Publications

Maternal health services (MHS) play a critical role in preventing maternal health-related complications and reducingmortality rates globally. However, despite concerted efforts to improve access to and utilization of these services,many pregnant women, particularly in low-resource settings, continue to face challenges in accessing adequate care.This cross-sectional descriptive study aimed to identify the factors influencing maternal health service utilizationamong pregnant mothers attending Kyabugimbi Health Centre IV in the Bushenyi district of Western Uganda. Atotal of 113 pregnant mothers seeking maternal health care services at Kyabugimbi Health Centre IV were recruitedfor the study using Fischer's method for sample size determination. Data were collected using structuredquestionnaires and analyzed using SPSS statistical software. Descriptive statistics, including frequencies and crosstabulations,were employed to analyze the data. The findings revealed that only 46.0% of pregnant women had goodmaternal health service utilization, indicating a significant gap in access to and utilization of essential services. Age,education, and occupation were identified as significant demographic factors influencing maternal health serviceutilization. Specifically, younger mothers aged 18–30 years and those with post-primary education were more likelyto utilize maternal health services effectively. Social and cultural factors, such as decision-making autonomy andspousal support, also played crucial roles in determining maternal health service utilization. Mothers who madedecisions themselves and those accompanied by their husbands were more likely to seek and utilize maternal healthservices adequately. Furthermore, health-related factors, including proximity to health facilities and the affordabilityof services, significantly influenced maternal health service utilization. Mothers living within a distance of less than2 km from health facilities and those who perceived the cost of services as manageable were more likely to utilizematernal health services effectively. In conclusion, this study underscores the multifaceted nature of factorsinfluencing maternal health service utilization among pregnant mothers in Western Uganda. Addressing thesefactors, including improving education, enhancing decision-making autonomy, promoting spousal support, andensuring affordability and accessibility of services, is crucial for enhancing maternal health outcomes and reducingmaternal mortality rates in the region. Policy interventions, community outreach programs, and health systemstrengthening efforts are warranted to address these challenges comprehensively and improve maternal healthservice utilization rates in resource-limited settings