This study assessed maternal delivery choices among women in Ethiope West Local Government Area of Delta State, Nigeria, with a focus on perceptions toward nurses, traditional birth attendants (TBAs), and faith-based providers. Using a descriptive cross-sectional design, data were collected from 200 women of reproductive age across five purposively selected communities. Structured questionnaires, validated and pre-tested, captured socio-demographic characteristics, preferred places of delivery, and perceptions of birth attendants. Results revealed that hospitals and health centres were the most preferred places of delivery, particularly in Ogharefe and Mosogar, while Jesse displayed a higher reliance on TBAs. Respondents associated nurses with professional competence, positive past experiences, and availability, though they rated them poorly on interpersonal qualities such as kindness and respect. TBAs were valued for perceived competence, respectful treatment, and accessibility, but not for cultural knowledge or affordability. Faith-based providers, including pastors and spiritual women, were primarily sought for prayers, protection against spiritual harm, and free services. These findings highlight that maternal delivery choices are influenced not only by biomedical trust in skilled care but also by interpersonal relationships, cultural perceptions, and spiritual considerations. The study concludes that improving maternal health outcomes requires an integrated strategy that enhances the interpersonal skills of healthcare workers, fosters collaboration with TBAs and faith leaders, and promotes accessible, culturally sensitive maternal health services across communities.
Keywords: Skilled birth attendants, faith-based providers, interpersonal care, maternal delivery choices, traditional birth attendants
