Assessment of Income Level and Educational Qualifications on Antenatal- Care-Utilization among Pregnant Women Attending Secondary Health Facilities in Maiduguri Metropolis, Borno State, Nigeria
DOI:
https://doi.org/10.64348/zije.2026593Keywords:
ANC, Income Level, Educational Qualifications, Pregnant Women, Maiduguri MetropolisAbstract
The purpose of this study was conducted to examined income level and educational qualification as predictors of antenatal care (ANC) utilization among pregnant women attending Secondary Health Facilities in Maiduguri Metropolis, Borno State. Two objectives were raised and two hypotheses were tested using multiple regression analysis. A cross-sectional research design was adopted for the study. Data were collected with a ten-item self-developed questionnaire on a four-point Likert type scale with a Cronbach’s alpha reliability index of 0.88. Four secondary healthcare facilities were purposively selected across Maiduguri Metropolis. Within these facilities, the population comprised 1,431 pregnant women, from which a sample of 306 was determined using the Research Advisors table (2006). Systematic random sampling was employed for questionnaire administration, and 291 completed questionnaires were successfully retrieved. Descriptive statistics of frequency counts and percentages was used to describe the demographic characteristics of the respondents while, Inferential statistics of multiple regression analysis was used, indicated that income level and educational qualifications were both statistically significant predictors of ANC utilization. It was recommended that health authorities in Maiduguri Metropolis to design educational programs to inform younger women about regular utilization of ANC, provide additional support to unmarried or separated women, develop age-specific ANC initiatives, encourage family and partner support for pregnant women, integrate demographic factors into health planning, and establish monitoring systems to track ANC attendance patterns to enhance access and utilization across all primary healthcare facilities.
References
Aboagye, R. G., Osborne, A., Anyasodor, A. E., Yikindi, S. V., Adnani, Q. E. S., & Ahinkorah, B. O. (2025). Utilisation of eight or more antenatal care visits and its associated socioeconomic relatedinequalities in sub Saharan Africa: decomposition analysis. PLOS ONE,20(3), e0312412. (https://doi.org/10.1371/journal.pone.0312412) DOI: https://doi.org/10.1371/journal.pone.0312412
Agarwal, S., Kirk, K., Sripad, P., Bellows, B., & Abuya, T. (2016). Examining discontinuation of antenatal care visits in low and middle income countries. PLoS ONE, 11(9), e0162756.
Babalola, S., & Fatusi, A. (2009). Determinants of use of maternal health services in Nigeria – looking beyond individual and household factors. BMC Pregnancy and Childbirth, 9, 43. DOI: https://doi.org/10.1186/1471-2393-9-43
ChamaChiliba, C.M., & Koch, S.F. (2015). Utilization of focused antenatal care in Zambia: Examining individual and community level factors using a multilevel analysis. Health Policy and Planning, 30(1), 7887. DOI: https://doi.org/10.1093/heapol/czt099
Dzakpasu, S., Soremekun, S., Manu, A., Asbroek, A.V., Tawiah, C., Hurt, L., ... & Kirkwood, B. (2014). Impact of free delivery care on health facilities delivery and insurance coverage in Ghana's Brong Ahafo Region. PLoS ONE, 9(2), e88430.
Dzakpasu, S., Soremekun, S., Manu, A., Asbroek, A.V., Tawiah, C., Hurt, L., ... & Kirkwood, B. (2014). Impact of free delivery care on health facilities delivery and insurance coverage in Ghana's Brong Ahafo Region. PLoS ONE, 9(2), e88430.
Esena, R.K., SodziTettey, S., Dzomeku, V.M., & Aikins, M. (2019). Timing and utilization of antenatal care services in Ghana: insights from analysis of household survey data. PloS one, 14(4), e0215263.
Ogu, R. N., Ogunjuyigbe, P. O., Adeyenum, R. A., Ijeremeni, P. O., & Olorunfemi, O. O. (2020). Influence of maternal educational level on antenatal care attendance and pregnancy outcomes in Nigeria. Journal of Public Health in Africa, 11(2), 354.
Scott, K., Beckham, S.W., Gross, M., Pariyo, G., Rao, K.D., & Cometto, G. (2014). What do we know about community based health worker programs? A systematic review of existing reviews on community health workers. Human Resources for Health, 12(1), 117.
Tiruneh, G.T., Chuang, K.Y., Ntenda, P.A.M., & Chuang, Y.C. (2016). Women's autonomy and maternal healthcare service utilization in Ethiopia. BMC Health Services Research, 16(1), 17. DOI: https://doi.org/10.1186/s12913-017-2670-9
Yohannes, B., Tarekegn, M., & Paulos, W. (2014). Mothers' utilization of antenatal care services and factors that influence it in Wolkite town, Gurage Zone, South Ethiopia: A community based cross sectional study. BMC Pregnancy and Childbirth, 14(1), 18.



