This study investigates the impact of healthcare infrastructure on maternal mortality in Nigeria, focusing on the quality of care, availability of healthcare facilities, and institutional capacity. We employed a cross-sectional survey design, guided by Donabedian’s Quality of Care Framework, and targeted 380 healthcare facilities in Lagos, Kano, and Enugu. Data was collected using structured questionnaires and analyzed using multiple regression analysis. The findings reveal that quality of care (β = .643, p < .001) and availability of healthcare facilities (β = .362, p < .001) significantly influence maternal mortality rates, while institutional capacity (β = .003, p = .882) does not have a significant impact. High-quality care and accessible healthcare facilities are crucial in reducing maternal deaths. Recommendations include continuous professional development for healthcare providers, equitable distribution of healthcare resources, and investments in healthcare infrastructure and governance. This research provides valuable insights for policymakers and healthcare stakeholders aiming to improve maternal health outcomes in Nigeria.
Keywords: Maternal Mortality, Skilled birth attendants, healthcare infrastructure, healthcare management, institutional capacity, quality of care
