alexa Maternal health in Northern Nigeria: a far cry from ideal.


Journal of Neonatal Biology

Author(s): Galadanci HS, Ejembi CL, Iliyasu Z, Alagh B, Umar US

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Abstract OBJECTIVE: To determine the level of maternal care in Northern Nigeria. DESIGN: A cross-sectional descriptive study design was used. SETTING: The Study was Community based and carried out in the ten states that constitute UNICEF D zone in northeast Nigeria. POPULATION: Women who delivered in the 11 months preceding the survey and resident in the study area. METHODS: The WHO cluster sampling methodology was used to draw a sample of 210 eligible women in each of the 10 local government areas (LGAs). MAIN OUTCOME MEASURES: Utilization of antenatal care (ANC) services, tetanous toxoid immunization, skilled attendant at delivery and postnatal care. RESULTS: Majority of the respondents, 73.2\%, were between the ages 20 and 34 years. Overall, 50\% of the women attended antenatal clinics during their last pregnancy, with a range of ANC coverage by LGA of 14.0-81.0\%. The proportion of women who booked in the first, second and third trimesters was 22.8, 63.0 and 14.2\%, respectively. The antenatal services offered ranged from 95.7\% for abdominal examination to 41.2\% for urine examination. Sixty percent of the women received no tetanus toxoid in their last pregnancy, 11\% had one dose and 29\% had at least two doses. Home delivery was still the norm throughout the zone with 1791 (85.3\%) delivering at home. Up to 80.5\% of the deliveries were supervised by personnel with no verifiable training in sanitary birthing techniques. Only 11.4\% (233) of those who received ANC had postnatal check-up. CONCLUSIONS: Maternal health care as evidenced above is far from the ideal. Likewise, the commitment of the 5th Millennium Development Goal is extremely far-reaching: to reduce the maternal mortality ratio by 75\% by the year 2015 with this level of maternal care. This article was published in BJOG and referenced in Journal of Neonatal Biology

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