saeeda-tech/kaduna-maternal-health-analysis

# Kaduna State Maternal Healthcare Access: 2018 vs. 2024 A plain language analysis of skilled birth attendance and antenatal care access in Kaduna State, comparing household survey data from 2018 and 2024. **Author:** Saeeda Saeed Salahudeen ## What this project does This analysis compares two independent surveys of mothers in Kaduna State, 898 respondents in 2018, 652 in 2024, to answer a set of specific questions about maternal healthcare access: 1. What is Kaduna's skilled birth attendance rate, and how has it changed between 2018 and 2024? 2. What is the facility based delivery rate over the same period, and does it track the skilled attendance trend or diverge from it? 3. Does maternal education predict skilled birth attendance, and how strong is that effect? 4. Does household wealth predict skilled birth attendance, and does that effect survive once education is controlled for? 5. Is there a gap between rural and urban areas in skilled birth attendance, and is it widening or narrowing? 6. What predicts the number and timing of antenatal care visits a woman receives? 7. Do age and parity (number of prior births) predict skilled birth attendance or antenatal care use? 8. What share of women receive no skilled care at all, across antenatal care, delivery location, and skilled attendance combined? 9. How reliable are these findings, given sample size once split across many predictor categories? 10. What can this data legitimately say about maternal/neonatal mortality or local area patterns, and what is honestly out of reach? All ten questions are answered in the notebook, with the code and real output left visible so every claim can be checked and rerun. ## Key findings - Skilled birth attendance rose from **23.0% to 34.5%** between 2018 and 2024. That's real progress, but most mothers in 2024 still delivered without a trained attendant. - The **gap between rural and urban areas widened**, from about 20 percentage points apart in 2018 to about 38 points in …