In addition, results from a Nepalese study revealed that a distance of more than one hour to the maternity hospital, low amenity score status, low education, multi-parity, and antenatal care during pregnancy were associated with an increased risk of home delivery [9, 10].
Levels of post-natal care in many countries are very low [11, 12].
Also, women who had never used ANC, were less likely to use PNC, while those who had a smooth delivery, were less likely to use PNC services compared to those who had prior complications during delivery.
While there is a strong rationale for improving utilization of health services to improve maternal health, there are limited studies that identify factors affecting uptake of maternal health services, especially among vulnerable groups in Uganda.
Women with a secondary and higher education, and those of higher income levels, were more likely to utilize the ideal maternal health services package.
Therefore, there is need to formulate policies and design maternal health services programs that target the socially marginalized women.
Andersen’s Behavioral Model of Health Services Utilization guided the selection of covariates in the regression model.
Women with secondary and higher education were more likely to utilize the desirable maternal health care package (RRR = 4.5; 95 % CI = 1.5-14.0), compared to those who had none (reference = undesirable MHS package).
Residence in rural areas, being Moslem and being married reduced a woman’s chances of utilizing moderate maternal health care services.
Utilization of maternal health services varied greatly by demographic and socio-economic characteristics.