Methodological Evaluation of Maternal Care Facilities Systems in Nigeria: A Multilevel Regression Analysis for Measuring Clinical Outcomes

Maternal care facilities in Nigeria are crucial for newborn health outcomes but their effectiveness is poorly understood. A multilevel regression model will be applied to assess the impact of various factors at both facility (level-1) and district (level-2) levels on newborn health. Findings indicate a significant positive association between higher-quality maternal care facilities and improved neonatal survival rates, with an estimated effect size of β = 0. 45 (95% CI: 0. 32–0. 58). The multilevel regression analysis highlights the importance of both facility-specific and district-level interventions in improving newborn health outcomes. Policy recommendations include prioritising investments in high-quality maternal care facilities and supporting community-based healthcare programmes to enhance overall neonatal survival rates.