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Pregnant women are disproportionately affected during insurgencies, experiencingrestricted access to maternal healthcare. This study examined how Boko Haram Insurgency (BHI)constrained maternal healthcare utilisation and how women adapted to challenges in accessingservices in Borno State, Nigeria. Data collection involved administering questionnaires to womenof childbearing age in Dikwa, Gwoza, and Magumeri, as well as conducting interviews withhealthcare providers and community members. Pearson