Impact of the Mandatory Community Midwifery Service on the Utilization of Maternal Health Care by Women in Ondo State, Nigeria

Fadare, R. I and Oyetunde, M. O and Akpor, O. A (2015) Impact of the Mandatory Community Midwifery Service on the Utilization of Maternal Health Care by Women in Ondo State, Nigeria. Science Journal of Public Health, 3 (5). ISSN 2328-7950

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Abstract

The study explored the perceived impact of the mand atory community midwifery service on utilization of maternal health care by women, using the General Sy stem Theory and the Logic Model. The research was c onducted in three selected Local Government Areas (LGAs). The researc h design for this study was the time-series type of non-controlled experimental design. The researcher assessed record s of maternal health care attendance from the selec ted health facilities from July 2002 to July 2011 to generate data for the stu dy. The study population comprised of 306 women of reproductive age group (15-49) in the three selected communities (who have participated in the programme) where the three pri mary health care centres are located. Multistage sampling technique was adopted to select three Local Government Areas (LGAs) from where data was collected. In-depth interview guide, quest ionnaire and format for recording data from records were used in the study. The result obtained from the study indicated that t here was no significant difference in the levels of utilization of maternal care services before and after the inception of the mand atory community service except for the slight incre ase in antenatal care utilization. Majority of the women expressed satisf action with the services they received from the mid wives. The study also revealed a slight increase in the levels of utiliza tion of antenatal attendance while not much change had occurred in the use of facility based delivery care as well as postnatal c are

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