TITLE PAGE

UTILIZATION OF MATERNAL AND CHILD HEALTH SERVICES AMONG PREGNANT

MOTHERS IN NENI, ANAOCHA LOCAL GOVERNMENT AREA, ANAMBRA STATE.

BY

AGWUNCHA EBUBECHUKWU BLESSING

INDEX NO: 2025/0401/217387/M

A RESEARCH PROJECT PRESENTATED TO

DEPARTMENT OF MIDWIFERY, COLLEGE OF NURSING SCIENCES,

ST. JOSEPH'S HOSPITAL, ADAZI - NNUKWU, ANAOCHA LOCAL

GOVERNMENT AREA, ANAMBRA STATE.

IN PARTIAL FULFILLMENT OF THE REQUIREMENTS OF NURSING AND MIDWIFERY

AND MIDWIFERY COUNCIL OF NIGERIA FOR AWARD OF

" REGISTERED MIDWIFE CERTIFICATE "

MARCH, 2025.
 DECLARATION

This is to declare that this research project titled " Utilization of maternal and child health services
among pregnant mothers in Neni". was carried out by AGWUNCHA EBUBECHUKWU BLESSING is solely
the result of my work except where acknowledged as being derived from the other person(s) or
resource.

Examination No______________________________.

In the Department of Nursing, College of Nursing Science, St. Joseph's Hospital, Adazi Nnukwu, Anaocha
Local Government Area, Anambra State.

Signature _____________________.

Date _____________________.
 CERTIFICATION PAGE

This is to certify this research project by AGWUNCHA EBUBECHUKWU BLESSING with examination
number _______________________________. has been examined and approved for the award of
"registered" Midwife certificate ".

Signature _________________. Date______________________

Miss. ANYAWU. JOYCE

(Project supervisor)

Signature _____________________. Date________________________

Mrs. OKAFOR C.

(Head Of Department)

Signature ____________________. Date_________________________

Name ________________________

(provost).

Signature ____________________. Date_________________________

Name ________________________

(Chief examiner).
 ABSTRACT

Maternal and child health services is an aspect of modern health care designed for the health
promotion of the mother and child. This research study was designed to assess the utilization of
maternal and child health services among pregnant mothers in attending primary health care centers in
Neni, Anaocha Local Government Area, Anambra State. The objective of the study aimed at accessing
the practice of maternal and child health services, to determine the factors hindering the practice of
MCH services and to explore the benefit of the practice of MCH services. A descriptive survey method
was used and the target population was ten thousand (10,000) pregnant mothers at Neni, Anaocha
Local Government Area, Anambra State. Sample size of one hundred and twenty (120) was determined
using simple random sampling technique. A self-structured questionnaire was used to collect data and
the data was analyzed using frequency and Percentage. The major findings showed that majority of the
respondent practice MCH services, though a greater percentage practice regular ANC visits and
immunization. Some of the respondent faced challenges in accessing MCH services such as cost and lack
of partner support. Based on the findings, recommended and suggestion were made by the researcher
which include primary health care-based health education during antenatal services, should make
emphasis on the need of pregnant mothers to practice other MCH services apart from regular ANC visits,
also midwives in primary health care centers should partner with non- governmental organizations to
subsidize the cost of accessing MCH services, so as to make it affordable.

KEYWORDS: MCH services, Family Planning, Antenatal services, Immunization.

This research project is dedicated to God Almighty who is the beginning and the end as he
endows me with the wisdom and knowledge to carry out this research. And to our blessed mother Mary
and all the saints of God in heaven on whose constant intercession I rely on. And also to my beloved
mother and husband without them my dream and aspiration would had been a mirage and with them
lies my pride.
 ACKNOWLEDGEMENT

I thank the Almighty God, our Lord Jesus Christ for his amazing love, guidance, blessings and protections
for his favorable mercy in my life especially throughout the period of my training.

My regards to my project supervisor Miss ANYAWU. J. for her advice, patience, correction and her
relentless effort made to ensure that this research work become a reality and a perfect one indeed.

I also thank my HOD Mrs. OKAFOR. C. for her support and encouragement throughout the course of my
study.

I sincerely appreciate the provost Mrs. EZENWUBA. M. E. for her motherly care and time spent in
making my training a successful one.

To all the other staff of the school, I say thank you in making my training a successful one

I am immensely indebted to my loving and wonderful husband Mr. OKOLI CHUKWUEBUKA. G. and my
aunty Mrs. ANIEDO. C. for their love, care, advice and guidance. To my beloved mother Mrs. NWALIE
ADAOBI. A., I say thank you for making me what I am today.

To my wonderful grandma Mrs. NWALIE. N. who was also there for me all through my childhood till this
moment of my life, a loving and caring soul who has always fill me with strength, thank u for also making
me what I am today.

I equally appreciate all my families (both mothers and husband's side), my friends and others who
shared their love with me during the period of my training, may God bless you all.

Finally, I sincerely wish to thank the typist who printed my project and may God almighty bless and
guide her in all her endeavor and shower his abundant blessings upon her in Jesus name, Amen.
 TABLE OF CONTENTS.

Cover page

Title page

Declaration

Certification page

Abstract

Dedication

Acknowledgement

Table Of content

List of tables

CHAPTER ONE: INTRODUCTION

Background of the study

Significant of the study

Objective of the study

Scope of the study

Research question

Definition of terms

CHAPTER TWO: LITERATURE REVIEW

The conceptual framework

Components and elements of maternal and child health services

Empirical review

Summary of literature review

CHAPTER THREE: RESEARCH METHOD

Research design

Area of study

Population of the study

Sample and Sampling Technique

Instrument of data collection

Validation of the research instrument

Method of data collection

Method of data analysis

Ethical consideration
CHAPTER FOUR: PRESENTATION AND ANALYSIS OF DATA

Key Findings

Demographic Data

Research Question 1

Research Question 2

Research Question 3

CHAPTER FIVE: DISCUSSION OF THE FINDINGS

Discussion of findings

Implications of the study

Conclusion

Recommendations
Limitation of the study

Summary

Suggestions for further studies

References