Purpose: The study explored community perceptions and cultural beliefs that influence maternal health service utilization in rural Nigeria. It also examined women’s experiences and the perspectives of key community members regarding interactions with formal healthcare providers during pregnancy and childbirth. The research aimed to understand how socio-cultural factors shape health-seeking behaviors and service utilization patterns.

Methodology/Design: A qualitative research design was employed, guided by the Health Belief Model and the Socio-Cultural Theory. Data were collected from 60 participants, including women of reproductive age, community leaders, and traditional birth attendants, using semi-structured interviews and focus group discussions. Purposive sampling was used to select participants with relevant experiences, and thematic analysis was conducted to identify key patterns, perceptions, and experiences. Trustworthiness, reliability, and validity were ensured through triangulation and careful documentation of data.

Findings: Three main themes emerged for community perceptions: perceived susceptibility and risk, cultural norms and practices, and religious beliefs and spirituality. For experiences with healthcare providers, key themes included respect and communication, facility accessibility and service quality, and community influence and support. Findings highlighted that maternal health service use is strongly influenced by deeply rooted beliefs, interpersonal experiences, and social expectations.

Implications: The study emphasizes the importance of culturally sensitive interventions, community engagement, and respectful maternity care to improve maternal health service utilization in rural settings.