Knowledge and Utilisation of Maternal and Child Health Services Among Women of Reproductive Age in Ilorin West Local Government Area of Kwara State

Abstract

Background: Maternal and child health (MCH) services remain critical for reducing preventable morbidity and mortality among reproductive women in Nigeria. However, utilisation of these services varies across communities. This study assessed the knowledge and utilisation of maternal and child health services among women of reproductive age in Ilorin West Local Government Area of Kwara State.

Methodology: A descriptive cross-sectional study was conducted among 250 women aged 15–49 years selected using a multistage-sampling technique. Data were collected using a pre-tested, self-structured questionnaire. Descriptive statistics were computed and data were presented using frequencies and
percentages.

Results: Knowledge of key MCH services was generally high, with majority of respondents aware of maternal care, and child-health services. Utilisation of maternal health services showed that 70.4% attended antenatal care, 64.4% utilised delivery services, and 62.4% attended postnatal care. 67.6% utilised immunisation services, while 90.8% participated in health education sessions. Major barriers to utilisation included distance to health facilities, transportation, cost of services, negative attitudes of health workers, and cultural or religious beliefs.

Conclusion: Although knowledge and utilisation of MCH services were relatively high, persistent structural and socio-cultural barriers limit optimal uptake. Strengthening service accessibility, affordability, and quality of care is essential for improving maternal and child health outcomes.