With a 13% immunization rate for children between 12-23 months, Nigeria is the African country with the lowest vaccination rate. The death may be as a result of the pregnancy and it might not. Mr Ajanaku said many Nigerians in urban centres take some of these things for granted, but in the rural areas, “they are luxuries, which are hard to come by.”. Among these are poverty, malaria, malnutrition, undeveloped infrastructure, and poor health facilities conditions. = 2; P > 0.05 Source: Child file subset of Ondo State Demographic and Health Survey (ODHS) data tape. According to the survey, one of each four births is assisted by a relative or some other untrained people. 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. According to UNICEF, a woman’s chance of dying from pregnancy and childbirth in Nigeria is 1 in 13. “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. “Also, women should always follow their doctors’ advice and check their blood pressures regularly while pregnant.”. 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. Governor  Ganduje insisted that healthcare needs of the Kano people remain sacrosanct and are important to the government. “In the first place, the poor governance of the Primary Healthcare Sector is a major issue. Poverty is also a major cause of maternal mortality, as it prevents many women from getting proper and adequate medical attention due to their inability to afford good antenatal care. “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. “Under Ortom’s administration, more PHCs have been built and equipped. 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. Chart and table of the Nigeria death rate from 1950 to 2021. Actually, the quick and huge loss of liquid causes incurable complications and death. 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. They were attended to as the baby was put inside an incubator, few hours after, the baby passed on. 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. Somalia has the second highest infant mortality rate in Africa, with 96.6 deaths per every 1,000 births. There are 17 per cent of births that happen without any help. They are all tied to one thing – the maternal health. Most of these obstacles develop during the pregnancy. “If we tackle the mothers, it will positively impact the other areas. That sickness does not leave them until they put to bed. Despite the availability of this service in different part of Nigeria, some experts say only half of pregnant women attends ANC. WHO recommends postnatal care for the newborn and the mother because the post-natal period is a critical stage in the life of both the mother and the newborn. “We even advise women to come in for what we call ‘pre-conception check-up,’ where we run tests and check women for any diseases they may be predisposed to or any complications they may be predisposed to before they conceive. In countries where infant mortality is high, several factors are attributed to necessitating these deaths. 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 PHCs mostly consist of a room or two, with benches and personnel, who are either impassionate about their jobs or overwhelmed and overworked. 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. In Nigeria, the childhood mortality rate stands at 128 per 1000 live births, with large disparities in her different regions . 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. “However, the situation is like joint demands. He said from the scorecard, it was noticed that all the poor healthcare indicators were tied to one thing—maternal care, adding that the state government would do all within its power to cater to the needs of the mothers to change the narrative. It was another bitter pill for her to swallow as she couldn’t comprehend why she has to go through the horrific experience again for the second time in a year. 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. “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. Currently, Nigeria is the highest contributor to maternal mortality in Central and Western Africa and contributes 14% to the global maternal mortality rate. “They end up in the hands of quacks or traditionalist who lack the knowledge and skill to treat them. 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. Medical reports say ANC visits include tetanus toxoid vaccination, screening and treatment for infections, and identification of warning signs during pregnancy. (1). He noted that lack of money to pay for medication could lead to death in state government hospitals where there was no revolving funds to be used as intervention measures to take care of poor patients. It has been widely reported that the United States has a relatively high infant mortality rate compared with other developed countries: More than 23,000 American infants died in 2014, or about 6 for every 1,000 live births, putting us on par with countries like Serbia and Malaysia. Sadly many children and mother end up dying in the hands of unskilled doctors who undertake these operations or due to infections. Nigeria still has high prevalence of mortalities reflected in infants and children amongst others [5,6,7]. Speaking in Yenagoa recently during the Bayelsa Reproductive Maternal Child and Adolescent Health (RMNCAH), Commissioner for Health, Dr Newton Igwele, expressed concern over the maternal mortality rate after receiving the  scorecard for the third quarter of 2020 presented by the state team in collaboration with the United Nations International Children Emergency Fund (UNICEF). While infant morality rate is the rate children die at birth or shortly after birth. Substantial presence of Acute Respiratory Infections and diarrhoea also contribute to the elevated mortality rates for children. Infant mortality is the death of young children under the age of 1. ANTHONIA DURU in this report x-rays why Nigeria loses more women and children to childbirth than almost all the countries in the world. Maternal and infant mortality is a tragedy that is still very rampant in Nigeria due to a number of factors in the nation's health care system. Chizoba went into labour but did not come out alive, neither did her baby. Nigeria: 1,2, 3, 4, 5 | Next page [an error occurred while processing this directive] A joint report by UNICEF, […] Based on these facts, people have to look for various ways of taking care of themselves. “We are not where we ought to be but it’s better than it used to be and also a work in progress. The women, led by one Hajiya Amina Tanko, had first identified poverty as the foremost problem amongst them. Published August 23, 2020 August 23, 2020. “The second delay is that associated with transportation and communication. It is often necessary when the mother can’t deliver through virginal and medical experts often recommend this when the need arise. From the moment she receives a positive pregnancy test; every woman starts bonding with her unborn baby. The baby was a pre-term baby and she was advised to take the baby to specialists at Alimosho General Hospital, she did just that with the help of her husband. In April 2017, a young graduate, Yetunde Akilede delivered a baby boy at a private hospital located at Igando area of Lagos but the baby had some complications, he was referred to Alimosho General Hospital in Lagos for specialist care after battling unsuccessfully to save the baby for about four hours by the pediatrics on duty who promptly attended to the baby, the baby died. “I have seen instances where I confirmed women to be pregnant and when counselled for ante natal, they will abruptly tell you that they have no money to attend ante natal clinic and they are right. United Nations … It happens, especially, if they are not under observation, hence the importance of antenatal care at the very early stage. An online research media, indexmundi puts Nigeria’s maternal mortality rate at 917 deaths/100,000 live births. Kindly Share This Story • Dr. Why Nigeria Has The Third Highest Maternal, Infant Mortality Rate. That's on par with Croatia — a country with a GDP a third of the size of the U.S. economy. Lack of women's rights and access to healthcare for women also helps to exacerbate this problem. 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. “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. Independent Newspapers Nigeria. He said until these issues are attended to, the issues surrounding maternal mortality would continue to fester. Daily Trust gathered that the reason for the rising maternal mortality rate was largely due to the riverine nature of the state which often makes it difficult for pregnant women to access health facilities, with most people in interior places travelling to Yenagoa, the state capital for antenatal services. “Most depend on their husbands to decide for them, who also may not have enough funds to provide adequate healthcare for them. 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. 1998 - 2020 Media Trust Limited. Where will they now get money for drugs if there is no money to eat?” Hajiya Tanko asked. On a geopolitical zone assessment, North-Western Nigeria has 77.7% of its population living in poverty, with Kano having 55.1% on a state level. We have a poor human resource for health. 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. 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. Also, obstructed labour and other diseases have to some extent contributed in the death of women during child birth. 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. Daily Trust, in this report, examines some of the factors responsible for this ugly trend. He said the government has, however, made significant progress in reducing the rate of newborn deaths in the country as it has declined from 201/1000 live births to 128/1000 live birth in 2013. There are many instances like that,” he said. Somalia - 96.6 per 1,000. “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 Bayelsa State government has expressed concern over the rate of maternal mortality in the state. “In the advanced society, people will surely ask for a postmortem to know what actually happened. 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