| Title |
Advancing Survival in Nigeria: A Pre-post Evaluation of an Integrated Maternal and Neonatal Health Program
|
|---|---|
| Published in |
Maternal and Child Health Journal, February 2018
|
| DOI | 10.1007/s10995-018-2476-3 |
| Pubmed ID | |
| Authors |
Nancy L. Sloan, Andrew Storey, Olufunke Fasawe, Jamila Yakubu, Kelly McCrystal, Owens Wiwa, Lene Jeanette Lothe, Mari Grepstad |
| Abstract |
Introduction Nigeria contributes more obstetric, postpartum and neonatal deaths and stillbirths globally than any other country. The Clinton Health Access Initiative in partnership with the Nigerian Federal Ministry of Health and the state Governments of Kano, Katsina, and Kaduna implemented an integrated Maternal and Neonatal Health program from July 2014. Up to 90% women deliver at home in Northern Nigeria, where maternal mortality ratio and neonatal mortality rates (MMR and NMR) are high and severe challenges to improving survival exist. Methods Community-based leaders ("key informants") reported monthly vital events. Pre-post comparisons of later (months 16-18) with conservative baseline (months 7-9) rates were used to assess change in MMR, NMR, perinatal mortality (PMR) and stillbirth. Two-tailed cross-tabulations and unadjusted and adjusted logistic regression analyses were conducted. Results Data on 147,455 births (144,641 livebirths and 4275 stillbirths) were analyzed. At endline (months 16-18), MMR declined 37% (OR 0.629, 95% CI 0.490-0.806, p ≤ 0.0003) vs. baseline 440/100,000 births (months 7-9). NMR declined 43% (OR 0.574, 95% CI 0.503-0.655, p < 0.0001 vs. baseline 15.2/1000 livebirths. Stillbirth rates declined 15% (OR 0.850, 95% CI 0.768-0.941, p = 0.0018) vs. baseline 21.1/1000 births. PMR declined 27% (OR 0.733, 95% CI 0.676-0.795, p < 0.0001) vs. baseline 36.0/1000 births. Adjusted results were similar. Discussion The findings are similar to the Cochrane Review effects of community-based interventions and indicate large survival improvements compared to much slower global and flat national trends. Key informant data have limitations, however, their limitations would have little effect on the results magnitude or significance. |
X Demographics
The data shown below were collected from the profiles of 25 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Nigeria | 5 | 20% |
| Norway | 3 | 12% |
| Kenya | 1 | 4% |
| India | 1 | 4% |
| United States | 1 | 4% |
| Unknown | 14 | 56% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 23 | 92% |
| Scientists | 1 | 4% |
| Practitioners (doctors, other healthcare professionals) | 1 | 4% |
Mendeley readers
The data shown below were compiled from readership statistics for 134 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 134 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 29 | 22% |
| Researcher | 15 | 11% |
| Student > Bachelor | 8 | 6% |
| Student > Ph. D. Student | 8 | 6% |
| Student > Doctoral Student | 7 | 5% |
| Other | 21 | 16% |
| Unknown | 46 | 34% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 26 | 19% |
| Nursing and Health Professions | 21 | 16% |
| Social Sciences | 10 | 7% |
| Business, Management and Accounting | 6 | 4% |
| Agricultural and Biological Sciences | 4 | 3% |
| Other | 17 | 13% |
| Unknown | 50 | 37% |
Attention Score in Context
This research output has an Altmetric Attention Score of 22. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 December 2022.
All research outputs
#1,668,894
of 24,991,957 outputs
Outputs from Maternal and Child Health Journal
#151
of 2,140 outputs
Outputs of similar age
#39,476
of 453,558 outputs
Outputs of similar age from Maternal and Child Health Journal
#6
of 74 outputs
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