High maternal mortality in Jigawa State, Northern Nigeria estimated using the sisterhood method

BMC Pregnancy and Childbirth

Research Article

Vandana Sharma¹  Willa Brown¹  Martina Bjorkman Nyqvist²  Jessica Leight³  Muhammad Abdullahi Kainuwa⁴ 

[1] Abdul Latif Jameel Poverty Action Lab, Massachusetts Institute of Technology, 30 Wadsworth St, 02142, Cambridge, MA, USA;Department of Economics, Stockholm School of Economics, Stockholm, Sweden;Department of Economics, Williams College, Williamstown, MA, USA;Jigawa Ministry of Health, Jigawa, Nigeria;

关键词: Maternal mortality;    Sisterhood method;    Jigawa;    Nigeria;    Northern Nigeria;    Sub-Saharan Africa;   

DOI  :  10.1186/s12884-017-1341-5

 received in 2016-07-21, accepted in 2017-05-23,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundMaternal mortality is extremely high in Nigeria. Accurate estimation of maternal mortality is challenging in low-income settings such as Nigeria where vital registration is incomplete. The objective of this study was to estimate the lifetime risk (LTR) of maternal death and the maternal mortality ratio (MMR) in Jigawa State, Northern Nigeria using the Sisterhood Method.MethodsInterviews with 7,069 women aged 15–49 in 96 randomly selected clusters of communities in 24 Local Government Areas (LGAs) across Jigawa state were conducted. A retrospective cohort of their sisters of reproductive age was constructed to calculate the lifetime risk of maternal mortality. Using most recent estimates of total fertility for the state, the MMR was estimated.ResultsThe 7,069 respondents reported 10,957 sisters who reached reproductive age. Of the 1,026 deaths in these sisters, 300 (29.2%) occurred during pregnancy, childbirth or within 42 days after delivery. This corresponds to a LTR of 6.6% and an estimated MMR for the study areas of 1,012 maternal deaths per 100,000 live births (95% CI: 898–1,126) with a time reference of 2001.ConclusionsJigawa State has an extremely high maternal mortality ratio underscoring the urgent need for health systems improvement and interventions to accelerate reductions in MMR.Trial registrationThe trial is registered at clinicaltrials.gov (NCT01487707). Initially registered on December 6, 2011.

【 授权许可】

CC BY   
© The Author(s). 2017