Socioeconomic barriers to facility-based delivery in urban poor communities of Lagos: Wealth, linguistic capacity, and residential area

Socioeconomic barriers to facility-based delivery in urban poor communities of Lagos: Wealth, linguistic capacity, and residential area

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Background: The objective of this study is to describe delivery care utilizations and to identify socioeconomic barriers to practicing facility-based deliveries, in urban poor communities of Lagos, Nigeria.Methods: The study was a prospective cohort study conducted in Lagos Mainland, a local government area of Lagos State, Nigeria.A total of 723 randomly selected pregnant women Recoil Pads participated in this study.

The socio-economic barriers were sought from three different perspectives, i.e., household wealth as a financial barrier, linguistic capacity as a social barrier, and residential area as a physical barrier.

The data were analyzed with descriptive and multivariate statistical methods using the imputed datasets.Results: While 41.9% of the participants delivered at governmental health facilities, 28.

3% and 29.8% of them gave births at private health facilities and other places, respectively.As the results of the analyses, household wealth was positively associated with childbirth at a governmental bbs-dog-collar- health facility.

Egun-speaking women were more likely to give births at private facilities than Yoruba-speaking women, while Igbo-speaking and Hausa-speaking women were more likely to choose other places for their childbirths.Conclusion: This study identified the financial and linguistic barriers to facility-based deliveries among women in urban poor communities.