COVID-19: Malami orders NDLEA to halt screening of 5,000 candidates, COVID-19 cases continue to surge as Nigeria records 1,964 new infections, Armed men disrupt Bayelsa council lawmakers’ sitting, Child without anus yet to undergo surgery —Father, Benue court orders WAEC to release 52 candidates’ results, We need people-oriented constitution – Nwodo, Set up technical committee for restructuring – NRF, Arresting the impending collapse of education, 20 P.O.W Mafemi Crescent, Utako District, Abuja. Ngbea added however that the causes of maternal mortality could be classified into direct, indirect and remote causes, stressing that the direct causes include hemorrhage, majorly postpartum haemorrhage, eclampsia, unsafe abortions and infections. Enugu Town Unions In Lagos Hold Cultural Day Today, Gombe Tertiary Institutions To Resume Nov 10, DELSUTH Committed To Delivering World Class Healthcare Service To Nigerians, Interfaith Group Takes COVID-19 Campaign To Makoko, Scientists Join Forces To Combat Colorectal Cancer, COVID-19: Lions Club Donates To Lagos Rehabilitation Center. According to the worrying report, five countries accounted for half of all the newborn deaths last year; with Nigeria third in the list. “Since TBAs are trusted and respected in their community, they can provide comfort for the mother and family during labor and delivery and introduce and facilitate the work of a midwife in the community, but they should not be seen as a substitute for a skilled birth attendant,” she said. ABUJA DOCTOR REVEALS HOW MOST NIGERIA MEN ARE NOW OVERCOMING TERRIBLE BEDROOM PERFORMANCE DUE TO THIS BRILLIANT DISCOVERY. But Dr Bunmi Omosehindemi, Chairman, Lagos State Traditional Medicine Board explains reasons why many still patronise them. He said another challenge contributing to high maternal mortality was the attitude of health workers to pregnant women, stressing that there are several cases where health workers treat pregnant women badly and hence, discourage them from visiting health facilities. Independent Newspapers Nigeria. Based on these facts, people have to look for various ways of taking care of themselves. “We will be lucky to see 30 women these days because they fear that bandits may ambush them on their way to Galadimawa because it is the only active PHC in the ward headquarters,” said a health worker. “That was how the woman bled to death at home. A traditional birth attendant examines a pregnant woman. Most of these obstacles develop during the pregnancy. WHO posits that if northern women had better control of their finances and were better educated, they would be empowered enough to make better decisions about their lives; this would invariably curtail maternal deaths and dangerous maternal complications. “They end up in the hands of quacks or traditionalist who lack the knowledge and skill to treat them. Anthonia Duru a risk taker writes for Independent Newspapers Limited, she has special passion for women development and child development. Worried by the high rate of maternal mortality, the state government under former Governor Seriake Dickson had launched the “Safe Motherhood Scheme” to kick-start the payment of monthly stipends to pregnant women in the state as transport fare to nearby hospitals for antenatal. “You see someone with seven, eight children, and the husband will give her N100 to eat. The study revealed that although the number of children dying before the age of five is at a new low – 5.6 million in 2016 compared to nearly 9.9 million in 2,000 — the proportion of under-five deaths in the newborn period has increased from 41 per cent to 46 per cent during the same period. (Reuters) UNICEF says one in 34 babies born in Nigeria die before their first birthday. Why Nigeria Has The Third Highest Maternal, Infant Mortality Rate. He noted however that the situation is now changing for good because of the ‘bond doctors’ available, adding however that when few health personnel are available, proper care of the pregnant women will not be taken which can lead to maternal mortality. “In the first place, the poor governance of the Primary Healthcare Sector is a major issue. In Nasarawa, a source at the State’s Primary Healthcare Development Agency (NAPHCDA) said there are no available statistics on maternal mortality rates in the state. Daily Trust, in this report, examines some of the factors responsible for this ugly trend. Where will they now get money for drugs if there is no money to eat?” Hajiya Tanko asked. The lifetime risk of a Nigerian woman dying during pregnancy, childbirth, postpartum or post-abortion is one in 22, in contrast to the lifetime risk in developed countries estimated at 1 in 4,900. Lack of women's rights and access to healthcare for women also helps to exacerbate this problem. She is the one who senses the flutters, kicks and jabs, as she is also the one who feels the morning sickness, nerve discomfort and for some, labour pains. In Northern Nigeria, many women die from pregnancy-related complications as many reports have exposed. That's on par with Croatia — a country with a GDP a third of the size of the U.S. economy. “A situation where a pregnant woman is bleeding and she has B.P., she needed magnesium sulphate but if they don’t have the money to buy it, then, such a woman could die,” he said. Chizoba went into labour but did not come out alive, neither did her baby. Chizoba (her husband does not want her last name disclosed) had been married for 13 years without any child, but died when she became pregnant. Few weeks after, Yetunde took in and this time around she decided not to take chances, she registered in a private hospital, she goes from one prayer house to the other just to ensure that there is no reoccurrence of what happened in the past. A senior heath official said poor nutrition among thousands of women displaced by insurgency as well as hypertensive disorders were part of the factors that led to increased maternal mortality in the state. Curbing the high rate of infant and maternal mortality in Nigeria.. According to Dr Yusuf Habib, a specialist in Obstetrics and Gynaecology, the major causes of complications in pregnant women results from improper checks and observations. The third is the delay at the level of the health facility in terms of inadequate skilled manpower, lack of materials, power and so on,” he said. “We need to improve the number of mothers attending clinics and by so doing; we will improve our health care delivery,” he said. These cases could not have ended in disaster with proper, and readily available pre and post natal care. The weaknesses of a Traditional Birth Attendant (TBA) lie in harmful traditional practices, which may have harmful effects for her clients; unhygienic practices and inexistence of the referral system. In Nasarawa, a source at the State's Primary Healthcare Development Agency (NAPHCDA) said there are no available statistics on maternal mortality rates in the state. Some will come down with malaria in pregnancy or anemia in pregnancy and die via the complications. “Many people are opting for traditional birth attendants because it has to do with the culture of the people and also inadequate medical facilities we have in the nation. This according to a midwife in a Primary Healthcentre (PHC)in Lagos who doesn’t want her name mentioned is not a tenable excuse as pregnant women are not expected to pay a dime in getting quality healthcare service in any of PHCs in the state. Currently, Nigeria is the highest contributor to maternal mortality in Central and Western Africa and contributes 14% to the global maternal mortality rate. Diarrhea is normally a symptom of a tougher disease like cholera, dysentery, and many others. Infant mortality rate is the number of infants dying before reaching one year of age, per 1,000 live births in a given year. Kindly Share This Story • Dr. They can be prevented. Nigeria: 1,2, 3, 4, 5 | Next page [an error occurred while processing this directive] A joint report by UNICEF, […] Unfortunately at about 2am on a Friday, she had another baby boy. Infant mortality rate of Nigeria fell gradually from 166.8 deaths per thousand live births in 1970 to 74.2 deaths per thousand live births in 2019. In the past, infant maternal mortality is attributed to many factors chief of which is African traditional belief on Abiku, post partum hemorrhage, unsafe abortion, infection, high blood pressure during pregnancy, hypertensive disease of pregnancy and obstructed labour and some other beliefs. Though many won’t stop pointing accusing fingers at government for not providing good healthcare system, individuals chiefly contributes to why Nigeria records the third highest number of maternal-infant mortality in the world. It also includes; Antenatal care (ANC) is the care a pregnant woman receives during her pregnancy through a series of consultations with trained health care workers such as midwives, nurses, and sometimes a doctor who specialises in pregnancy and birth. October 20, 2017 . Also, obstructed labour and other diseases have to some extent contributed in the death of women during child birth. In 2019, the infant mortality rate in Nigeria was at about 74.2 deaths per 1,000 live births. All rights reserved. A C-section, is the delivery of a baby through a surgical incision in the mother’s abdomen and uterus. Maternal care coverage is poor and we need to tackle it. Also, some don’t even have the money to transport themselves to the hospitals for care. “I heard of a woman who developed ante partum hemorrhage but there was no money to take her to hospital. Nigeria is one of the countries with the highest maternal mortality rates in the world, with the country accounting for about 20 per cent of global maternal deaths. In 2020, Daily Trust profiled a group of women in the Gwammaja area of Kano State, who had identified some of these problems around them. Some women become sick right from the time they become pregnant. Afghanistan has the highest infant mortality rate in the world, with 110.6 deaths per 1,000 children 5 years old and younger. But in a region where the majority of the people are poor and struggling to eat, the finance to consider check-ups, vitamins and proper healthcare will remain a myth. The government said the launch was in line with its determination to reduce incidences of maternal and infant mortality in the state. ANTHONIA DURU in this report x-rays why Nigeria loses more women and children to childbirth than almost all the countries in the world. “Women and their relatives simply had no money to invest in antenatal care, or for safe deliveries in reputable hospitals. When a woman loses her child, whether it be a baby who died in the womb or a child who died after birth, a part of her dies as well. They generally do not carry a regular caseload and do not therefore have the opportunity to build the experience of a nurse or midwife. Motherhood at such an early age increases the chances of neonatal deaths, infant morbidity, and mortality. With the registered office at 8, WEMPCO Road, Ogba, Ikeja, it publishes DAILY INDEPENDENT, Monday – Friday, SATURDAY Independent, SUNDAY Independent with online properties... © 2001 - 2021. Children born to minors are susceptible to malnutrition compared to married women later in life. The Demographic Health Survey in Nigeria reported that doctors, nurses or midwives take part in one-third of the births in Nigeria. Women die from complications during and after pregnancy and child-bearing. “In the advanced society, people will surely ask for a postmortem to know what actually happened. = 2; P > 0.05 Source: Child file subset of Ondo State Demographic and Health Survey (ODHS) data tape. The Bayelsa State government has expressed concern over the rate of maternal mortality in the state. Poverty, early marriage big factors in Kano. In Kano, most PHCs available to women merely exist in name but lack adequate personnel and facilities. According to him, the death rate is higher in rural areas due to poor access to health facilities and the fact that patients had to travel long distances. This access is even worse in rural areas outside of the country's major cities. He said until these issues are attended to, the issues surrounding maternal mortality would continue to fester. And in 2015, mortality ratio for Nigeria was 814 deaths per 100,000 live births. Chart and table of the Nigeria death rate from 1950 to 2021. “Another challenge is that motorcyclists no longer go to the villages because the bandits usually attack and kill them and then steal their motorcycles; and so, the women lack a means of transportation,” the health official added. They are all tied to one thing – the maternal health. (1). Following childbirth especially those who deliver with Traditional Birth Attendants. Nigeria's Health minister, Isaac Oduwole says the government is opening many more health facilities across the country. The death may be as a result of the pregnancy and it might not. Pregnancy induced hypertension, bleeding and poor access to health care are major causes of death in pregnant women in Adamawa State. “It is not enough. Chart and table of the Nigeria infant mortality rate from 1950 to 2021. Speaking on why it is unsafe to go to Traditional Birth Attendants, Professor Adenike Adetola a renowned pediatrics in an interview explained that in most settings, traditional birth attendants (TBAs) are guided by traditional, often untested practices, rather than medical experience. The strength they say lies in the fact that she is part of the cultural and social life of the immediate community in which she lives. Governor Abdullahi Ganduje had during the 2020 Primary Healthcare Summit held in Kano, said they were perfecting plans to establish a Primary Healthcare Center in each of 484 wards of the state. The report showed that 15,000 children died globally before their fifth birthday in 2016, with 46 per cent of the deaths, (7,000) occurring in the first 28 of life. Angela Onwuzoo. Nigeria still has high prevalence of mortalities reflected in infants and children amongst others [5,6,7]. Daily Trust, in this report, examines some of the factors responsible for this ugly trend. However, they have not been effective in reducing mortality during childbirth. From the moment she receives a positive pregnancy test; every woman starts bonding with her unborn baby. “So, they will continue to nurse the pregnancy at home. It is, however, not as rampant as it was in the past due to better enlightenment and access to medical facilities. Those kinds of people are supposed to be monitored. While medical experts at the summit said they were impressed with the projects and programmes already executed by the Ganduje government towards providing adequate healthcare service delivery in the state, the Minister for Health, Osagie Ehanire said he believed Kano had efficient human resources to meet the universal healthcare coverage needs. Infant mortality, according to Wikipedia, refers to deaths of young children, typically, those less than one year of age. A gynaecologist at the Federal Medical Center (FMC) Yola, Dr. Bitrus Fidelis Chagwa said the last study conducted across the North East showed that hypertension is the major cause of death in pregnant women followed by bleeding. “We are not where we ought to be but it’s better than it used to be and also a work in progress. “Non-medical factors are manpower shortage (skilled birth attendants); delay in seeking care; delay in reaching points of care; delay in referrals; cultural beliefs/ practices; poverty; lack of equipment/medications/blood; failure to recognize danger signs and inadequate power supply. The child survival hypothesis states that if child mortality is reduced, then eventually fertility reduction follows, with the net effect of lower growth of population. “If we tackle the mothers, it will positively impact the other areas. Dr Habib advised that women take their prenatal care very seriously. “While the medical causes are; hemorrhage (blood loss during or after delivery); sepsis (infection); complications of abortion (miscarriage); pregnancy-induced hypertension; ruptured uterus and prolonged obstructed labour,” he said. In Somalia, around one out of every ten pregnant women in the country die before they deliver due to complications resulting from the unavailability of … “The bond scheme has provided more manpower at the downstream levels of healthcare and with the State Health Insurance Scheme taking off, with proper implementation, healthcare should be accessible and affordable by majority of the Benue populace when it fully kicks off and is running,” he said. There are many instances like that,” he said. Independent Newspapers Limited, registered on July 17, 2001 (RC No: 419927), commenced publication on October 1, 2001. 139. Among these are poverty, malaria, malnutrition, undeveloped infrastructure, and poor health facilities conditions. According to him, more funds would be committed to uplifting the health status of the state. However… There are 17 per cent of births that happen without any help. There are many reasons why maternal mortality in Nigeria is so high, including a lack of access to healthcare, rampant poverty, substandard health care and the prevalence of child marriage. Infant mortality is the death of young children under the age of 1. Despite the availability of this service in different part of Nigeria, some experts say only half of pregnant women attends ANC. Somalia has the second highest infant mortality rate in Africa, with 96.6 deaths per every 1,000 births. He urged the government and stakeholders in the health sector to look deeply into the PHCs and make available facilities and human capital needed to make them function well to enable pregnant women have access to quality healthcare services at the grassroots to reduce the rate of maternal deaths recorded yearly. How COVID-19 worsens Nigeria’s high infant mortality rate. Dr Joseph Ngbea, who was recently sworn into office as the State’s Commissioner for Health and Human Services, explains that majorly, the ‘three delay model’ remain the commonest factors which contribute to pregnant women dying at the point of delivery. Daily Trust gathered that from the Primary Healthcare facility in Galadimawa of Giwa Local Government Area in Kaduna State that as many as 90 pregnant women crowd the facility from surrounding villages for ante-natal every Wednesday being the market day. We have a poor human resource for health. According to UNICEF, a woman’s chance of dying from pregnancy and childbirth in Nigeria is 1 in 13. He said more awareness was being created about pregnancy-related problems as more health facilities and personnel were being improved in communities ravaged by the insurgents. 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Sometimes there could be eclampsia.”. “Most depend on their husbands to decide for them, who also may not have enough funds to provide adequate healthcare for them. In 2019, infant mortality rate for Nigeria was 74.2 deaths per thousand live births. That sickness does not leave them until they put to bed. “This could discourage pregnant women from going to the hospital,” he said, adding that because some of the traditional birth attendants have no adequate training, they sometimes do more harm than good while certain health facilities lack the basic emergency drugs that should be given to pregnant women during antenatal. Published August 23, 2020 August 23, 2020. “A situation where PHCs, which are supposed to be the first port of call for expectant mothers and infants are ill equipped to respond to basic treatment needs, exposes large number of mothers and babies to untimely death,” he said. In Nigeria, the childhood mortality rate stands at 128 per 1000 live births, with large disparities in her different regions . “Also, women should always follow their doctors’ advice and check their blood pressures regularly while pregnant.”. She Is Too Secretive, Do You Think She Is Having An Affair? With a 13% immunization rate for children between 12-23 months, Nigeria is the African country with the lowest vaccination rate. Share. If they don’t follow that routine, they may die. In Benue State, experts have attributed high maternal mortality rates in the state largely to inadequate and ill-equipped Primary Health Care (PHC) facilities; illiteracy and poverty among others. Medical reports say ANC visits include tetanus toxoid vaccination, screening and treatment for infections, and identification of warning signs during pregnancy. While infant morality rate is the rate children die at birth or shortly after birth. The U.S. ranks 51st globally for infant mortality rates. According to Daodu, “If the birth was at a facility, mother and baby should receive a postnatal examination before discharge. Infant mortality rates according to mother's education, Ondo State, Nigeria (1982-85) Mortality rates Education Live births (per 1000) Maternal education No schooling 1229 54.5 Primary 895 51.4 Secondary/higher 511 68.5 X 2 value = 3; Degree of freedom (d.f.) At times, when the placenta comes out, the uterus will fail to contract. He however said that experienced midwives and traditional birth attendants in the villages have assisted in several deliveries. Although the nation’s health system as a whole has been plagued by problems of service quality, including unfriendly staff attitudes to patients, inadequate skills, decaying infrastructure, chronic shortages of essential drugs and popular “out-of-stock syndrome” are some of the causes of maternal and infant mortality. Maternal mortality ratio (MMR) in several low-and-middle-income countries is alarming, with about 34% of global maternal deaths occurring in Nigeria and India alone. It is important that the mother and baby receive a postnatal examination as early as possible, preferably within 24 hours of birth. “A woman cannot even eat till her husband gives her money to buy food, and how much is that money? These are India (24 per cent), Pakistan (10 per cent), Nigeria (9 per cent), the Democratic Republic of the Congo (4 per cent) and Ethiopia (3 per cent). “That way, we can prescribe some supplements that may help women prevent complications like this. In addition, women often give birth at home, which means that qualified doctor… According to him, inadequate health personnel in the available facilities poses additional challenge, pointing out that in some General hospitals, only one medical doctor will be found there. The source said that the causes or factors leading to high maternal mortality in Nigeria generally are categorized into two namely, medical and non medical factors. Substantial presence of Acute Respiratory Infections and diarrhoea also contribute to the elevated mortality rates for children. He maintained that while all of these, interwoven with the three levels of delays explain the high incidence of maternal mortality in Benue localities, the availability and accessibility of health services in the state continues to improve on regular basis. One fifth of deliveries received help from a traditional midwife. “The first delay is that at the level of the patient in terms of decision making, most women are either too illiterate to take correct health decisions or lack the financial backing to seek adequate healthcare. “We have the knowledge and technologies that are required – we just need to take them to where they are most needed.” According to the report released by UNICEF, World Health Organisation, the World Bank and the Population Division of UNDESA, which make up the inter-agency Group for Child Mortality Estimation (IGME), at current trends, 60 million children, will die before their fifth birthday between 2017 and 2030, half of them new-borne. The same rate of maternal and infant mortality why is nigeria infant mortality rate high in the villages have assisted in several.... 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