Influence of Cultural Beliefs on Utilisation of Maternal Health Services in Taraba State

Cultural beliefs and traditional practices continue to influence maternal health-seeking behaviour in North East Nigeria, often deterring women from utilising available formal healthcare services. This study examined the influence of cultural beliefs on utilisation of maternal health services among women in Taraba State. A descriptive survey design was adopted, with 270 women of reproductive age recruited from rural and peri-urban communities in Jalingo, Wukari, and Bali local government areas. Data were collected using structured interviewer-administered questionnaires and focus group discussions. Results revealed that belief in traditional birth attendants as primary birth caregivers was prevalent among 63 percent of respondents, with many considering hospital delivery inappropriate or spiritually unsafe. Husband and mother-in-law influence were identified as the primary determinants of where women delivered their babies. Health facilities with female healthcare providers were significantly preferred. Health education delivered by trusted community women was found to be the most effective approach to shifting health-seeking behaviour. The study recommended culturally sensitive health education programmes that engage community gatekeepers including traditional leaders, religious figures, and women's groups in promoting formal maternal health services. Keywords: cultural beliefs, maternal health services, utilisation, Taraba State, health education