Background: Maternal mortality still remains high in Sub-Saharan Africa despite the progress made in recent decades to improve
maternal health outcomes. Objectives: The purpose of this study is to investigate the social, economic and demographic factors
that affect women’s use of maternal health care in Africa. Material and Methods: The data used for the study was collected
from a total of six health facilities comprising of three (3) health centre III (Kyezoba, Kyamunga and Kakanju) and three (3) health
centre IV (Bushenyi, Kyabugimbi and KIU teaching hospital) among reproductive women of 15 to 49 years of age. Cluster sampling
method was used in this study to select two hundred and seventy two participants (272), open and close ended questionnaires were
administered; four (4) sessions of focus-group discussions were conducted. Results: The study reveals 75.7% of the respondents
delivered at the health facility, 15.1% delivered at home, 5.6% delivered at the TBA while the remaining 3.3% delivered at the
private home. Some of the reasons given for delivery outside the health facility with the traditional birth attendants (TBA) were;
preference, ignorance, against belief, unavailability of the services, time factor, poor service provision and other reasons.
Conclusions: Socio-economic and religious factors impacted on the underutilization of health services and increased prevalence
of associated infections among the studied population.