Levels and determinants of maternal mortality in northern and southern Nigeria

Meh, Catherine; Thind, Amardeep; Ryan, Bridget L.; Terry, Amanda

doi:10.1186/s12884-019-2471-8

Cited by 57 publications

(66 citation statements)

References 48 publications

(67 reference statements)

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“…Nigeria with estimated population of about 190 million in the year 2017 (UNDP, 2019) (about 2.5% of the world population), but contributed 23% of global maternal deaths burden, far ahead of India that made the second highest global contributor of maternal deaths (WHO, 2019). The high maternal deaths in Nigeria notwithstanding, the deaths are skewed against the northern zones of the country where this study was conducted (NPC, 2019, Meh, 2019. NPC, 2019and Meh 2019(analysed 2008 reported a wide disparity in MMR of 709/105 and 365/105 between Northern and Southern Nigeria.…”

Section: Discussion Of the Findingsmentioning

confidence: 90%

“…The high maternal deaths in Nigeria notwithstanding, the deaths are skewed against the northern zones of the country where this study was conducted (NPC, 2019, Meh, 2019. NPC, 2019and Meh 2019(analysed 2008 reported a wide disparity in MMR of 709/105 and 365/105 between Northern and Southern Nigeria. These agree with Kaka 2013, who said that pregnancy poses a serious challenge to a woman residing in Northern Nigeria.…”

Section: Discussion Of the Findingsmentioning

confidence: 90%

“…However the communities also identified other factors responsible for the deaths of women in pregnancy and childbirth among them and include Poverty, ignorance on what should be done during pregnancy/None-utilization of ante-natal services, traditional taboo, malnutrition, lack of access roads /poor transport facility in the community and the state as a whole and lukewarm attitude of health personnel and poor state of medical facilities. Very true to their avowal, these elements are also wellknown determinants of maternal mortality (WHO, 2019, NPC, 2019and Meh, 2019 among many other studies. Poverty, ignorance and spousal dependence were mentioned severally by respondents as issues that dare pregnant women towards safe motherhood.…”

Section: Discussion Of the Findingsmentioning

confidence: 98%

“…This often leads to very low access to effective obstetric care and other health services since many women and their families are not capable of coping with the cost of services provided by private commercial providers. The link between poverty and maternal health has long been established and documented in several works (Karshima, 2001, Wall, 2006and Meh, 2019. These researchers have associated maternal mortality and vesico-vaginal fistula with both individual and community poverty.…”

Section: Discussion Of the Findingsmentioning

confidence: 99%

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Maternal Death in Northern Nigeria: What the Community Knows and is Saying

Karshima¹,

Idyorough²,

Pam³

et al. 2020

theijhss

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Section: Discussion Of the Findingsmentioning

confidence: 90%

Section: Discussion Of the Findingsmentioning

confidence: 90%

Section: Discussion Of the Findingsmentioning

confidence: 98%

Section: Discussion Of the Findingsmentioning

confidence: 99%

See 2 more Smart Citations

Maternal Death in Northern Nigeria: What the Community Knows and is Saying

Karshima¹,

Idyorough²,

Pam³

et al. 2020

theijhss

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“…Marked inequalities exist, with northern regions having signi cantly higher maternal deaths compared to the southern regions (4).…”

Section: Introductionmentioning

confidence: 99%

Implementation and Evaluation of Obstetric Early Warning Systems in tertiary care hospitals in Nigeria

Umar

Ibrahim

Liman

et al. 2020

Preprint

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Background Obstetric Early Warning Systems (EWS) use combined clinical observations to predict increased risk of deterioration and alert health workers to institute actions likely to improve outcomes. The objective of this study was to assess the effectiveness of a validated obstetric EWS in improving health outcomes and explore the experience of health workers/managers regarding its use. Methods This mixed-method study included 2400 obstetric admissions to inpatient wards between 1 August 2018 and 31 March 2019 at three tertiary Nigerian hospitals (1 intervention and 2 control). The quality of patient monitoring and prevalence of outcomes were assessed through retrospective review of case notes before and 4 months after EWS was introduced. Outcomes were maternal death, direct obstetric complications, length of hospital stay, speed of clinical review, caesarean section (CS) and instrumental birth rates. Qualitative data was collected to explore the views of healthcare workers on EWS’ acceptability and usability.Results EWS correctly used in 51% (n=307) of cases. Of these, 58.6% (180) predicted to have increased risk of deterioration, and 38.9% (n=70) were reviewed within 1 hour. There was a significant improvement in the frequency of vital signs recording in the intervention site: observed/expected frequency improved to 0.91 from 0.57, p<0.005, but not in the control sites. CS rate reduced from 39.9% to 31.5% (chi-square p=0.002). No statistically significant effect was observed in the other outcomes.Health workers reported that the EWS helped cope with work demands while making it easier to detect and manage deteriorating patients. Nurses and doctors reported that the EWS was easy to use, and that scores consistently correlated with the clinical picture of patients.Identified challenges included rotation of clinical staff, low staffing numbers and monitoring equipment.Conclusion The implementation of EWS improved the quality of patient monitoring, but a larger study will be required to explore the effect on health outcomes. With modifications to suit the setting, coupled with regular training, the EWS is a feasible and acceptable tool to cope with the unique demands faced in low-resource settings. Trial registration: ISRCTN, ISRCTN15568048. Registration date; 9/09/2020- Retrospectively registered, http://www.isrctn.com/ISRCTN15568048

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Improving access to maternal care in Africa through telemedicine and digital health

Bilal

Mohanan

Rahmat

et al. 2022

Health Planning & Management

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Maternal well-being is the foundation for a sound and healthy population; however, 830 women die daily from preventable causes due to subpar maternal care. 1 This has not been achieved despite the United Nation's (UN) mission to decrease worldwide maternal mortality proportions by 75% by 2015 through the Millennium Development Goals. 2 Almost 99% of mortality is in low-income countries, with half of these deaths in Sub-Saharan Africa, where maternal mortality is very high. 3 Moreover, 7700 maternal deaths occur every year in Kenya, accounting for 32% of deaths in females of reproductive age. 4 This is due to limitations in accessing maternity care with challenges such as transportation and proximity of dispensaries as primary. 5 A study conducted in 2021 states that one in four pregnant women did not have access to antenatal care. Most of these women were in Chad (37%) and Nigeria (38%).The challenge for people who are able to afford antenatal health is the low quality healthcare being provided to them. 6 Concurrently, early childbearing age brings increased health concerns for moms and newborns, especially with socioeconomic disparities. Not only that, but Africa also has the highest birth rate among young people with roughly 120 births per 1000 young women. 7 To add, the obligations related to childbirth, from conception to childhood, are thought to be carried out exclusively by women. 5 Moreover, a fear of Human immunodeficiency virus diagnosis and predetermined gender roles also have a great influence.

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Levels and determinants of maternal mortality in northern and southern Nigeria

Cited by 57 publications

References 48 publications

Maternal Death in Northern Nigeria: What the Community Knows and is Saying

Maternal Death in Northern Nigeria: What the Community Knows and is Saying

Implementation and Evaluation of Obstetric Early Warning Systems in tertiary care hospitals in Nigeria

Improving access to maternal care in Africa through telemedicine and digital health

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