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National data system on near miss and maternal death: shifting from maternal risk to public health impact in Nigeria

BACKGROUND: The lack of reliable and up-to-date statistics on maternal deaths and disabilities remains a major challenge to the implementation of Nigeria's Road Map to Accelerate the Millennium Development Goal related to Maternal Health (MDG-5). There are currently no functioning national data...

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Autores principales: Oladapo, Olufemi T, Adetoro, Olalekan O, Fakeye, Oluwarotimi, Ekele, Bissallah A, Fawole, Adeniran O, Abasiattai, Aniekan, Kuti, Oluwafemi, Tukur, Jamilu, Ande, Adedapo BA, Dada, Olukayode A
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2702364/
https://www.ncbi.nlm.nih.gov/pubmed/19508717
http://dx.doi.org/10.1186/1742-4755-6-8
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author Oladapo, Olufemi T
Adetoro, Olalekan O
Fakeye, Oluwarotimi
Ekele, Bissallah A
Fawole, Adeniran O
Abasiattai, Aniekan
Kuti, Oluwafemi
Tukur, Jamilu
Ande, Adedapo BA
Dada, Olukayode A
author_facet Oladapo, Olufemi T
Adetoro, Olalekan O
Fakeye, Oluwarotimi
Ekele, Bissallah A
Fawole, Adeniran O
Abasiattai, Aniekan
Kuti, Oluwafemi
Tukur, Jamilu
Ande, Adedapo BA
Dada, Olukayode A
author_sort Oladapo, Olufemi T
collection PubMed
description BACKGROUND: The lack of reliable and up-to-date statistics on maternal deaths and disabilities remains a major challenge to the implementation of Nigeria's Road Map to Accelerate the Millennium Development Goal related to Maternal Health (MDG-5). There are currently no functioning national data sources on maternal deaths and disabilities that could serve as reference points for programme managers, health advocates and policy makers. While awaiting the success of efforts targeted at overcoming the barriers facing establishment of population-based data systems, referral institutions in Nigeria can contribute their quota in the quest towards MDG-5 by providing good quality and reliable information on maternal deaths and disabilities on a continuous basis. This project represents the first opportunity to initiate a scientifically sound and reliable quantitative system of data gathering on maternal health profile in Nigeria. OBJECTIVE: The primary objective is to create a national data system on maternal near miss (MNM) and maternal mortality in Nigerian public tertiary institutions. This system will conduct periodically, both regionally and at country level, a review of the magnitude of MNM and maternal deaths, nature of events responsible for MNM and maternal deaths, indices for the quality of care for direct obstetric complications and the health service events surrounding these complications, in an attempt to collectively define and monitor the standard of comprehensive emergency obstetric care in the country. METHODS: This will be a nationwide cohort study of all women who experience MNM and those who die from pregnancy, childbirth and puerperal complications using uniform criteria among women admitted in tertiary healthcare facilities in the six geopolitical zones in Nigeria. This will be accomplished by establishing a network of all public tertiary obstetric referral institutions that will prospectively collect specific information on potentially fatal maternal complications. For every woman enrolled, the health service events (care pathways) within the facility will be evaluated to identify areas of substandard care/avoidable factors through clinical audit by the local research team. A summary estimate of the frequencies of MNM and maternal deaths will be determined at intervals and indicators of quality of care (case fatality rate, both total and cause-specific and mortality index) will be evaluated at facility, regional and country levels. MANAGEMENT: Overall project management will be from the Centre for Research in Reproductive Health (CRRH), Sagamu, Nigeria. There will be at least two meetings and site visits for efficient coordination of the project by regional coordinators and central coordinating staff. Data will be transferred electronically by hospital and regional coordinators and managed at the Data Management Unit of CRRH, Sagamu, Nigeria. EXPECTED OUTCOMES: The outcome of the study would provide useful information to the health practitioners, policy-makers and international partners on the strengths and weaknesses of the infrastructures provided for comprehensive emergency obstetric care in Nigeria. The successful implementation of this project will pave way for the long-awaited Confidential Enquiries into Maternal Deaths that would guide the formulation and or revision of obstetric policies and practices in Nigeria. Lessons learnt from the establishment of this data system can also be used to set up similar structures at lower levels of healthcare delivery in Nigeria.
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spelling pubmed-27023642009-06-27 National data system on near miss and maternal death: shifting from maternal risk to public health impact in Nigeria Oladapo, Olufemi T Adetoro, Olalekan O Fakeye, Oluwarotimi Ekele, Bissallah A Fawole, Adeniran O Abasiattai, Aniekan Kuti, Oluwafemi Tukur, Jamilu Ande, Adedapo BA Dada, Olukayode A Reprod Health Study Protocol BACKGROUND: The lack of reliable and up-to-date statistics on maternal deaths and disabilities remains a major challenge to the implementation of Nigeria's Road Map to Accelerate the Millennium Development Goal related to Maternal Health (MDG-5). There are currently no functioning national data sources on maternal deaths and disabilities that could serve as reference points for programme managers, health advocates and policy makers. While awaiting the success of efforts targeted at overcoming the barriers facing establishment of population-based data systems, referral institutions in Nigeria can contribute their quota in the quest towards MDG-5 by providing good quality and reliable information on maternal deaths and disabilities on a continuous basis. This project represents the first opportunity to initiate a scientifically sound and reliable quantitative system of data gathering on maternal health profile in Nigeria. OBJECTIVE: The primary objective is to create a national data system on maternal near miss (MNM) and maternal mortality in Nigerian public tertiary institutions. This system will conduct periodically, both regionally and at country level, a review of the magnitude of MNM and maternal deaths, nature of events responsible for MNM and maternal deaths, indices for the quality of care for direct obstetric complications and the health service events surrounding these complications, in an attempt to collectively define and monitor the standard of comprehensive emergency obstetric care in the country. METHODS: This will be a nationwide cohort study of all women who experience MNM and those who die from pregnancy, childbirth and puerperal complications using uniform criteria among women admitted in tertiary healthcare facilities in the six geopolitical zones in Nigeria. This will be accomplished by establishing a network of all public tertiary obstetric referral institutions that will prospectively collect specific information on potentially fatal maternal complications. For every woman enrolled, the health service events (care pathways) within the facility will be evaluated to identify areas of substandard care/avoidable factors through clinical audit by the local research team. A summary estimate of the frequencies of MNM and maternal deaths will be determined at intervals and indicators of quality of care (case fatality rate, both total and cause-specific and mortality index) will be evaluated at facility, regional and country levels. MANAGEMENT: Overall project management will be from the Centre for Research in Reproductive Health (CRRH), Sagamu, Nigeria. There will be at least two meetings and site visits for efficient coordination of the project by regional coordinators and central coordinating staff. Data will be transferred electronically by hospital and regional coordinators and managed at the Data Management Unit of CRRH, Sagamu, Nigeria. EXPECTED OUTCOMES: The outcome of the study would provide useful information to the health practitioners, policy-makers and international partners on the strengths and weaknesses of the infrastructures provided for comprehensive emergency obstetric care in Nigeria. The successful implementation of this project will pave way for the long-awaited Confidential Enquiries into Maternal Deaths that would guide the formulation and or revision of obstetric policies and practices in Nigeria. Lessons learnt from the establishment of this data system can also be used to set up similar structures at lower levels of healthcare delivery in Nigeria. BioMed Central 2009-06-09 /pmc/articles/PMC2702364/ /pubmed/19508717 http://dx.doi.org/10.1186/1742-4755-6-8 Text en Copyright © 2009 Oladapo et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Oladapo, Olufemi T
Adetoro, Olalekan O
Fakeye, Oluwarotimi
Ekele, Bissallah A
Fawole, Adeniran O
Abasiattai, Aniekan
Kuti, Oluwafemi
Tukur, Jamilu
Ande, Adedapo BA
Dada, Olukayode A
National data system on near miss and maternal death: shifting from maternal risk to public health impact in Nigeria
title National data system on near miss and maternal death: shifting from maternal risk to public health impact in Nigeria
title_full National data system on near miss and maternal death: shifting from maternal risk to public health impact in Nigeria
title_fullStr National data system on near miss and maternal death: shifting from maternal risk to public health impact in Nigeria
title_full_unstemmed National data system on near miss and maternal death: shifting from maternal risk to public health impact in Nigeria
title_short National data system on near miss and maternal death: shifting from maternal risk to public health impact in Nigeria
title_sort national data system on near miss and maternal death: shifting from maternal risk to public health impact in nigeria
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2702364/
https://www.ncbi.nlm.nih.gov/pubmed/19508717
http://dx.doi.org/10.1186/1742-4755-6-8
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