According to a report by the World Health Organization, Nigeria, after India, has the highest number of maternal mortality in the world. The report shows 788 women and children death ‘ per hundred thousand’ in India, and 540 women and children ‘per thousand’ died in Nigeria.
Other countries with high maternal, neonatal, and stillbirth rates are Pakistan, the Democratic Republic of the Congo, Ethiopia, Bangladesh, China, Indonesia, Afghanistan, and the United Republic of Tanzania.
‘About 57,000 mothers died from pregnancy and complications during childbirth in 2023 alone,’ said Nigeria’s Minister of Health and Social Welfare, Muhammad Pate, at a public health function.
Unfortunately, the frequent loss of lives among pregnant women in Nigeria, particularly Northern Nigeria, remains an issue of concern. This gives Nigeria a poor global ranking.
Pate explained that the Federal Government was committed to drastically reducing maternal mortality through the new Safe Motherhood Strategy. He noted that the central government will take actionable steps and cascade the strategies to state and local governments, targeting at least seven million pregnant women.
“The aim is to ease six million new births by activating the Decentralised Facility Financing package, establishing robust collaboration with health NGOs, community leaders, and media to boost awareness campaigns.”
Sequel to the Health Minister’s lamentation, the Girl Child Concerns (GCC), in collaboration with the Borno State Government through the Multi Sectoral Crisis Recovery Project (MCRP), has trained 300 Community Health Extension Workers (CHEWs) on Basic Emergency Obstetric Care and Early Neonatal Care in Borno State.
The Chief Adviser and Coordinator for Sustainable Development, Partnerships, and Humanitarian Support to the Governor of Borno State, Dr. Mairo Mandara, stated that the training aimed to improve maternal and child health services across the state. The training was conducted in three zones of the state. Each zone underwent one week of theoretical training followed by one week of clinical training.
The training for Borno Central was held on May 27, 2024, for Borno North on June 3rd, and for Borno South on July 1st, with each zone being exposed to theoretical and clinical aspects of the training.
Dr. Mandara emphasized the governor’s commitment to ensuring quality health services for the resilient people of Borno State, especially the locals, given the magnitude of the challenges they face due to the terrorist activities of Boko Haram insurgents in their communities.
Dr. Mina Endeley from the Namu Project in the UK and Oluwaseyi Akinlaja from Princes Alexandra Hospital Trust in the UK have also joined the training, leading a practical session on successful delivery and universal approaches to handling emergency cases.
Endeley at MCH Biu Local Government Area practically taught non-medical attendants the concepts of basic life support, including managing catastrophic bleeding in the community.
The participants practiced approaching the scene safely, calling for help, managing catastrophic bleeding, and reviewing the patient’s airway, breathing, and circulation using a mnemonic we created.
Oluwaseyi Akinlaja from Princess Alexandra Hospital Trust, UK, explained the labor mechanism: how a baby is delivered as it passes through the pelvis into the birth canal and is born by expulsion. This was done to enable CHEWs to visualize the birth process so as to be able to make early referrals when necessary.
She exposed the participants to the seven steps/processes that a baby passes through before delivery, namely: engagement, descent, flexion, internal rotation, extension, external rotation, and extension.
On his part, the Emir of Biu, Maidala Mustapha Umar Aliyu II, described the combined efforts of the organization—GCC—and Borno State Government as a “timely homily” and expressed readiness to support the effort in every way possible.
The lead facilitator of the training, Hadiza Yahaya, has expressed satisfaction with the performance of the participants during the training and expressed hope that the CHEWs will help greatly in the fight against maternal mortality.
With the training offered to Community Health Extension Workers, CHEWs, in Borno State, it is expected that each participant will put the knowledge into practice thereby witnessing a drastic reduction in maternal mortality in the state.