Assessment of quality of maternal and newborn care and its determinants: a national study of primary health care facilities in Nigeria
Abstract Background Reducing the global burden of maternal morbidity and mortality necessitates focusing on the quality of maternal and newborn care (MNC). This study aimed to assess the quality of MNCs among 25,840 public primary healthcare centers (PHCs) across Nigeria, analyze subnational variati...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-07-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-025-12957-6 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849769188775690240 |
|---|---|
| author | Toluwani Oluwatola Saheed Dipo Isiaka Oluomachukwu Omeje Folake Oni Olugbemisola W. Samuel Sidney Sampson Hilda Ebinim Oluwadamilare Olatunji Oluwafisayo Ayodeji Dolapo Ajibola Stallone Ngobua Oluwafunmilayo Dehinbo Helen Ukoh Leyira Ken-Aminikpo Segun Adenipekun Hilary I. Okagbue |
| author_facet | Toluwani Oluwatola Saheed Dipo Isiaka Oluomachukwu Omeje Folake Oni Olugbemisola W. Samuel Sidney Sampson Hilda Ebinim Oluwadamilare Olatunji Oluwafisayo Ayodeji Dolapo Ajibola Stallone Ngobua Oluwafunmilayo Dehinbo Helen Ukoh Leyira Ken-Aminikpo Segun Adenipekun Hilary I. Okagbue |
| author_sort | Toluwani Oluwatola |
| collection | DOAJ |
| description | Abstract Background Reducing the global burden of maternal morbidity and mortality necessitates focusing on the quality of maternal and newborn care (MNC). This study aimed to assess the quality of MNCs among 25,840 public primary healthcare centers (PHCs) across Nigeria, analyze subnational variations, and determine the influence of contextual variables on the quality of care (QoC) by PHCs. Methods Data from a nationwide PHC assessment conducted in 2022 were utilized to create the composite index of care for PHC facilities in Nigeria. Summary statistics were then generated for the composite of care scores across PHC facilities. Subnational differences in QoC among the 36 states and the Federal Capital Territory and the influence of four contextual variables (Basic Health Care Provision Fund-status of PHC, activity of ward development committees, implementation of quality improvement plan, and activity of facility management committees) on QOC were determined using a one-way analysis of variance and multiple linear regression respectively. Results PHCs in Nigeria had QoC scores ranging from 0.06-4.0 and a mean QoC score of 2.07. There were significant variations in the mean PHC facility QoC across states, with Katsina and Ondo states having the lowest (1.35) and highest (2.98) QoC, respectively. The regression model showed that the contextual variables analyzed accounted for 31.5% of the variation in QoC, with varying statistically significant relationships with the QoC. Conclusion The quality of maternal and newborn healthcare in Nigeria’s PHC facilities is unsatisfactory, with noticeable subnational variation in the QoC. To achieve significant improvements in the quality of care provided by PHC facilities in the country, targeted interventions, such as empanelment of more PHCs as BHCPF facilities, strengthening implementation of quality improvement plans and strengthening activities of ward development committees, and facility management committees, are required to improve the quality of maternal and newborn care, and reduce maternal and infant mortality rates. |
| format | Article |
| id | doaj-art-9d06e121a5044ce69c05c6145fdd3f50 |
| institution | DOAJ |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-9d06e121a5044ce69c05c6145fdd3f502025-08-20T03:03:32ZengBMCBMC Health Services Research1472-69632025-07-0125111210.1186/s12913-025-12957-6Assessment of quality of maternal and newborn care and its determinants: a national study of primary health care facilities in NigeriaToluwani Oluwatola0Saheed Dipo Isiaka1Oluomachukwu Omeje2Folake Oni3Olugbemisola W. Samuel4Sidney Sampson5Hilda Ebinim6Oluwadamilare Olatunji7Oluwafisayo Ayodeji8Dolapo Ajibola9Stallone Ngobua10Oluwafunmilayo Dehinbo11Helen Ukoh12Leyira Ken-Aminikpo13Segun Adenipekun14Hilary I. Okagbue15Genesis AnalyticsSydani Institute for Research and Innovation, FCTNigeria Health Watch, FCTRenewed Minds, FCTSydani Institute for Research and Innovation, FCTSydani Initiative for International Development, FCTSydani Initiative for International Development, FCTSydani Initiative for International Development, FCTSydani Initiative for International Development, FCTSydani Initiative for International Development, FCTSydani Initiative for International Development, FCTSydani Initiative for International Development, FCTSydani Initiative for International Development, FCTSydani Initiative for International Development, FCTSydani Initiative for International Development, FCTSydani Institute for Research and Innovation, FCTAbstract Background Reducing the global burden of maternal morbidity and mortality necessitates focusing on the quality of maternal and newborn care (MNC). This study aimed to assess the quality of MNCs among 25,840 public primary healthcare centers (PHCs) across Nigeria, analyze subnational variations, and determine the influence of contextual variables on the quality of care (QoC) by PHCs. Methods Data from a nationwide PHC assessment conducted in 2022 were utilized to create the composite index of care for PHC facilities in Nigeria. Summary statistics were then generated for the composite of care scores across PHC facilities. Subnational differences in QoC among the 36 states and the Federal Capital Territory and the influence of four contextual variables (Basic Health Care Provision Fund-status of PHC, activity of ward development committees, implementation of quality improvement plan, and activity of facility management committees) on QOC were determined using a one-way analysis of variance and multiple linear regression respectively. Results PHCs in Nigeria had QoC scores ranging from 0.06-4.0 and a mean QoC score of 2.07. There were significant variations in the mean PHC facility QoC across states, with Katsina and Ondo states having the lowest (1.35) and highest (2.98) QoC, respectively. The regression model showed that the contextual variables analyzed accounted for 31.5% of the variation in QoC, with varying statistically significant relationships with the QoC. Conclusion The quality of maternal and newborn healthcare in Nigeria’s PHC facilities is unsatisfactory, with noticeable subnational variation in the QoC. To achieve significant improvements in the quality of care provided by PHC facilities in the country, targeted interventions, such as empanelment of more PHCs as BHCPF facilities, strengthening implementation of quality improvement plans and strengthening activities of ward development committees, and facility management committees, are required to improve the quality of maternal and newborn care, and reduce maternal and infant mortality rates.https://doi.org/10.1186/s12913-025-12957-6BHCPFNigeriaQuality of careRegressionSensitivity |
| spellingShingle | Toluwani Oluwatola Saheed Dipo Isiaka Oluomachukwu Omeje Folake Oni Olugbemisola W. Samuel Sidney Sampson Hilda Ebinim Oluwadamilare Olatunji Oluwafisayo Ayodeji Dolapo Ajibola Stallone Ngobua Oluwafunmilayo Dehinbo Helen Ukoh Leyira Ken-Aminikpo Segun Adenipekun Hilary I. Okagbue Assessment of quality of maternal and newborn care and its determinants: a national study of primary health care facilities in Nigeria BMC Health Services Research BHCPF Nigeria Quality of care Regression Sensitivity |
| title | Assessment of quality of maternal and newborn care and its determinants: a national study of primary health care facilities in Nigeria |
| title_full | Assessment of quality of maternal and newborn care and its determinants: a national study of primary health care facilities in Nigeria |
| title_fullStr | Assessment of quality of maternal and newborn care and its determinants: a national study of primary health care facilities in Nigeria |
| title_full_unstemmed | Assessment of quality of maternal and newborn care and its determinants: a national study of primary health care facilities in Nigeria |
| title_short | Assessment of quality of maternal and newborn care and its determinants: a national study of primary health care facilities in Nigeria |
| title_sort | assessment of quality of maternal and newborn care and its determinants a national study of primary health care facilities in nigeria |
| topic | BHCPF Nigeria Quality of care Regression Sensitivity |
| url | https://doi.org/10.1186/s12913-025-12957-6 |
| work_keys_str_mv | AT toluwanioluwatola assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT saheeddipoisiaka assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT oluomachukwuomeje assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT folakeoni assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT olugbemisolawsamuel assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT sidneysampson assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT hildaebinim assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT oluwadamilareolatunji assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT oluwafisayoayodeji assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT dolapoajibola assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT stallonengobua assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT oluwafunmilayodehinbo assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT helenukoh assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT leyirakenaminikpo assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT segunadenipekun assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria AT hilaryiokagbue assessmentofqualityofmaternalandnewborncareanditsdeterminantsanationalstudyofprimaryhealthcarefacilitiesinnigeria |