Background: Globally, women and their unborn babies continue to die from preventable causes. This study aims to highlight the causes of maternal and perinatal deaths and bring to the fore areas that need to be improved in order to improve maternal and perinatal health indices in Gombe State. Methodology: Information for this report was obtained from Maternal and Perinatal Deaths Surveillance and Response (MPDSR) desk officers and chairmen across MPDSR supported health facilities in the state. Secondary data abstraction from registers was conducted using an electronic questionnaire and was analysed using SPSS version 23. Findings: The Maternal Mortality Ratio (MMR) was 1,092/100,000 livebirths in 2019 and 993/100,000 live births in 2020. Majority of the women (84.3% and 86.7% in 2019 and 2020 respectively) were severely ill at presentation, while most maternal deaths were as a result of eclampsia/pre-eclampsia and Post Partum Haemorrhage (PPH). Only 15.9% and 14.4% of maternal deaths in 2019 and 2020 respectively were reviewed. Perinatal asphyxia accounted for 36.4% and 31.8% of perinatal deaths in 2019 and 2020 respectively, while prematurity resulted in 24.7% and 35.6% of deaths in 2019 and 2020 respectively. The Perinatal Mortality Rates (PMR) were 78.3/1000 births in 2019 and 76.1/1000 births in 2020. Conclusion: Although MMR and PMR have been on a decline in Gombe state from 2018 till date, these figures are still far from achieving the SDG 2030 target. There is therefore the need to revive MPDSR activities in the state and improve emergency obstetric health care services.
Background: Substance use has gradually become a global problem resulting in negative effect on the physical, mental and social wellbeing of individuals. This study aimed to determine the perception of adolescents and key informants on substance and illicit drug use in order to control this menace.Methods: A cross-sectional study design employing qualitative method of data collection. Focused Group Discussions (FGDs) and Key Informant Interviews (KIIs) were conducted. All data generated were collated and analysed using content analysis. Results: The key informants reported that peer influence, male sex and having broken homes were factors that were responsible for substance use. Adolescents also reported that easy access to these substances, the zeal to perform better in school, ability to have more fruitful relationships and ability to confront their parents were some of the reasons they engaged in substance use. Conclusion: This study has therefore implied that adolescents in school have easy access to and engage in substances despite being aware of the complications as it is mostly done to address their social needs.Recommendation: It is therefore recommended that periodic mental health screening should be conducted for adolescents with the support of their parents and guardians in line with school health services in order to identify and manage those with mental problems that could predispose them to use of substances.
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