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The aim paper is to identify and evaluate the main factors affecting the use of maternal health services in Nigeria and factors contributing to Maternal Mortality Rate MMRMaternal health is refers to the health of women during pregnancy childbirth and postpartum period including family planning and pre-conception care While maternal death is referred to as the death of a woman during pregnancy or within forty two days of termination of pregnancy irrespective of the duration and site of pregnancy Incidental and accidental death not included according to WHO 2005 world report Maternal mortality is an important indicator of overall health system of any nationAntenatal care is a preventive health service Prevention in order to be truly preventive must start from the womb according Ballantyne in 1902 Care of women during child birth started long time ago but antenatal care did not start until 1930s in Great Britain after it was noted that though there was a great reduction in womens death form hemorrhage and obstruction of labor there were still a lot of women dying in pregnancy form eclampsia It was then determine that there was need to start care early in pregnancy to monitor blood pressure and urine so as to detect problems early ARTICLE 5 Utilization of maternal health services is associated with improved maternal and neonatal outcome and it is closely related to the maternal and fetal mortality rateNigeria is located in the west coast of Africa with a population of 170 million by 2012 estimate Nigeria is the most populous country in Africa There are more than 250 ethnic groups in Nigeria out of which we have 3 major ones Hausa and Fulani 29 occupying the northern part of Nigeria Yoruba 21 in south western and Ibo 18 in the south eastern part Nigeria is estimated to have about 442 Muslim 448 Christian and the indigenous belief makes up the remaining 10 In 2009 health expenditure of Nigeria was 58 of
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