the economically and the socially deprived, which has serious implications for reducing maternal mortality and morbidity in the country. Nigeria remains a largely unequal society with the majority of the population living in poverty \[[@pone.0221778.ref024]\]. Access to health care, especially birth by caesarean section, remains elusive for many women in the poorest households.

The drivers of inequality in access to birth by caesarean section in Nigeria are two-fold, demand and supply related factors. Illiteracy, lack of formal education and poverty are demand-related factors that influence access to lifesaving interventions such as caesarean section, thus, resulting in an increased level of maternal mortality. Women in the richest quintile who are educated up to post-secondary school level had a caesarean section rate above 13%, which is within the WHO's recommended levelHealth practices: the view of the black elderly population in a terreiro community.
to understand health practices of black, elderly people in a terreiro community (community of followers of traditional African-Brazilian religions). qualitative descriptive study under the Black-African paradigm of civilization constituted by the Black-African cultural complex and the structuring elements of the African cosmovision. Semi-structured interviews were carried out from July to September 2013, with six black older people from a terreiro community in Porto Alegre, RS. thematic content analysis resulted in the following categories: Ancestry; Belonging: the way to know and practice health; Health knowledge and practices in terreiro communities; and Complementarity: promoting health in the terreiro and traditional medicine and its respective subcategories. the study understood the importance of having a knowledge of the practices of