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A qualitative study exploring low levels of facility delivery in Nigeria focusing on barriers to utilization by learning from women who already deliver in facilities.

Zelee Hill and her co-authors aimed to identify facilitators and barriers for women to deliver their babies in health facilities in Gombe State, North East Nigeria. The team conducted narrative and in-depth interviews with women who had already delivered in a health facility, as well as their family members and community health workers.

Results from the study show that a safe delivery was the main motivator for a facility delivery and the women and families who chose a facility delivery had a desire to be modern and rejected traditional practices. On the flip-side, decision-making power, social norms, accessibility, cost and perceived poor quality of care were reported as barriers.

By studying both facilitators and barriers to facility delivery authors conclude that there is a need for further interventions to address a wide rang of issues at multiple levels which contribute to low levels of facility delivery despite the high rates of maternal mortality prevalent in Nigeria.


Dr Pauline Scheelbeek

Research Fellow, IDEAS 2015-2016

Profile picture of Professor Joanna Schellenberg
Professor Joanna Schellenberg

IDEAS Co-Principal Investigator and Professor

Yashua Hamza

Childcare and Wellness Clinics