The study was undertaken to determine the utilization of maternal and child healthcare services in health centers before and after the introduction of the Bamako Initiative program in Southeast Nigeria. Although the utilization of immunization, antenatal and delivery services improved, curative service utilization worsened. The potential exclusion of some socioeconomic groups from utilizing services due to financial reasons, distance and non-availability of medical doctors are major factors militating against the use of these services

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