BACKGROUND AND OBJECTIVE: In Nigeria, most deliveries take place at home or with traditional birth
attendants (TBAs). This study examined the factors that influenced or determined utilization of healthcare
facility delivery services among women who attended antenatal care (ANC) services.
METHODS: A cross-sectional survey was conducted with 220 women who registered for ANC at a hospital
and delivered within 18 months. Associations between independent variables and choice of healthcare
facility delivery were analyzed. Multiple logistic regression was also used to identify the predictors of
choice of delivery among women.
RESULTS: Of the 220 women who registered for ANC, 75% delivered at a healthcare facility while 15%
delivered with a TBA or at home. In the final model, number of children, having planned to deliver at a
hospital, labor occurring at night, and labor allowing time for transportation were significant predictors of
child delivery location among the women.
CONCLUSION AND GLOBAL HEALTH IMPLICATIONS: Utilization of the health facilities for childbirth may
increase if pregnant women are encouraged to book early for ANC and if during ANC, pregnant women
were counseled to detect labor signs early. In addition to focused and intensified counseling for women
with more children, support should be provided that includes financial provisions for transportation to the