Investigating institutional maternal deaths in Ogun State, Nigeria: analysis
of 2016 maternal and perinatal deaths surveillance data
Salimat Bola Sanni1,&, Adebobola Bashorun1, Aboyowa Edukugho1, Saheed Gidado1, Elijah Ogunsola2, Olalekan Adebimpe3
1Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 2Ogun State Primary Health Care Development Board, Abeokuta, Nigeria, 3Department of Community Medicine, Osun State University, Oshogbo, Nigeria
Salimat Bola Sanni, Nigeria Field Epidemiology and Laboratory Training Programme, Asokoro, Abuja, Nigeria
globally over 600,000 women die annually from complications of pregnancy. Nigeria ranks second globally in the number of maternal deaths. Ogun State has maternal mortality rate (MMR) of 179 per 100000 live births, with 5728 women dying of pregnancy related complications annually. Ogun State has a total fertility rate of 5.4 and contraceptive prevalence rate of 26%. Maternal and Perinatal Deaths Surveillance and Response (MPDSR) started as Maternal Death Review (MDR) in Ogun State in year 2009. The initiative was geared towards conducting qualitative assessment of the causes of maternal and perinatal deaths for evidence-based decisions to prevent reoccurrences of such preventable deaths. This study describes the outcome of maternal death review conducted in selected health facilities in Ogun State to give insight to why women die from pregnancy and related events.
this is a cross-sectional study. We conducted desk review of 2016 Ogun State Maternal death review (MDR) forms retrieved from the Monitoring and Evaluation unit of Ogun State Primary Health Care Development Board. A total sampling of the health facilities conducting MPDSR in the State was taken and the study population constitutes all cases of maternal deaths in those facilities. Data analysis was done using SPSS software version 20.0. We determined the Frequencies, proportions, means, ratio and proportionate risk of the variables abstracted.
the health facilities offering MPDSR notified 49 maternal deaths in 2016 and reviewed 32 (63%) of the maternal deaths. Average age at death was 30.8 + 5.7 years, 41 (92%) of them were married, 31 (69%) lived in urban areas, 27 (55%) belonged to the low socio-economic class. The average institutional mortality ratio (iMMR) obtained was 534 per 100,000 live births. Thirty nine (88%) of the women delivered via a caesarean section. Thirty of the women (61%) died at peurperium. Haemorrhage accounts for 22 (43%) of maternal deaths while eclampsia accounts for 8 (36%) of deaths.
haemorrhage and eclampsia are the leading cause of maternal deaths with most
maternal deaths occurring postpartum. It is important to involve other health
facilities and communities in the surveillance to obtain a representative
outcome of death review to facilitate intervention.
Nigeria CDC/Nigeria Field Epidemiology and Laboratory Training Programme 2<sup>nd</sup> Annual Scientific Conference (Abuja)
To create a platform for epidemiologists and public health physicians to share their scientific works, NCDC/NFELTP organized the 2nd annual scientific conference with the theme "strengthening one health through field epidemiology training" at Transcorp Hilton Hotel, Abuja, Nigeria from July 5-7, 2017. The objectives of the conference were to provide residents and graduates a forum to share findings from their field activities; provide training opportunity for trainees on scientific communication; provide an opportunity for epidemiological networking as well as create a forum to discuss pertinent public health issues. In attendance were dignitaries from the United States Centers for Disease Control and Prevention (CDC), USAID, WHO, Africa CDC, Ministries Departments and Agencies, University officials and other implementing partners. With the current rise in zoonotic diseases, the conference also featured a two-day pre-conference workshop on One Health which prioritized zoonotic infectious diseases in Nigeria using standardized prioritization methods. A second workshop focused on antimicrobial resistance. There were 38 oral presentations, 60 poster presentations and 2 plenary sessions. The presentations covered various sub-themes ranging from outbreak investigations, case management, health system strengthening, vaccine preventable diseases, communicable diseases and surveillance. The conference featured a National Night and climaxed with awards to outstanding presenters.
Dates: 05 Jul 17 - 07 Jul 17
Venue: Transcorp Hilton Hotel
Organizers: Nigeria Centre for Disease Control / Nigeria Field Epidemiology and Laboratory Training Programme
Contact person: Dr Patrick Nguku (firstname.lastname@example.org)