Maternal health in Northern Nigeria - a far cry from ideal
Maternal health in Northern Nigeria - a far cry from ideal
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DOI：
10.1111/j.1471-0528.2007.01229.x
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发表时间：
2007-04-01
影响因子：
5.8
通讯作者：
Umar, U. S.
中科院分区：
文献类型：
--
作者：
Galadanci, H. S.;Ejembi, C. L.;Umar, U. S.
目的了解尼日利亚北部地区孕产妇保健水平。采用横断面描述性研究设计。研究以社区为基础，在尼日利亚东北部联合国儿童基金会D区的10个州进行。调查对象为调查前11个月内分娩并居住在研究地区的妇女。方法采用世界卫生组织整群抽样方法，在10个地方政府地区各抽取210名符合条件的妇女。主要观察指标产前保健(ANC)服务的利用、破伤风类毒素免疫接种、熟练的接生员和产后护理。结果大多数受访者，73.2%，年龄在20岁到34岁之间。总体而言，50%的妇女在最后一次怀孕期间到产前诊所就诊，LGA的ANC覆盖率范围为14.0-81.0%。预订第一、二、三个月的女性比例分别为22.8%、63.0%和14.2%。产前检查腹部检查占95.7%，尿检占41.2%。60%的妇女在最后一次怀孕期间没有接受破伤风类毒素，11%的妇女接种了一剂，29%的妇女至少接种了两剂。上门接生仍然是整个地区的标准，有1791人(85.3%)在家接生。高达80.5%的分娩是由没有接受过卫生分娩技术培训的人员监督的。接受ANC者产后体检的比例仅为11.4%(233人)。同样，第五个千年发展目标的承诺也是极其深远的：在这种产妇保健水平下，到2015年将产妇死亡率降低75%。
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.