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INFLUENCE OF SOCIO-ECONOMIC STATUS AND PROXIMITY TO HEALTHCARE FACILITIES ON WOMEN’S DELIVERY LOCATION CHOICES IN IBIONO IBOM LOCAL GOVERNMENT AREA
ABSTRACT
The study examined the
influence of socio-economic status and proximity to healthcare facilities on
women’s delivery location choices in Ibiono Ibom Local Government Area of Akwa
Ibom State, Nigeria. Two research questions and two null hypotheses were
formulated to guide the study. A survey research design was adopted for the
study. The population comprised women of reproductive age in Ibiono Ibom Local
Government Area, while a sample of 351 respondents was selected using simple
random sampling technique. A structured questionnaire titled Socio-economic and Proximity Factors on Delivery Location Questionnaire
(SPFDLQ) was used for data
collection. The instrument was validated by experts and a reliability
coefficient of 0.84 was obtained using Cronbach Alpha method. Data collected
were analyzed using mean and chi-square statistics to answer research questions
and test hypotheses at 0.05 level of significance. The findings revealed that
socio-economic status has a significant influence on women’s delivery location
choices, as women with higher income levels, education, and financial stability
were more likely to utilize health facilities for childbirth, while those with
lower socio-economic status tended to opt for home delivery or traditional
birth attendants. The study further revealed that proximity to healthcare
facilities significantly influences delivery location choices, as women who
reside closer to health centers are more likely to deliver in hospitals
compared to those in remote areas who face challenges such as distance,
transportation difficulties, and poor road infrastructure. Based on the
findings, it was concluded that both socio-economic status and proximity to
healthcare facilities are critical determinants of women’s delivery location
choices in Ibiono Ibom Local Government Area. It was recommended, among others,
that government and health stakeholders should implement policies that improve
access to affordable maternal healthcare services and establish more functional
health facilities in rural communities to reduce distance barriers and promote
safe delivery practices.
KEYWORDS:
Socio-economic Status, Proximity to Healthcare Facilities, Delivery Location
Choice, Nursing Mothers
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