Reducing child mortality and improving maternal health occupy a prominent space in the Millennium Development Goals (MDGs), and it has been noted that some reductions have taken place, but not enough [1–4]. Maternal and Child Health (MCH) services embrace all the services for mothers throughout the child bearing age, that is 15–49 years of age, and also services for children from conception through adolescence . This includes promotive, preventive, curative and rehabilitative healthcare for mothers and under-five children .
MDG Goal 4 strives to reduce child mortality. It is targeted to reduce by three-quarters, between 1990 and 2015 child mortality rate . The main interventions which have made significant contributions to the dramatic fall in child mortality rate and represent child health services in most developing countries are: immunization, oral re-hydration, growth monitoring, breast feeding, family planning, female education and supplementary feeding of pregnant women [7, 8]. A report in Nigeria indicates that infant, child, and under-five mortality rates in 2008 were 75, 88, and 157 respectively, although it seems to have reduced when compared to previous years .
The MDG 5 which is to improve maternal health targets to reduce by three-quarters, between 1990 and 2015, the maternal mortality ratio . This target is indicated by maternal mortality ratio, proportion of births attended by skilled health personnel, contraceptive prevalence rate, adolescent birth rate, antenatal care coverage, and unmet need for family planning . Reports have indicated that the death toll of mothers remains unacceptably high in South Asia and in sub-Saharan Africa . In Nigeria, estimates ranging from 545 to 1000 maternal deaths per 100,000 live births have been put forward  with wide geographical disparity. Nigeria is estimated to contribute 10% of the global estimates of maternal deaths and this translates to about one maternal death every three minutes.
These can drastically be reduced if women know and use available and appropriate services in their communities. Studies have found that the use of services are more strongly correlated to socio-economic and demographic phenomenon [5, 12], and also related to the organization of health service delivery systems. This is affected by availability, accessibility, quality, cost, social structure, comprehensiveness of service, and health beliefs . However, evidence in Nigeria and from other countries shows that rural women tend to use less of these services for themselves and their children [9, 14].
Strong and indispensible is the role of knowledge in utilization of services. This has also been reported in other studies [12, 15]. Some other studies strongly showed that women only know more about ANC and delivery services for maternal health and immunization for children [12, 16]. For example, a study in Tanzania evaluated use pattern of maternal health services. The results show that use of ANC was universal compared to other services such as skilled delivery, and this decreased with maternal age .
The Nigeria Demographic and Health survey shows that 58% of women received some antenatal care (ANC) from a skilled provider, most commonly from a nurse or midwife (30%) or a doctor (23%). About one-third of births in Nigeria (35%) occurred in health facilities—20% in the public sector and 15% in private sector facilities. However, sixty-two percent of the births occurred at home .
This study therefore evaluated consumers’ knowledge about available maternal and child health services and where these services are available in the study area. Although knowledge of available health services does not translate to use of these services, his study is important as knowledge of available health services can prompt informed use of services. Furthermore, providers of services and decision makers can envisage the contributions of the knowledge of available MCH services to reducing child mortality and improving maternal health.