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We conclude that factors which will positively influence women to deliver in health institutions in Enugu, Nigeria include a variety of interacting social, economic and health system factors, which operate at various levels—the household, community, the health institutions and the larger social and political environment.

A pre-tested questionnaire was administered by interviewers to women who had delivered within 3 months prior to date of data collection. Of the respondents, 52.9% delivered outside health institutions and 47.1% in health institutions.


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