Maternal and Infant Mortality Reduction: Kaduna State e-platform Data Collection System to be Up-Scaled to include all the 31 Secondary Hospitals –Rotary
Kaduna, North-West, NIGERIA
Rotary Quality Assurance in Obstetrics (OQA)/Maternal and Perinatal Death Surveillance and Response (MPSR) Project has chosen Kaduna state as its pilot state in which the OQA/MPDSR e- platform Data Collection System will be up-scaled to include all the secondary hospitals in the state.
This was disclosed to journalists by the National Coordinator, Rotary International, Professor Emmanuel Lufadeju in a press conference held at the Nigeria Union of Journalists Secretariat Kaduna.
The electronic programming required for the up-scaling he said would be offered free of charge by the Rotary international and Rotarian Action Group for Population and Service Development (RFPD) consultants from Germany.
“Our project consultants from Germany will offer technical support to ensure the smooth running of the e- platform free of charge”.
In a Memorandum of Understanding (MOU) signed by the Kaduna state government, the government is expected to pay for the training of the hospital Record Officers and Maternity Matrons; Pay for hospital MPDSR chairmen, secretaries, desk officers levant gynecologists including that of monitoring of the system to ensure compliance with guideline and data quality. He said.
He added that the project which started in 1994 got into an aspect of the project that has to do with quality assurance in obstetrics in 1998. This quality assurance in obstetrics involves assisting hospitals to look at their processes, the quality of the structure of the hospitals including equipment, the facilities and the quality of the process.
“When a woman is pregnant and wants to deliver in the hospital, how is she received? Is she comfortable and all of these are recorded from 2008 to 2015. We are working with the Federal Ministry of Health very closely and we are working also with a lot of stake holders”.
The project he said is aimed at the reduction of maternal and infant mortality rate. So far, it has achieved 25% reduction in infant mortality rate and 50% maternal rate reduction.
According to the professor, the project has impacted on 10 hospitals across the state and that there is a request that it be extended to all the 31 secondary hospitals in the state.
“There are 10 hospitals we are working with in the state amongst which are, Yusuf Danstoho hospital, Tudun Wada, General hospital Kachia, General Hospital Makarfi, Hajiya Gambo Sawaba hospital Zaria, General hospital Kafancha and as at today, the Hon. Commissioner of Health Dr. Paul Dogo is requesting that he wants this programme in all the 31 secondary hospitals in Kaduna state”
Emmanuel however decried the present high rate of maternal and child mortality rate in Nigeria saying this is preventable if more efforts are directed to causative tendencies. About 70% of deliveries in Nigeria he said are done at home.
Among reasons given being lack of enough facilities. No enough hospitals and enough personnel.
Also mentioned is the attitude of the health workers themselves which discourages women from going to the hospitals as such resorts to using the services of traditional birth attendants.
“We don’t have enough hospitals. We don’t have enough personnel; but more importantly, even those that go to the hospital, are they treated well in the hospital? So the attitude of our medical staff also is part of the things we are trying to improve”.
This notwithstanding, the Professor tasked the media to help educate the public particularly the mothers on the need to seek the services of skilled health workers during pregnancy as pregnancy he said should be a thing of joy and not that of sadness to any family.
“Pregnancy should be a thing of joy. It should not be any source of sadness to any family. And to prevent things like tetanus and infection during delivery, rotary international distributed birth kits which are used during the time of delivery free of charge to the women as a way of assisting them”.
The project he added is providing necessary interventions to reduce maternal death. Everything electronic he said is the best in the world as at today.
“If you can press the button and get a grasp of situation in your hospitals as to how many women dies, how many still birth etc. just at a press of a button that is the first time this is happening in Nigeria.
“For instance, the traditional birth attendants that are delivering babies at home, we want them to be skilled, to be trained and when a woman is in labor for some hours and cannot deliver, they should refer her immediately to the hospital. Not to keep a woman in labor for 2days and by the time she gets to the hospital, she dies at the gate of the hospital. That is what happens in some of the places where we are working. We want to reduce the risk of women being exposed to unqualified birth attendant. All hospitals must be on their toes for there is no hiding place.
On the issue of family planning, Professor Emmanuel charged women to use contraceptives in other that they can live a better life.
“People need to use contraceptive. You don’t need to have children every year. You don’t have to be breastfeeding and be pregnant and be holding baby in your hand and crying all over the place and the woman has no time for herself. That should stop.
“You should be able to use contraceptive and stop the use of contraceptive when you want to have baby. And as soon as you have your baby and you are ready to relate with your husband again, you resume contraception. And when you are ready to have another baby, you stop contraception and then you get conceived again.
“Just go to the hospital when you are pregnant, they would check your blood pressure, check your urine to know if there is problem and then they give you solution and you are happy.
We have instituted in hospitals hygiene related programme to prevent children dying of cholera and small diseases that we can control. We engage in monthly community dialogue in all the states where we are working. Bringing together traditional leaders, religious leaders in the communities, nurses and health providers together with women of child bearing age for a meeting to interact and discuss health related issues
Still stressing on the advantages of the use of contraceptives, he said,
“We want to improve the quality of our women and the survival of our children. The use of contraceptives would make our women live a better life. Don’t let us leave our women naked and exposed in a way that they can’t control their lives. Economically they are not useful to themselves.
They give birth every year. This we don’t want to happen.
Lamenting, “According to the 2013 Nigeria Demographic and Health Survey (NDHS), the country’s maternal mortality ratio was given as, five hundred and seventy –six lives per every one hundred thousand (576 per 100,000) live births. The 2015 survey shows eight hundred and fifteen recorded death out of every one hundred thousand woman (815 per 100,000)
This is a very high figure. In a country like America, it is less than 10. Even Iran that is a Muslim country, contraceptive prevalence rate in Iran is 95%. And a country like Rome where the catholic bishop lives, the contraceptive prevalence rate there is 97%.
“Here in our country when we started in this Kaduna state and we did baseline survey, contraceptive prevalence rate was 3%. That means only 3% of women of child bearing age were using contraceptives. By the time we worked in Kaduna state for 5yrs, we were able to increase this figure to 27%. So, this is doable. The causes of death of mothers and children are preventable. He ended.