title: Adequacy of resources for provision of maternal health services at the primary health care level in Nnewi, Nigeria.
abstract: BACKGROUND
  To determine the adequacy of resources (human and material) for provision of maternal health services at the primary health care (PHC) level in Nnewi, Nigeria.
  
  
  METHODS
  A cross-sectional study of women utilising maternal health services in four public PHC facilities in Nnewi selected using multistage sampling technique was done. Data was collected using a mix of quantitative and qualitative methods. Quantitative data was analysed using statistical package for social sciences (SPSS) version 16, while qualitative data was reported verbatim, analysed thematically and necessary quotes presented.
  
  
  RESULTS
  Two hundred and eighty women were studied. The mean age of respondents was 29.2 ± 5.9 years, while 231 (82.5%) were married. Most of them (82.5%) and 184 (66.1%), had their blood pressure and body weight respectively measured, while 196 (70.0%) had tetanus toxoid vaccination. Less than half of the respondents (41.4%) had urine test for sugar, and protein, while 94 (33.8%) had blood test for anaemia. The four facilities studied had most of the equipment and drugs available but in insufficient quantities. In three out of the four facilities, the physical structures were mostly good. None of them is equipped to provide an essential obstetric care (EOC) services, while one medical doctor covered all the facilities studied.
  
  
  CONCLUSIONS
  This study showed that none of the health facilities is equipped with the minimum equipment package, essential drugs nor staff complement required to enable them offer quality maternal health services. With advocacy, technical support and funding, strategies could be implemented to provide quality maternal health services.
authors.affiliation: Department of HIV Care, Nnewi, Anambra State, Nigeria ; Community Medicine, Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra State, Nigeria.
authors.forename: Chinomnso C
authors.initials: CC
authors.lastname: Nnebue
authors.affiliation: Community Medicine, Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra State, Nigeria.
authors.forename: Uzo E
authors.initials: UE
authors.lastname: Ebenebe
authors.affiliation: Community Medicine, Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra State, Nigeria.
authors.forename: Prosper Ou
authors.initials: PO
authors.lastname: Adogu
authors.affiliation: Community Medicine, Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra State, Nigeria.
authors.forename: Echendu D
authors.initials: ED
authors.lastname: Adinma
authors.affiliation: Community Medicine, Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra State, Nigeria.
authors.forename: Chigozie O
authors.initials: CO
authors.lastname: Ifeadike
authors.affiliation: Community Medicine, Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Anambra State, Nigeria.
authors.forename: Achunam S
authors.initials: AS
authors.lastname: Nwabueze
keywords: Adequacy; maternal health care services; primary health care level; resource provision