{"id":"https://openalex.org/W7225646375","doi":"https://doi.org/10.56201/ijmepr.v10.no6.2026.pg158.170","title":"Women's Economic Status and Maternal Healthcare Service Utilisation Evidence Across Antenatal, Skilled Birth Attendance and Postnatal Care","display_name":"Women's Economic Status and Maternal Healthcare Service Utilisation Evidence Across Antenatal, Skilled Birth Attendance and Postnatal Care","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225646375","doi":"https://doi.org/10.56201/ijmepr.v10.no6.2026.pg158.170"},"language":"en","primary_location":{"id":"doi:10.56201/ijmepr.v10.no6.2026.pg158.170","doi":"https://doi.org/10.56201/ijmepr.v10.no6.2026.pg158.170","is_oa":false,"landing_page_url":"https://doi.org/10.56201/ijmepr.v10.no6.2026.pg158.170","pdf_url":null,"source":{"id":"https://openalex.org/S4387281532","display_name":"INTERNATIONAL JOURNAL OF MEDICAL EVALUATION AND PHYSICAL REPORT","issn_l":"2579-0498","issn":["2579-0498","2695-2181"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"INTERNATIONAL JOURNAL OF MEDICAL EVALUATION AND PHYSICAL REPORT","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5084979608","display_name":"Tamunoboma Gloria Ibulubo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I96576516","display_name":"Rivers State University","ror":"https://ror.org/01kr7aq59","country_code":"NG","type":"education","lineage":["https://openalex.org/I96576516"]}],"countries":["NG"],"is_corresponding":true,"raw_author_name":"Tamunoboma Gloria Ibulubo","raw_affiliation_strings":["Rivers State University, Nkpolu-Oroworukwo, Port Harcourt, Rivers State"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rivers State University, Nkpolu-Oroworukwo, Port Harcourt, Rivers State","institution_ids":["https://openalex.org/I96576516"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5084979608"],"corresponding_institution_ids":["https://openalex.org/I96576516"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"158","last_page":"158"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/women-s-economic-status","display_name":"women's economic status","score":0.9869999885559082},{"id":"https://openalex.org/keywords/maternal-health-care-utilization","display_name":"maternal health service utilization","score":0.8640000224113464},{"id":"https://openalex.org/keywords/prenatal-care","display_name":"prenatal care","score":0.9990000128746033},{"id":"https://openalex.org/keywords/skilled-birth-attendance","display_name":"skilled birth attendance","score":1.0},{"id":"https://openalex.org/keywords/postnatal-care","display_name":"postpartum care","score":1.0},{"id":"https://openalex.org/keywords/financial-independence","display_name":"financial independence","score":0.7490000128746033},{"id":"https://openalex.org/keywords/asset-ownership","display_name":"asset ownership","score":0.6499999761581421},{"id":"https://openalex.org/keywords/health-seeking-behavior","display_name":"health-seeking behavior","score":0.8169999718666077},{"id":"https://openalex.org/keywords/continuum-of-care","display_name":"continuum of care","score":0.8579999804496765},{"id":"https://openalex.org/keywords/rivers-state","display_name":"Rivers State","score":0.8069999814033508}],"concepts":[{"id":"https://openalex.org/C2778173179","wikidata":"https://www.wikidata.org/wiki/Q25339289","display_name":"Attendance","level":2,"score":0.6718000173568726},{"id":"https://openalex.org/C2910910449","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postnatal Care","level":3,"score":0.618399977684021},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.5437999963760376},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5128999948501587},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.49410000443458557},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4677000045776367},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4666000008583069},{"id":"https://openalex.org/C65414064","wikidata":"https://www.wikidata.org/wiki/Q484105","display_name":"Autonomy","level":2,"score":0.4571000039577484},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3846000134944916},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.3668000102043152},{"id":"https://openalex.org/C3987366","wikidata":"https://www.wikidata.org/wiki/Q6658164","display_name":"Livelihood","level":3,"score":0.3418999910354614},{"id":"https://openalex.org/C2983493262","wikidata":"https://www.wikidata.org/wiki/Q6786626","display_name":"Maternal health","level":4,"score":0.3271999955177307},{"id":"https://openalex.org/C189326681","wikidata":"https://www.wikidata.org/wiki/Q10294","display_name":"Poverty","level":2,"score":0.32179999351501465},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.31839999556541443},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.3093999922275543},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3012999892234802},{"id":"https://openalex.org/C45355965","wikidata":"https://www.wikidata.org/wiki/Q1643441","display_name":"Socioeconomics","level":1,"score":0.2849999964237213},{"id":"https://openalex.org/C195487862","wikidata":"https://www.wikidata.org/wiki/Q850210","display_name":"Revenue","level":2,"score":0.2689000070095062},{"id":"https://openalex.org/C95713431","wikidata":"https://www.wikidata.org/wiki/Q631425","display_name":"Vulnerability (computing)","level":2,"score":0.26489999890327454},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.2637999951839447},{"id":"https://openalex.org/C145096142","wikidata":"https://www.wikidata.org/wiki/Q5333450","display_name":"Economic cost","level":2,"score":0.26109999418258667},{"id":"https://openalex.org/C76178495","wikidata":"https://www.wikidata.org/wiki/Q4808784","display_name":"Asset (computer security)","level":2,"score":0.2565000057220459}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.56201/ijmepr.v10.no6.2026.pg158.170","doi":"https://doi.org/10.56201/ijmepr.v10.no6.2026.pg158.170","is_oa":false,"landing_page_url":"https://doi.org/10.56201/ijmepr.v10.no6.2026.pg158.170","pdf_url":null,"source":{"id":"https://openalex.org/S4387281532","display_name":"INTERNATIONAL JOURNAL OF MEDICAL EVALUATION AND PHYSICAL REPORT","issn_l":"2579-0498","issn":["2579-0498","2695-2181"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"INTERNATIONAL JOURNAL OF MEDICAL EVALUATION AND PHYSICAL REPORT","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9789000153541565,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.8974000215530396,"id":"https://metadata.un.org/sdg/10"},{"display_name":"Decent work and economic growth","score":0.7257999777793884,"id":"https://metadata.un.org/sdg/8"},{"display_name":"No poverty","score":0.666700005531311,"id":"https://metadata.un.org/sdg/1"},{"display_name":"Gender equality","score":0.6025999784469604,"id":"https://metadata.un.org/sdg/5"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7126157389","https://openalex.org/W4417120436","https://openalex.org/W4238529855","https://openalex.org/W4391602829","https://openalex.org/W2070473371","https://openalex.org/W7220367665","https://openalex.org/W4396650103","https://openalex.org/W4387865393","https://openalex.org/W2605165419","https://openalex.org/W1948832979"],"abstract_inverted_index":{"Antenatal":[0],"care":[1,9,154,172],"(ANC),":[2],"skilled":[3,161],"birth":[4,98,162],"attendance":[5,163],"(SBA)":[6],"and":[7,40,57,62,117,123,132,139,170,207,235],"postnatal":[8,171],"(PNC)":[10],"are":[11,218],"core":[12],"maternal":[13,19,64,77,140,195,239],"health":[14,240],"services":[15],"proven":[16],"to":[17,39,59,151,244],"reduce":[18,63],"mortality.":[20],"Among":[21],"the":[22,70,104,192],"factors":[23],"influencing":[24],"their":[25],"utilization,":[26],"women's":[27,73,136,184],"economic":[28,46,74,137,146,185,201],"status":[29,47,75,138,147,186],"remains":[30],"a":[31,86,97,114,130,188],"critical":[32],"determinant,":[33],"as":[34],"financial":[35,216,231],"autonomy":[36],"shapes":[37],"access":[38],"affordability":[41],"of":[42,72,247],"care.":[43,248],"Understanding":[44],"how":[45],"affects":[48],"service":[49],"uptake":[50],"is":[51,85,242],"essential":[52,220],"for":[53],"designing":[54],"pro-poor":[55],"strategies":[56,241],"policies":[58],"improve":[60,245],"coverage":[61],"deaths.":[65],"This":[66,84],"study":[67,181],"therefore":[68,227],"examined":[69],"effect":[71],"on":[76],"healthcare":[78,141,196],"utilization":[79],"in":[80,221],"Rivers":[81],"State,":[82],"Nigeria.":[83],"cross-sectional":[87],"survey":[88],"conducted":[89],"among":[90],"600":[91],"married":[92],"women":[93],"who":[94],"have":[95],"had":[96],"at":[99],"least":[100],"one":[101],"year":[102],"preceding":[103],"survey.":[105],"Data":[106],"were":[107,118,148],"collected":[108],"via":[109],"multistage":[110],"sampling":[111],"technique":[112],"with":[113,144],"semi-structured":[115],"questionnaire,":[116],"analysed":[119],"using":[120],"descriptive,":[121],"Bivariate":[122],"multivariate":[124],"logistic":[125],"regression.":[126],"The":[127],"findings":[128],"revealed":[129],"significant":[131],"consistent":[133,189],"association":[134],"between":[135],"utilization.":[142],"Women":[143],"high":[145],"more":[149],"likely":[150],"utilise":[152],"antenatal":[153],"(AOR":[155,164,173],"=":[156,165,174],"1.86;":[157],"95%":[158,167,176],"CI:":[159,168,177],"1.28-2.71),":[160],"2.12;":[166],"1.50-3.00),":[169],"1.73;":[175],"1.25-2.38).":[178],"Overall,":[179],"this":[180],"showed":[182],"that":[183,210,229],"confirmed":[187],"dose-response":[190],"across":[191],"continuum.":[193],"Improving":[194],"utilisation":[197],"requires":[198],"strengthening":[199],"women\u2019s":[200,204,212],"capacity":[202],"through":[203],"livelihood":[205],"support":[206],"education.":[208],"Programs":[209],"enhance":[211],"control":[213],"over":[214],"household":[215],"resources":[217],"also":[219],"promoting":[222],"better":[223],"health-seeking":[224],"behaviour.":[225],"We":[226],"recommend":[228],"integrating":[230],"autonomy,":[232],"asset":[233],"ownership":[234],"income-generating":[236],"interventions":[237],"into":[238],"important":[243],"continuum":[246]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}