Consultant Family Physician, Department of Family Medicine, University College Hospital, Ibadan, Nigeria.
Consultant Public Health Physician/Senior Lecturer, Department of Health Policy and Management, Faculty of Public Health, University of Ibadan, Nigeria.
West Afr J Med. 2022 Jul 31;39(7):737-746.
The Millennium Development Goals (MDGs) were not achieved by most Sub-Saharan countries including Nigeria. This further led to the proposition of Sustainable Development Goals (SDGs) to run from 2015-2030, to make up for the deficiencies. There is a need to assess the Maternal and Child Healthcare (MCH) delivery, to work towards achieving SDG 3.
To evaluate the MCH delivery practices and to identify the related challenges at the secondary care level in Oyo State, southwest Nigeria.
The study was cross-sectional in design. Twenty-two healthcare facilities were selected by simple random sampling and were assessed using an adapted semi-structured checklist of the WHO manual on Integrated Management of Pregnancy and Childbirth Series. The analysis was done, using Statistical Package for Social Sciences (SPSS) version 21.
All the facilities offered normal delivery services and 81.8% offered the three basic child health services (sick childcare, vaccination, and growth monitoring). All the facilities had essential supplies for antenatal and newborn care, and essential drugs for antenatal and childcare. However, only 36.4% had essential delivery medications. Also, 18.2% had available guidelines for MCH delivery, and 42.0% of the staff were present at the time of the survey. The major challenges identified were small staff size (50.0%), lack of equipment (31.8%), and (18.2%) for lack of equipment, medicine, hands-on training, and supervision.
There is a need for continuous monitoring and evaluation of the MCH services and to improve on the identified challenges. This would help in working towards achieving SDG 3 by the year 2030.
MOTS CLÉS: Soins prénataux, Soins de santé infantile, Évaluation, Établissement de santé, soins de santé maternelle, soins de santé secondaire, ODD.
千年发展目标（MDGs）并未被包括尼日利亚在内的大多数撒哈拉以南非洲国家实现。这进一步导致了可持续发展目标（SDGs）的提出，从 2015 年至 2030 年运行，以弥补这些目标的不足。有必要评估母婴保健（MCH）的提供情况，努力实现可持续发展目标 3。
评估奥约州（位于尼日利亚西南部）二级保健机构的母婴保健提供情况，并确定相关挑战。
本研究采用横断面设计。通过简单随机抽样选择了 22 家医疗机构，并使用世界卫生组织《妊娠和分娩综合管理手册》的经过改编的半结构式清单进行评估。使用统计软件包（SPSS）版本 21 进行分析。
所有医疗机构都提供了正常分娩服务，81.8%提供了三种基本儿童健康服务（小儿保健、接种和生长监测）。所有医疗机构都有产前和新生儿护理的基本用品以及产前和儿童保健的基本药物。然而，只有 36.4%有基本的分娩药物。此外，18.2%有母婴保健提供指南，42.0%的员工在调查时在场。确定的主要挑战是人员规模小（50.0%）、设备缺乏（31.8%）和（18.2%）缺乏设备、药物、实践培训和监督。
需要对母婴保健服务进行持续监测和评估，并改善已确定的挑战。这将有助于在 2030 年之前努力实现可持续发展目标 3。
产前护理、儿童保健、评估、医疗机构、母婴保健、二级保健、可持续发展目标。
