Galadanci H S, Ejembi C L, Iliyasu Z, Alagh B, Umar U S
Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital, Kano, Nigeria.
BJOG. 2007 Apr;114(4):448-52. doi: 10.1111/j.1471-0528.2007.01229.x. Epub 2007 Feb 15.
To determine the level of maternal care in Northern Nigeria.
A cross-sectional descriptive study design was used.
The Study was Community based and carried out in the ten states that constitute UNICEF D zone in northeast Nigeria.
Women who delivered in the 11 months preceding the survey and resident in the study area.
The WHO cluster sampling methodology was used to draw a sample of 210 eligible women in each of the 10 local government areas (LGAs).
Utilization of antenatal care (ANC) services, tetanous toxoid immunization, skilled attendant at delivery and postnatal care.
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.
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.
确定尼日利亚北部的孕产妇保健水平。
采用横断面描述性研究设计。
该研究以社区为基础，在构成尼日利亚东北部联合国儿童基金会D区的十个州开展。
在调查前11个月内在研究地区分娩且常住的妇女。
采用世界卫生组织整群抽样方法，在10个地方政府辖区（LGA）各抽取210名符合条件的妇女作为样本。
产前保健（ANC）服务的利用情况、破伤风类毒素免疫接种、分娩时的熟练助产人员以及产后护理。
大多数受访者（73.2%）年龄在20至34岁之间。总体而言，50%的妇女在其上次怀孕时到产前诊所就诊，各地方政府辖区的ANC覆盖率在14.0%至81.0%之间。在孕早期、孕中期和孕晚期进行登记的妇女比例分别为22.8%、63.0%和14.2%。所提供的产前服务中，腹部检查的比例为95.7%，尿液检查的比例为41.2%。60%的妇女在其上次怀孕时未接种破伤风类毒素，11%接种了一剂，29%至少接种了两剂。在家分娩在整个地区仍然是常态，有1791例（85.3%）在家中分娩。高达80.5%的分娩由未接受过经核实的卫生分娩技术培训的人员监督。在接受ANC的妇女中，只有11.4%（233例）进行了产后检查。
如上所述，孕产妇保健远未达到理想状态。同样，第五个千年发展目标的承诺影响极其深远：在这种孕产妇保健水平下，到2015年将孕产妇死亡率降低75%。
