In the last few decades,Nigeria has improved access to maternal and child health services to ensure the health of every woman and newborn by use of evidence based interventions.
Maternal and Child Health
The major challenge for reproductive health in Nigeria is maternal mortality. The three main reproductive health indicators are skilled birth attendance, contraceptive prevalence rate and adolescent birth. The maternal and child health factors identified in Nigeria include community perceptions of maternal mortality, problem of teenage pregnancy, childbearing age of women with HIV and AIDS. The presence of marked disparities in residence, wealth and educational attainment among residents affects the maternal and child mortality rates. The poor and less educated bear the greatest burden of these health issues. Efforts have been focused on vulnerable populations to improve maternal and child health in Nigeria.
Health Services in Nigeria
Poverty and limited education inhibits utilisation of maternal healthcare services. Bridging gaps in knowledge and misperceptions by proper education and communication is vital to reduce maternal mortality and child deaths in Nigeria. Effective utilisation of maternal healthcare services and eliminating new paediatric HIV infections in Nigeria is important.
Factors such as community, system level and maternal characteristics need to be accounted for in any interventions in Nigeria to meet the goals of reducing child mortality. To reduce childhood mortality relationship between environmental health hazards and the impact of debt relief needs to be assessed. It has been noted that risk of mortality during late childhood can be reduced by improvement in household environmental conditions.The obvious need for policy implication and interventions is required with an aim to reduce childhood mortality and improve environmental health in the region.
The main goal is to avoid deaths in women and children by preventable causes. The need for capacity strengthening in medical research for maternal and child health along with social science and population well-being in the region has been highlighted. Downward trend of maternal and child mortality in Nigeria is possible by the development of policies and publication of interventions in terms of maternal health promotion; targeting better contraceptives; child health promotion and overall health system strengthening. The positive outcomes of maternal and child health promotion; prevention of mother to child transmission of HIV; utilization of family planning; prevention and management of obstetric complications; clinical audit of quality obstetrics services; safe management of eclampsia and postpartum haemorrhage; immunization; infant feeding, prevention and treatment of childhood diseases have been seen in reducing maternal and child mortality in Nigeria. Implementation of guidelines for delivery with skilled birth attendants is necessary among pregnant women.
Improving access to quality reproductive health services contribute to improving maternal and child health such as maternal health services, family planning services, vaccinations and healthy lives of mothers and children. The identification of trends in reproductive health indicators like skilled birth attendants, contraceptive prevalence rate and adolescent births along with vulnerable populations bearing the greatest burden is crucial.
The Government of Nigeria, academic or health institutions and other partners have jointly implemented and published a number of intervention projects like National Integrated Maternal, Newborn and Child Health Strategy adopted to improve the health status of mother and child. The approach includes high quality routine immunization services, financing primary health care, improving performance through enhanced clinical governance, increase efforts of frontline health workers, adoption or implementation of new innovations, delivery ofvital health messages to pregnant women and new mothers.
Online Course in Public health
James Lind Institute (JLI) provides an online program in Master in Public Health helps understand maternal and child health issues. James Lind Institute also provides focussed online training programs for tropical medicine, occupational health, environmental health, global health, public health research and sexual health.
For more information please visit: www.jliedu.com