital status and the utilization of antenatal care services (P=0.021). Findings from this study shows that there is the underutilization of antenatal care services among the respondents which could lead to complications in pregnancy, therefore, adequate education and awareness are highly recommended in the among pregnant women in the study area.},
      keywords = {Utilization, Antenatal, Pregnant, Women, Public, Awka-South},
      month = {February},
  }