LAGOS STATE GOVERNMENTmepb.lagosstate.gov.ng/wp-content/uploads/sites/29/... · Health Care Facilities and three (3) prominent Tertiary Health Facilities. The State also has a significant

LAGOS STATE GOVERNMENT

STATISTICAL BULLETIN AND POLICY BRIEF

On

REPRODUCTIVE HEALTH, FAMILY

PLANNING, GENDER AND POPULATION

ISSUES

Serial No: 2

September, 2016

i

PREFACE

The introduction of Statistical Bulletin and Policy Brief on Population, Gender and Reproductive Health

(including Adolescent Sexual Reproductive Health) on Lagos State has created a new frontiers to gaining

access to a robust, regular, routine and usable indicators that could be used by organizations, institutions

and allied research outfits on Lagos State.

The Ministry of Health (MoH), in active collaboration with the Lagos Bureau of Statistics (LBS), Ministry

of Economic Planning and Budget (MEPB) as well as the Primary Health Care Board (PHCB) and the

United Nations Population Fund (UNFPA) embarked on generation and production of Statistical Bulletin

and Policy Briefs with a view to ensuring that short term information are readily available for efficient and

effective plans, programmes and projects on reproductive health services and information.

This edition is the second (2nd) in the series and features data/ indicators on Reproductive and Maternal

Health (RMH), Family Planning (FP), Gender and Population structures were extracted from the State

Health Management Information System (HMIS) online platform across the 20 LGAs. The Data/indicators

were also extracted from Household Survey Report (2014) and Digest of Statistics 2015 produced by the

Lagos Bureau of Statistics (LBS).

The edition also covers Y2014and Y2015 data and the Ministry of Health through the HMIS Unit of

Planning, Research and Statistics Directorate (DPRS), Primary Health Care Board (PHCB) and Lagos

Bureau of Statistics (LBS) actively collaborated on this exercise through selection of appropriate

Indicators, data gathering, collation, analysis and report writing. The Inter-agency collaboration

significantly enhanced service delivery in the State. It is widely hoped that subsequent editions would

attract more information in contents, scope and coverage.

The United Nations Population Fund (UNFPA) under the 7th LASG/UNFPA Country Programme, funded

this activity and was exclusively undertaken by the LBS. The UNFPA is an international Development

Partner that promotes the right of women, men and children to enjoy life of healthy and equal opportunity.

The Agency supports Countries in using population data for policies and programmes to reduce poverty

and to ensure that every pregnancy is wanted, every birth is safe, every young person is free of HIV/AIDS

and every girl and woman is treated with dignity and respect. The users of the Bulletin in the Academia,

Researchers, Programme Officers and Policy Makers in Lagos State will find this edition very useful.

The Lagos Bureau of Statistics expressed her sincere gratitude to the UNFPA for continuous assistance and

support to the State through the Ministry of Economic Planning and Budget. The contributions of staff of

the LBS toward successful completion of this study are highly appreciated and commended. Suggestions,

comments and constructive criticisms that will ensure improvement in the subsequent edition are welcome.

The Technical Working Group (TWG) consisting representatives from the Ministries of Health, Economic

Planning and Budget (MEPB), Primary Health Care Board (PHCB) as well as UNFPA Official jointly

identified the indicators that will be featured in the bulletin from the above mentioned sources, and several

ii

meetings were held to determine the timelines (2014-2015) as well as the order of arrangement of the

bulletin.

In all, a total of 39 indicators were jointly agreed upon and subsequently featured in this edition. The

bulletin contains information on Demography, Budget Allocation to Health Sector , Gender, Facilities

Attendance, Pregnant women who received IPT1&2, Delivery, Births, Immunization Coverage, Family

Planning Services, Number of Birth Relating to Pregnancy, Neo-Natal Mortality, Infant Mortality, Under 5

Mortality, Prevention of Mother to Child Transmission of HIV, Malarial Cases.

In conclusion, careful explanations were given on the policy implications of the analysed data and

appropriate recommendations suggested for future policy direction. The Ministry of Economic Planning

and Budget (MEPB) through the Lagos Bureau of Statistics (LBS) expresses her sincere gratitude to the

UNFPA for her continuous assistance and support to the Lagos State Government on publication of Policy

Briefs. The contributions of the members of the TWG: Coordinating Director (B ‘Tayo Oseni-Ope,

Director LBS); other representatives of the LBS (Mrs. Pemede Bolanle, Mrs Hassan Amira, Miss Aramide

Opeyemi, Messrs Baruwa O Basit, Lawal Rasheed, Ligali Kabir); representative of the Ministry of Health

(Mrs. Awosika Flora); representative of the Primary Health Care Board (Mrs. Folarin- Williams Adeola)

and representative of UNFPA (Mrs. Abiose Jaiyeola) towards the successful conclusion of this study are

highly appreciated.

Comments, constructive criticisms and suggestions that will ensure improvement in subsequent edition are

welcome from all and sundry.

Kadri, Abayomi Adebisi Permanent Secretary Ministry of Economic Planning & Budget Alausa, Ikeja.

iii

CONTENTS

Preface i-ii

Table of Contents iii-v

Acronyms and Abbreviations vi

Introduction vii-viii

Part One: Demography & Gender Lagos State Population Pyramid 1

Percentage Distribution of Women of Reproductive Age 1

Age Composition of Lagos State Residents 1

Lagos State Population Indices 1-4

Proportion of Health Allocation to Annual Budget Size 5

Lagos State Population Indicators 5-6

Part Two: Primary Health Facilities

Attendance

i Facility attendance 7

ii 1st Antenatal Visit 7

iii 4th Antenatal Visit 8

Deliveries

i Normal Delivery 9

ii Assisted Deliveries 10

iii Complication 10

iv Deliveries by Skilled Birth Attendants 11

v Total Number of Postnatal visits 12

Births

i Live Births 13

ii Still Births 13-14

iv

Immunization Coverage

i Total Number of children who received BCG 14-15

ii Number of Children who received Penta 1& 3 15

iii Total number of children who received Measles vaccine 16

Family Planning Services

i Number of People counseled for Family Planning 16-17

ii New Family Planning Acceptors 17-18

iii Female 15 – 49 years using modern methods 18

iv Number of women given oral pills 19

v Number of women using injectables 19-20

vi Women using IUCD 20-21

vii Women on Implants 21

viii Sterilization 21-22

Deaths

i Number of Deaths relating to pregnancy 22-23

ii Under 5 deaths 23-24

Prevention of Mother To Child Transmission of HIV (PMTCT)

i Pregnant women who received HIV counselling and received result (ANC) 24-25

ii Pregnant women who received HIV counselling and received result (L&D) 25-26

iii Pregnant women who received HIV counselling and received result (PNC) 26-27

iv Pregnant women tested HIV Positive 27-28

v Pregnant women on ARV prophylaxis for PMTCT 28-29

Malaria cases

i Confirmed Uncomplicated Malaria 29-30

ii Clinically Confirmed Malaria 30-31

iii Pregnant Women who received Malaria IPT 1 & 2 31-33

v

Part Three: Secondary Health Facilities Clinical Attendance 34

Deliveries

i Normal Delivery 35

ii Caesarean section 35-36

iii Breech 36

iv Vacuum 37

v Forceps 37-38

Births

i Live Births 38-39

ii Still Births 39

Deaths

i Maternal Deaths

40

ii Neonatal deaths

41

iii Post Natal deaths

42

iv Under 5 deaths

43

Part Four: Reporting Rates & Policy Brief

Reporting Rates

44-46 Policy Brief

46-47

References

47

vi

ACRONYMS AND ABBREVIATIONS ACSM Advocacy, communication and Social Mobilisation AIDS Acquired Immune Deficiency Syndrome ANC Antenatal Care ARV Antiretroviral BCG Bacillus Calmette-Guerin CBR Crude Birth Rate CDR Crude Death Rate CPR Contraceptive Prevalence Rate DHIS Demographic Health Information Scheme EDD Expected Date of Delivery FP Family Planning GBV Gender Based Violence HIB Haemophilus Influenza Type B HIV Human Immunodeficiency Virus HMIS Health Management Information System IPT Intermittent Preventive Treatment IRS Indoor Residual Spraying IUD Intra-Uterine Device IUCD Intra-Uterine Contraceptive Device LASG Lagos State Government LBS Lagos Bureau of Statistics LCDA Local Council Development Area L&D Labour and Delivery LGA Local Government Area LLIN Long Lasting Insecticidal Net MDG Millennium Development Goals M&E Monitoring and Evaluation NDHS Nigerian Demographic and Health Survey NEAP Non-Economic Active Persons PENTA Pentavalent PHC Primary Health Care PHCB Primary Health Care Board PHF Primary Health Facility PMA Performance, Monitoring and Accountability PMTCT Prevention of Mother-to-Child Transmission PNC Post-Natal Care PPRS Planning, Research and Statistics Directorate RMH Reproductive and Maternal Health SP Sulphadoxine Pyrimethamine TB Tuberculosis TFR Total Fertility Rate UNFPA United Nation Population Fund WCBA Women of Child Bearing Age WHO World Health Organisation

vii

INTRODUCTION Lagos State population continues to attract attention of socio-economic development specialists and

researchers across the globe due to her size, structure and demographic processes within the population as

well as uncontrollable influx of people into the State for diverse reasons ranges from economic

opportunities, large market size, proximity to the sea and airports as well as youth bulge.

The State Government has therefore continued to upscale her planning machineries to accommodate new

thinking and concern on how to ensure the State harness her population potentials for the overall

development through regular collection and compilation of reliable data/ indicators to support her Policies,

Plans, Programmes and Projects with a view to determining the areas that require urgent intervention in

terms of socio-economic well-being of the entire population of the State.

The population continues to grow in leaps and bounds due to the influx of people from the neighbouring

States and Countries as well as natural endowment which aptly contributes to her population size and

structure. In addition, a great pressure is being exerted on the State infrastructure, such as Roads, Housing,

Education and Health facilities to mention a few.

It is worthy to mention here that State health care policies and programmes continue to attract patronage

from the neighbouring States and the entire country. “A healthy nation is a wealthy nation” so say an age

long adage. Thus, provision of qualitative health care services remains one of the cardinal programmes of

the successive administrations in Lagos state.

The number of Health Facilities in the State has grown tremendously till date: At present, the State could

boast of a total 2,116 Health facilities (300 public and 1,816 private). Geographical spread of the State’s

Health Facilities revealed that Alimosho Local Government Area with 343 Health facilities (24 Public and

319 private) recorded the largest concentration of these facilities across the State, followed by Oshodi/

Isolo and Surulere Local Government Areas with 170 and 161 Health facilities respectively.

On the other hand, the Public Health facilities comprised 270 Primary Health Care Facilities, 26 Secondary

Health Care Facilities and three (3) prominent Tertiary Health Facilities. The State also has a significant

proportion of Pharmaceutical Companies/ Firms and Chemist Shops providing complementary but non-

clinical health care services to the citizenry. Thus, there is the need to ensure availability of reliable and

qualitative data on regular basis to measure the level of health care services and challenges in terms of

morbidity and mortality along the children, women of reproductive age (15-49years) and other age divide.

Available health indicators showed that Reproductive and Maternal Health indices continually show a

wide gap in the uptake of such health care services among the State inhabitants especially the women of

reproductive age as indicated by the Contraceptive Prevalence Rate (CPR) which stood at 41% and Unmet

Need for family Planning (19%) amongst others.

Thus, the need to make available a regular, concise and timely information that would guide the directions

of healthcare interventions across the 20 LGAs in Lagos State especially in the areas of reproductive and

viii

maternal health, family planning, gender mainstreaming as well as population and allied issues

necessitated the concept, publication and production of statistical bulletin and policy briefs.

DEMOGRAPHY AND GENDER

1

LAGOS POPULATION INDICATORS LAGOS STATE POPULATION PYRAMID

Lagos State population pyramid has a wide base depicting a

significant proportion of under 5 children and reflects a

decrease in the population of those in age bracket 5-9 years

through 15-19 years. However, an appreciable bulge could

be noticed in the proportion of people aged 20-24 years and

25-29 years where the State seems to have the largest

concentration of people in working age group. The

population steeps gradually as the age group reaches the top

echelon of the pyramid.

In addition, proportion of women 15 years and above in

Lagos State stood at 32% out of which Women of

Reproductive Age (W15-49years) constitutes 28% and are

largely responsible for pattern of fertility being witnessed in

the State.

PERCENTAGE DISTRIBUTION OF WOMEN OF REPRODUCTIVE AGE

Analysis of Lagos State population along the 5 yearly age-

groupings revealed that children below the age of 5years

constitute 12.6% while those in age bracket 5-9 years and

10-14 years accounted for 10.5% and 9.2% respectively.

AGE COMPOSITION OF LAGOS STATE RESIDENTS

Thus, the proportion of children aged 0-14 years in Lagos

State stood at 32.4% which is almost one-third of the entire

population. Those that are in age bracket 15-64years

representing the working population or labour force

accounted for 65.3% while the remaining population above

65 years( the senior citizens) stood at 2.3%.

LAGOS STATE POPULATION INDICIES AS AT YEAR 2015 Reaping of Demographic Dividends in Lagos State are

premised on the availability of wide range of population

indicators for evaluating the size and structures of the

populace, the quantum of government investments, the

policy environment and commitment to service delivery for

optimal standard of living of the inhabitants. Such

indicators include Crude Birth Rate, Crude Death rate,


2

Infant Mortality Rate. Maternal Mortality Ratio, Total

Fertility Rate, Contraceptive Prevalence Rate and Life

Expectancy amongst others.

DEPENDENCY RATIO

A cursory look at the State age structure along working and

non-working age groupings, over a decade ago, revealed

that the State’s Dependency Ratio stood at 85 Non

Economic Active persons (NEAP) to 100 Economic Active

persons in Y2000. The Dependency Ratio1 remained

relatively stable till Y2005 when a downward trend was

recorded in the Dependency Ratio to 50 persons with

marginal hover around same proportion till Y2013.

However, a significant decresae in Dependency Ratio was

recorded in Y2014 with 32 dependents on 100 active

working population.

1 Lagos Household Surveys, 2006‐2014

SEX RATIO

The State has a Sex Ratio of 108 male to 100 female in

Y2010 and increased marginally to 113 in Y2011 and

Y2012. However, a downward trend was exhibited

subsequently in Y2013 where the Sex Ratio stood at 96

males to 100 females. The Sex ratio for years 2014 and 2015

stood at 104 males to 100 females each respectively.

85 85 85 85 85 85

50 50 48 48

56

47 47 54

42

0

10

20

30

40

50

60

70

80

90

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Dependency Ratio 2000‐2014

Dependency Ratio

80 90 100 110 120

2010

2011

2012

2013

2014

2015

108

113

113

96

104

104

Lagos State Population Sex Ratio: 2010‐ 2015

Sex Ratio


3

LIFE EXPECTANCY AT BIRTH

In addition, available statistics showed that Life

Expectancy at Birth2 for Lagos residents stood at 50 years

in Y2011 and Y2012, improved marginally to 51years in

Y2013 and 54 years in Y2014. These increase could be

attributed to improved environment as well as greening

policies of the State Government

CRUDE BIRTH RATE

The overall birth experience in the State population over the

years revealed a slow but consistent decrease in Crude

2 Household Surveys

3 World Bank Data www.data.worldbank.org/indicator

Birth Rate3 (CBR) from 43 per 1,000 live births in Y2003

to 41/ 1000 live-births in Y2015 (NDHS).

CRUDE DEATH RATE

On the other hand, the Crude Death Rate4 (CDR) also

declined moderately from 17 per 1000 livebirths in Y2003

to 13 per 1000 live births in Y2015. The decrease in the

crude rates could not be divulged from government

sustainable policies and programmes targeting population

control and improved quality of life.

TOTAL FERTILITY RATE

4 World Bank Data www.data.worldbank.org/indicator

4746 46

47 47 47 4748

4947.9

47

50 5051

54

42

44

46

48

50

52

54

56

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Life Expectancy: 2000‐ 2014

life expectancy

43 43

42 42 42 42 42

41 41 41 41

40

41

42

43

44

Crude Birth Rate (%)

Crude Birth Rate (%)

17 16 16 16 15 15 14 14 13 13 13

0

5

10

15

20

Crude Death Rate (%)

Crude Death Rate (%)

6 6 6 6 6 6

5 54

3 3

0

1

2

3

4

5

6

Total Fertiity Rate (%)

Total Fertiity Rate (%)


4

In the same vein, the State Total Fertility Rate5 (TFR) also

witnessed a downward trend from about 6 children per

woman in Y2003 to about 3-4 children per woman in

Y20146. This significant drop over a decade is attributable

to educational exposure of Lagos inhabitants, commitment

to improved health care services and massive health

education.

MORTALITY RATE

Mortality Rates are important factor in the determination of

the quality of health services available to the teeming

Lagosians especially the vulnerable ones; the infants, the

less than 5 years old and Women of Reproductive Age (15-

49 years). In Lagos State, statistics showed that death of

Infants and under 5 years old Children due to preventive

childhood illness/ diseases had significantly dropped due to

comprehensive access to wide range of immunization

services and vaccination.

INFANT MORTALITY RATE

5 NDHS 2013, MICS 2011

Thus, Infant Mortality Rate which stood at 107 per 1000

live births in Y2000 reduced significantly to 39 per 1000

live births by Y2014 (Lagos Household Survey 2014).

UNDER 5 MORTALITY RATE

Similarly, the State’s Under 5 Mortality Rate also

witnessed a downward trend from 188 per 1000 live births

in Y2000 to 83 per 1000 live births in Y2014.

6 PMA 2014 Lagos

107110106100100104

94

6875

89 9097

61

3739

0

20

40

60

80

100

120

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Infant Mortality Rate

Infant Mortality Rate

188182177201

165159153147157136131

158

122117

83105

0

50

100

150

200

250

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

Under 5 Mortality Rate

Under 5 Mortality Rate


5

PROPORTION OF HEALTH EXPENDITURE TO

ANNUAL BUDGET SIZE

It is worthy to note that proportion of health expenditure to

annual budget size which stood at 7.77% in Y2000 and

reached lowest level of 3.58% in Y2006. However by 2011,

a remarkable incresae was noted resulting to 8.63% of the

Budgdet size. The health expenditure declined marginally

afterwards to 7.72% in Y2014 while a proportion of 9.1%

was earmarked for Y2015 spending. The State is still far

from achieving World Health Organisations (WHO)

standard proportion of health expenditure to the annual

budget size.

LAGOS STATE POPULATION INDICATORS

Lagos State population dynamics are of utmost interest in

order to guide Policy, Plans and Programmes targeted at the

populace especially the vulnerable ones and promote the

standard of living of the citizenry. There were concerted

efforts being made to understudy the behavioural pattern of

women of reproductive age (15-49 years) in Lagos State,

i.e. those in age bracket 18-24 years and 25-49 years as

regards uptake of marriage, first sexual experience, first

contraceptive use, age at first birth as well as exposure to

family planning services and uptake of same within the

same period, 2014.

It was discovered that the Median Age at First

Contraceptive Use stood at 26.5 years, Median Age at First

7.77

6.68 7.65

4.75

6.48

5.49

3.58 4.96

7.32

6.08

6.38

8.63

8.24

7.38

7.72 9.10

‐

1.00

2.00

3.00

4.00

5.00

6.00

7.00

8.00

9.00

10.00

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

Proportion of Health Allocation to Annual Budget Size: 2000‐ 2015

Proportion of Health in Budget Size

0.0 20.0 40.0 60.0 80.0

Median Age at First Marriage(25 to 49 years)

Median Age at First Sex (25to 49 years)

Median Age at FirstContraceptive Use

Median Age at First Birth (25to 49 years)

Mean No. Of Living ChildrenAt First Contraceptive Use

Women Having First Birth byAge 18 (ages 18‐24) (%)

Received FP Info. FromProvider In Last 12 Months…

Exposed to FP Media in LastFew Months (%)

24.5

20.5

26.5

24.5

2.1

4.9

29.3

74.4

Lagos State Population Indicators (%)


6

Marriage (25 to 49 years) accounted for 24.5 years, Median

Age at First Sex (25 to 49 years) stood at 20.5 years,

Median Age at First Birth (25 to 49 years) accounted for

24.5 years, Mean No. Of Living Children At First

Contraceptive Use accounted for 2.1children, Women

Having First Birth by Age 18 (ages 18-24) (%)accounted

for 4.9% as well as those that received Family Planning

Information from Providers in the last 12 months accounted

for 29.3% out of the 77.4% that were exposed to such

information and services.

PRIMARY HEALTH FACILITIES

7

FACILITY ATTENDANCE

Facility attendance denotes the total number of patients that

visited the health facilities with the aim of seeking solutions

to their respective medical challenges.

The total number of patients that attended the hospital

facilities showed an increase of 9% from 7,514,437 in Y2014

to 8,187,293 in Y2015.

Further analysis showed that Mushin Local Government

recorded the highest rate of increase with 135.8%. However,

the highest number of patronage was recorded in Alimosho

from 842,168 (Y2014) to 1,032,753 (Y2015) showing a

difference 190,585 visits representing 22.6% increase.

It is noteworthy that Lagos Mainland recorded the highest

drop in patronage from 242,865 to 137,466 representing

43.4%. Patronage at Kosofe Local Government also dropped

from 778,265 (Y2014) to 650,448 (Y2015).

THE FIRST ANTENATAL VISIT

Essential interventions for pregnant women and babies are

made possible by antenatal care (ANC).To achieve the full

life-saving potential that ANC promises, it is essential that

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAIYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SOMOLU

SURULERE

STATE INDICATOR

360,543

396,311

842,168

313,031

171,876

232,450

55,092

299,479

157,005

421,104

559,973

514,375

778,265

210,957

242,865

127,879

260,788

766,839

262,106

541,331

7,514,437

329,331

362,418

1,032,753

310,998

210,196

182,119

63,450

445,110

158,295

601,042

709,820

557,346

650,448

287,343

137,466

301,528

364,211

654,825

273,477

555,117

8,187,293

FACILITY ATTENDANCE

Y2015 Y2014

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAIYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SOMOLU

SURULERE

TOTAL

12,849

13,884

31,454

8,693

3,696

7,772

2,321

7,823

6,135

17,474

10,438

14,062

11,225

5,186

4,883

6,429

16,896

15,331

6,717

12,093

215,361

10,939

12,951

33,789

9,139

3,674

6,750

2,092

10,049

5,161

15,227

9,885

11,760

11,033

4,098

2,572

6,709

16,339

20,096

6,319

13,986

212,568

THE FIRST ANTENATAL VISIT

Y2015 Y2014


8

regular antenatal visits to the Health facilities are made. The

first antenatal visit is very crucial especially when done

between the 8th and 20th weeks of pregnancy to confirm the

pregnancy and EDD, screen, treat, give preventive measures

and Advice/ Counsel.

There is a little decline in the number of expectant mothers

that were received at the health centres before and after

20weeks in Y2015 as compared with that of Y2014. The drop

in the number of visits is quite noticeable in Lagos Mainland

from 4,883 in Y2014 to 2,572 in Y2015 representing about

47.3%. However, Oshodi-Isolo and Alimosho recorded some

increase with 20,096 (Y2015), 15,331 (Y2014) for Oshodi-

Isolo while Alimosho had 33,789 (Y2015), 31,454 (Y2014).

ANTENATAL 4TH VISIT

Pregnant women that made at least 4 visit to health centres

allowed for a good monitoring of maternal and foetal well-

being, Pregnancy Induced Hypertension, Anaemia, multiple

pregnancy so as to give preventive measures in any of such

cases. It further allows for review and modify birth and

emergency plan while giving adequate advice/ counselling.

The women who completed regular 4 antenatal visit

decreased from 190,946 visits in Y2014 to 152,988 in Y2015.

The 19.9% decrease is a bit disturbing giving the advocacy of

several reach-out programmes and campaign for minimum of

4 antenatal visit.

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAIYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SOMOLU

SURULERE

TOTAL

15,117

12,841

30,848

7,213

1,751

5,845

1,638

5,176

4,343

10,359

9,267

12,324

8,800

2,633

3,875

5,112

15,992

16,902

3,841

17,069

190,946

12,275

8,626

25,024

6,753

1,593

4,690

1,201

4,696

3,431

8,839

9,906

7,120

8,393

2,203

1,941

5,323

13,259

13,244

5,031

9,440

152,988

ANTENATAL 4TH VISIT

Y2015 Y2014


9

Considering the Local Government Areas in the State,

Surulere recorded the greatest dip in numbers with 9,440 in

Y2015 against 17,069 of Y2014 giving 44.7% decrease.

Whereas, Shomolu had an increase of 31% from 3,841 four

antenatal visit in Y2014 to 5,031 in Y2015.

DELIVERIES-NORMAL

Normal birth refers to infants born spontaneously in the

vertex position between 37 and 42 completed weeks of

pregnancy. After birth, mother and infant are in good

condition". The data revealed that 87,099 have normal

deliveries in the State in Y2015 compared to 86,634 in the

Y2014. Most of the Local Governments Areas in the State

have reasonable record of normal delivery in their respective

primary healthcare centres. However, women in the State

especially in the following LGA/LCDAs namely Apapa,

Lagos Mainland, Ojo, Lagos Island, Ikorodu, Ifako-Ijaiye,

Ibeju - Lekki and Epe need to be encouraged, motivated and

educated on the importance of ANC visits before and during

pregnancy.

0

2,014

5,519

5,485

13,259

3,198

1,123

3,438

547

1,577

2,101

6,134

3,061

5,075

4,943

2,001

2,058

2,829

7,713

7,248

3,996

5,329

2,015

5,271

5,115

13,842

4,014

730

2,867

513

1,900

1,826

5,613

3,371

4,814

5,429

1,803

1,063

3,591

7,010

8,415

3,858

6,054

0 5000 10000 15000

LGAs

Agege

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

Deliveries‐NORMAL

Y2015

Y2014


10

DELIVERIES- ASSISTED

Pregnant women need to be assisted by professional health

care workers with necessary skills, drugs, supplies,

equipment and backup during and immediately after

childbirth in order to reduce both maternal and infant

mortality. The data shows that 8,370 numbers of pregnant

women assisted by Health Practitioners during delivery in the

year 2014 decreased to 6,330 in the year 2015.This reveals

that number of assisted deliveries in the State is drastically

reduced implies that complication and stress for the women

and Medical Practitioners would be reduced. This can be

realized if pregnant women are enlightened on the importance

of attending hospitals during pregnancy and after birth. The

increase in number of Assisted Delivery is more severe in

Mushin, Lagos Mainland, Lagos Island, Ikorodu, Eti-Osa,

Badagry and Agege LGAs.

DELIVERIES-COMPLICATION

Complication of pregnancy are health problems caused by

pregnancy, this crisis is often associated with the mother or

253

119

1809

692

7

68

76

10

427

217

230

436

41

87

344

1058

933

332

1231

8370

263

115

947

561

10

221

41

120

22

204

181

296

167

88

698

739

418

549

190

500

6330

0 5000 10000

Agege

Ajeromi…

Alimosho

Amuwo…

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos…

Lagos…

Mushin

Ojo

Oshodi…

Shomolu

Surulere

Total

Deliveries‐ ASSISTED

Y2015

Y2014

52

53

455

122

39

25

2

18

5

86

58

5

102

7

18

76

102

124

30

201

1,580

36

62

226

132

10

40

12

2

54

79

117

107

6

37

142

43

135

22

148

1,410

‐ 500 1,000 1,500 2,000

Agege

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

Total

Deliveries‐COMPLICATION

Y2015

Y2014


11

the child. The most common causes include maternal

bleeding, complication of abortion, high blood pressure,

maternal sepsis and obstructed labour. The statistic reveals

that 1,580 (Y2014) went through complication during

deliveries which reduced to 1,410 (Y2015). This indicates

that the availability of delivery facilities, regular ANC

attendance which complement with skilled Health

Practitioners attributed to this decrease. However, the State

Government should continue in their mission to give women

adequate medical care during and after delivery in order to

bring an end to complications during/after delivery.

DELIVERIES BY SKILLED BIRTH ATTENDANTS

Health care professionals are individuals and informers

providing skilled care. Those studying the trends and uses of

skilled attendants have noted that the more educated and

wealthier women are, the more likely they are to have their

births attended by a professional health practitioner. In view

of this, the State Government should make available skilled

attendants that are accessible and affordable to the citizens in

order to achieve its health millennium goals. The data shows

5,809

3,916

13,099

3,370

1,025

2,968

480

1,530

2,407

5,857

3,022

5,699

4,290

1,635

2,045

2,142

4,988

8,866

3,944

4,245

81,337

6,811

4,502

15,369

4,459

931

2,523

463

2,488

2,260

7,318

4,822

5,562

5,720

2,167

871

3,716

5,053

10,370

4,067

6,958

96,430

‐ 50,000 100,000 150,000

Agege

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

Total

Deliveries by Skilled Birth Attendants

Y2015

Y2014


12

that delivery by health care professionals rose from 81,337 in

the year 2014 by 118.56% to (96,430). The data also indicated

that almost all the Local Government have increase number

of pregnant women delivered by health care professionals.

PNC VISIT

The Postnatal period is a critical phase in the lives of mothers

and new born babies. Most maternal and infant deaths occur

during this time. Yet, it is the most neglected period for the

provision of quality care. The issues related to Exclusive

Breastfeeding, chlorhexidine for umbilical cord care, clinical

signs of severe illness will be discussed during this period.

The postnatal care visit increased by 27.04% from 152,856

visits in Y2014 to 190,622 visits in Y2015. Across the Local

Government, the increase in patronage is more pronounced at

Mushin Local Government with over a 100% increase from

5,836 (Y2014) to 11,754 (Y2015). There are areas where

decrease are noticed such as: Ibeju Lekki, Lagos Mainland

and Agege Local Government Areas with Ibeju Lekki

reducing from 2,795 to 1,958visits representing 29.9%

decrease.

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAIYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SOMOLU

SURULERE

TOTAL

5,718

9,239

14,086

5,589

6015

10,951

2213

5,596

2,795

9,369

6,313

11,375

7,036

2,628

2,006

5,836

14,618

12,638

5,173

13,662

152,856

5,189

9,268

17,024

8,480

7364

13,902

3253

8,310

1,958

10,647

7,357

12,615

8,312

3,198

1,450

11,754

17,503

15,688

9,852

17,498

190,622

PNC VISIT

Y2015 Y2014


13

TOTAL LIVE BIRTH

Live birth refers to having a baby born alive hale and hearty

without any complication in which the baby respires and

responds to external stimulus. In order to have a live birth by

a pregnant woman, a lot of medical attention is required some

of which includes at least four antenatal visits to the hospital,

administration of appropriate vaccines at different stages of

pregnancy, seeking of medical advice from medical/health

personnel and administration of drugs to keep the foetus

healthy. In Y2014, the total live births in the State recorded

108,980 as against 111,472 in Y2015. The increase

experienced shows that appropriate measures were put in

place by the State Government to ensure safe and live birth.

Nevertheless, Lagos Mainland, Ikorodu and Eti Osa are areas

that need supervisory visits to enhance appreciable live birth

deliveries.

TOTAL NUMBER OF STILL BIRTH

Inability of a baby to respire immediately after birth or while

in the foetus after 24weeks of gestation is still birth. This

occur when a pregnant woman undergo delivery labour or

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SHOMOLU

SURULERE

TOTAL

7,287

6,764

15,918

3,870

1,317

3,854

484

1,868

2,491

9,044

4,774

6,434

7,789

2,388

2,497

3,281

8,263

8,828

5,190

6,639

108,980

7,099

6,161

17,904

5,089

998

3,279

561

2,398

2,244

8,916

5,215

6,224

6,892

2,226

1,054

4,242

7,845

10,289

4,924

7,912

111,472

TOTAL LIVE BIRTH

Y2015 Y2014

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SHOMOLU

SURULERE

TOTAL

121

149

399

82

9

128

3

23

121

215

38

124

261

56

15

47

131

136

29

74

2,161

165

124

277

58

14

80

5

17

49

220

48

116

173

27

12

71

99

121

46

103

1,825

TOTAL NUMBER OF STILL BIRTH

Y2015 Y2014


14

assisted to deliver by a medical expert through

‘’CEASERIAN BIRTH’’. It could be prevented from

happening if adequate medical attention were received during

ante natal period. Counselling by medical/midwives

personnel to expectant mothers at the early stage to delivery

period is also a preventive measure to avert still birth. The

total still birth reduced drastically from 2,161 in Y2014 to

1,825 in Y2015. However, Surulere, Shomolu, Mushin and

Epe are areas with sharp increase of still birth in Y2015

compared with what was recorded in Y2014. It is

recommended that monitoring and evaluation should be one

in those areas to prevent future occurrence of still birth.

NUMBER OF BCG ADMINISTERED

Bacille Calmettie – Guerin (BCG) vaccine is primarily

administered to babies immediately after birth to prevent

Tuberculosis. It is a vital vaccine that every nursing mother

should receive for babies during post natal services for sound

immunity. The total BCG administered to babies across the

State in Y 2014 was 339,731 compared to 363,285 recorded

in Y2015. Awareness of the vaccine by nursing mothers is as

a result of government effort on health issues to ensure

adequate medical attention are received by people using

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SHOMOLU

SURULERE

TOTAL

17,460

19,408

61,333

9,645

6,657

14,844

4,400

9,057

6,206

22,233

11,526

31,186

21,388

5,057

5,889

12,332

29,506

23,191

12,752

15,661

339,731

15,341

20,220

66,881

9,491

5,555

17,513

5,445

10,523

6,782

21,443

13,035

32,513

22,151

5,541

3,973

15,957

30,637

26,367

14,784

19,133

363,285

NUMBER OF BCG ADMINISTERED

Y2015 Y2014


15

government health facilities. Lagos Mainland still experience

decrease in BCG vaccine intake in Y2015 compared to

Y2014 Figure. Supervisory visit is recommended by

Government personnel to ensure that more nursing mothers

bring their babies for the vaccine.

PENTAVALENT VACCINE

Pentavalent Vaccine is a combination of five vaccines-in-

one that prevents diphtheria, tetanus, whooping cough,

hepatitis b and haemophilus influenza type b, all through a

single dose. Immunization is the most highly effective

intervention for protecting babies from infectious disease.

Vaccines are either parts of the viruses or bacteria (called

antigens) or weakened live viruses. Hence, the introduction

of pentavalent vaccine into the routine immunization

schedule in the State Health care facilities is not only

imperative but a step in the right direction. The data revealed

that 554,168 of children less than 5 years were immunized

in year 2014 while 619,972 were immunized in year

2015.there are increase in the number of child under 5

immunized across the State. However, Government are

enjoined to continue with its advocacy programme on

immunization especially in Apapa and Lagos Mainland were

we have decrease number of immunized children in the

Y2015 compared to Y2014.

26,939

33,213

83,012

16,802

10,598

22,801

9,403

17,517

10,391

32,280

16,543

50,316

49,637

8,812

11,904

23,480

41,714

36,930

28,318

23,558

554,168

23,728

36,535

95,367

17,429

10,332

27,101

10,544

22,277

11,362

34,905

19,504

55,990

46,972

11,100

7,636

32,554

45,993

44,606

33,858

32,179

619,972

‐ 400,000 800,000

Agege

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

Total

Pentavalent Vaccine

Y2015

Y2014


16

NUMBER OF PATIENTS THAT RECEIVED MEASLES

VACCINE

Measles vaccine is usually administered to babies at

9months and 12months of age to prevent measles

infection. It is a contagious disease that is spread from

one person to another through the air, adequate care

should be taken and all the required injections should

be taken to prevent measles attack. The number of

people that received measles vaccine once in Y2014

recorded 266,627 as against 294,202 in Y2015. Kosofe

and Lagos mainland Local Government are areas that

need more awareness campaign on measles vaccine to

boost the intake by patients in those localities.

NUMBER OF PEOPLE COUNSELLED FOR FAMILY

PLANNING

Family Planning is a modern method of birth control and

child spacing. There are various forms of Family Planning

amongst which are pills, injections, male and female condom,

diaphragm and IUCD. A client that wants to do family

planning needs adequate counselling and undergo test in

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SHOMOLU

SURULERE

TOTAL

12,379

14,555

42,052

8,446

4,592

9,882

4,027

8,226

4,378

15,857

9,145

23,624

24,995

4,411

5,004

12,934

20,818

18,163

10,811

12,328

266,627

11,275

15,456

51,266

8,051

4,075

12,166

4,064

10,432

5,156

16,573

10,244

25,046

20,515

5,628

4,221

15,931

23,416

20,468

13,136

17,083

294,202

NUMBER OF PATIENTS THAT RECEIVED MEASLES VACCINE

Y2015 Y2014AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SHOMOLU

SURULERE

TOTAL

12,024

10,649

62,139

6,125

15,202

23,910

3,819

5,842

12,134

39,937

19,295

36,540

24,414

29,409

5,605

8,403

27,517

23,291

22,921

13,680

402,856

13,406

19,310

77,281

6,300

15,746

20,505

4,796

5,515

8,466

56,642

19,660

40,163

26,170

25,831

5,555

17,030

31,737

28,374

18,032

20,318

460,837

NUMBER OF PEOPLE COUNSELLED FOR FAMILY PLANNING

Y2015 Y2014


17

order to ascertain the one that is suitable for the patient as

well as prevent complications. Across the State, the numbers

of family Planning clients counselled in Y2014 were 402,856

and increased to 460,837 in Y2015. The increase was

pronounced in Ifako Ijaye and Alimosho Local Government

in Y2015 figures compared to what it were in Y2014.

However, the number of client counselled in Ibeju Lekki

decline from 12,134 in Y2014 to 8,466 in Y2015. It is

recommended that more outreach Health Campaign on

Family Planning should be foster in that Local Government

to improve the turn out.

NEW FAMILY PLANNING ACCEPTORS

Family Planning is the bedrock of preventing unwanted

pregnancy as this will reduce the overwhelming population

in the State. Tremendous effort needs to be put in place to

ensure that new acceptors of Family Planning come on board;

this will ease the adverse effect that our teeming population

posed on the economy. I n Y2014, new acceptors of Family

Planning recorded 85, 489 and reduced slightly to 85,240 in

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SHOMOLU

SURULERE

TOTAL

4,005

3,057

16,247

1,611

2,779

5,899

816

1,929

1,945

5,982

3,534

6,997

4,392

2,173

1,819

2,225

4,998

7,063

5,355

2,663

85,489

3,314

3,872

12,797

1,868

1,509

4,611

1,190

1,853

1,670

6,268

3,534

9,390

4,399

4,211

1,391

3,388

4,759

6,177

5,128

3,911

85,240

NEW FAMILY PLANNING ACCEPTORS

Y2015 Y2014


18

Y2015. It is worthy to note that government should intensify

more effort to bridge the gap and ensure that new family

Planning acceptors are on the increase through awareness and

adequate counselling.

FEMALES (15-49) USING MODERN

CONTRACEPTIVES

Modern Contraceptives were invented for both male and

female to prevent the risk of getting pregnant. There are lots

of modern contraceptives among which are: - male and

female condom, pills, injectables, implant, diaphragm,

female and male sterilisation and lntra uterine device (IUD).

Research shows that females between the ages of 15-49 years

are in their fertility period and could be pregnant after sexual

intercourse. The result of females 15-49years using modern

contraceptives in Y2014 was 151,677 compared to 152,603

that were recorded in Y2015. It could be deduced that the

slight increment on females 15-49years using modern

contraceptives is due to awareness campaign on reproductive

health programmes carried out in the State, the need to have

numbers of children that couples could cater for. Local

Government Areas such as Agege, Apapa, Ikeja, Lagos

Mainland and Shomolu recorded decrease in the usage of

modern contraceptives in their figures of Y2015 compare to

their Y2014 data. However, it is recommended that State

government should ensure availability of these contraceptives

and regular counselling on the importance of its usage to

these Local Government.

AGEGE

ALIMOSHO

APAPA

EPE

IBEJU LEKKI

IKEJA

KOSOFE

LAGOS MAINLAND

OJO

SHOMOLU

10,197

3,666

22,997

4,442

4,094

8,290

1,548

3,459

4,006

10,772

7,615

14,094

9,693

4,219

4,006

3,062

9,126

12,448

8,217

5,726

151,677

8,477

4,208

24,867

4,872

2,810

7,338

1,880

3,936

3,838

10,884

6,460

15,967

10,319

5,592

2,949

6,348

7,260

11,403

6,229

6,966

152,603

FEMALES 15‐49 USING MODERN CONTRACEPTIVES

Y2015 Y2014


19

WOMEN WHO RECEIVED ORAL PILLS

Pregnant women who received oral pills increased with

11.3% from 13,387 in Y2014 to 14,900 in Y2015 which

indicate an increased awareness in the use of pills to prevent

unsolicited pregnancy.

Local Government (LG) level reveals that in Amuwo Odofin,

the pregnant women who received oral pills increased from

356 in Y2014 to 631 in Y2015 which is an increase of 77.2%

and Mushin had 62% increase from 1,017 (Y2014) to 1,648

(Y2015). Meanwhile, Ojo and Agege had over 50% decrease

from the record of 1,357 (Y2014) down to 647 (Y2015) for

Ojo LG and decrease of 1,630 (Y2014) to 812 (Y2015) in

Agege.

WOMEN WHO USING INJECTIBLES

Family Planning (FP) Injection prevent unsolicited

pregnancy and also allows for pregnancy spacing. The total

numbers of women that received FP Injection increased

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAIYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SOMOLU

SURULERE

TOTAL

4,447

5,434

12,512

3,911

1,273

3,231

796

3,738

2,166

7,929

5,971

5,346

5,624

1,921

1,450

2,650

6,997

8,286

3,593

5,663

92,938

4,267

5,443

15,404

4,553

1,818

3,128

857

4,603

2,831

8,202

5,972

4,542

4,535

1,994

912

3,220

6,508

9,117

3,921

5,359

97,186

WOMEN WHO RECEIVED ORAL PILLS

Y2015 Y2014

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAIYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SOMOLU

SURULERE

TOTAL

4,447

5,434

12,512

3,911

1,273

3,231

796

3,738

2,166

7,929

5,971

5,346

5,624

1,921

1,450

2,650

6,997

8,286

3,593

5,663

92,938

4,267

5,443

15,404

4,553

1,818

3,128

857

4,603

2,831

8,202

5,972

4,542

4,535

1,994

912

3,220

6,508

9,117

3,921

5,359

97,186

WOMEN WHO USING INJECTIBLES

Y2015 Y2014


20

slightly with about 4.3% from 69,459 in Y2014 to 72,429 in

Y2015.

Alimosho Local Government recorded the highest number of

women that took FP Injection from 11,170 (Y2014) to 14,328

(Y2015), an increase of 28%, Mushin Local Government

increased from 1,238 (Y2014) to 2,327 (Y2015) making an

increase of 88%. The number of pregnant women that took

FP Injection in Lagos Mainland Local Government decreased

with 39.2% from 1,713 (Y2014) to 1,042 (Y2015).

IUCD INSERTED

Intrauterine Contraceptives Device (IUCD) is one of the

family planning methods. It is a device that is usually inserted

into the female uterus (womb) to prevent pregnancy. The

above chart shows that 15,418 females preferred the use of

IUCD to other forms of contraceptives in Y2014 and the

1,169

1,097

2,948

640

408

903

40

353

97

1,532

985

486

778

427

223

274

1,035

844

317

862

15,418

1,096

1,414

3,142

668

210

712

90

604

101

1,375

986

777

954

247

140

245

1,018

968

358

1,294

16,399

AGEGE

AJEROMI…

ALIMOSHO

AMUWO…

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAYE

IKEJA

IKORODU

KOSOFE

LAGOS…

LAGOS…

MUSHIN

OJO

OSHODI…

SHOMOLU

SURULERE

TOTAL

IUCD INSERTED

Y2015 Y2014


21

usage increased to 16,399 in Y2015. Apapa, Lagos Island and

Lagos Mainland Local Government are areas with decrease

usage in Y2015 compared to what it were in Y2014.

IMPLANT

Implant is another modern contraceptive used for family

planning; it is inserted in the skin of patient that prefers this

type of family planning. The device after insertion produces

progestogen in the body for birth control. It has a life span of

three to five years depending on the number of rods inserted.

It should be noted that females tested and found the usage

convenient usually opt for the usage in order to prevent

complications. Tremendous increase was recorded in the

Y2015 data (13,567) of women who used implant

contraceptives as against 8,610 women recorded in Y2014.

Ibeju Lekki Local Government showcases slight reduction in

its usage from 196 in Y2014 to 158 in Y2015.

TOTAL NUMBER OF STERILISATION

Elimination of all form of life and other biological agents is

known as Sterilisation. It is peculiar to female and very rare

940

267

1,366

413

185

378

51

224

196

423

614

454

585

576

352

138

421

488

276

263

8,610

1,093

458

2,739

502

235

515

81

325

158

1,136

709

1,019

863

428

374

183

533

848

571

797

13,567

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SHOMOLU

SURULERE

TOTAL

IMPLANT

Y2015 Y2014

26

140

2,282

80

43

419

325

30

2

58

5

13,846

60

161

204

689

7

342

18,719

164

469

946

30

44

4

5

39

102

31

1

81

112

42

65

153

2,288

AGEGE

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

TOTAL

TOTAL NUMBER OF STERILISATION

Y2015 Y2014


22

in male, it is done by total blockage of the fallopian tube in

female for pregnancy prevention. The total number of clients

sterilised in Y2014 was 18,719 and reduced drastically to

2,288 in Y2015. The reduction could be attributed to a lot of

factors amongst which are: - fewer numbers of client opted

for sterilisation, inadequate enlightenment health campaign

programmes and fear of inability to produce children again in

case the unexpected happens. Across the Local Government,

Epe has no record of sterilisation for both years, while

Amuwo Odofin, Apapa and Kosofe have no record for

Y2014. However, in Lagos Island Local Government, only

one client turns up for sterilisation in Y2015 as against 13,846

clients in Y2014. Scale up campaign is advised for citizens in

that locality.

NUMBER OF DEATHS RELATING TO PREGNANCY

(WOMEN)

A pregnancy-related death is defined as the death of a woman

during pregnancy or within one year of the end of pregnancy

from a pregnancy complication. The death of a woman during

pregnancy, at delivery, or soon after delivery is a tragedy for

her family and for society as a whole. Five direct

complications account for most of maternal deaths:

haemorrhage, infection, unsafe abortion, eclampsia (very

0 200 400 600 800

Agege

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

State Indicator

17

7

29

519

2

13

0

1

11

39

2

9

13

11

2

6

8

9

7

15

720

16

4

13

5

0

4

5

1

8

50

4

1

26

2

0

5

9

18

2

8

181

NUMBER OF DEATHS RELATING TO PREGNANCY (WOMEN)

2015 2014


23

high blood pressure leading to seizures), and obstructed

labour. While these are the main causes of maternal death,

unavailable, inaccessible, unaffordable, or poor quality care

is fundamentally responsible. The Lagos State Government

had intensified efforts to educate women of reproductive age

to adopt healthy lifestyles during pregnancy.

Further analysis on women pregnancy– related deaths across

the State revealed that about 720 and 181 women died as a

result of pregnancy complications in year 2014 and 2015

respectively. There is a tremendous decrease in the number

of women pregnancy related death in Y2015. The decrease

may be due to the State Government intervention and

improved enlightenment campaigns on the control of women

reproductive health, maintenance of healthy diet and weight.

On desegregation of the result by Local Government, Ifako

Ijaye LG with 50 cases recorded the highest number of

pregnancy related deaths in Y2015, followed by Kosofe with

26 number of cases and Oshodi Isolo which recorded 18

cases. While Apapa LG recorded no number of cases in

Y2015 whereas Eti-Osa and Ikorodu Local Government

recorded only I case of pregnancy related deaths in Y2015

respectively. However, Alimosho LG recorded 5 number of

cases in Y2015 as against 519 recorded in Y2014.

Therefore, the State Government should continue to

strategize and address issues which prevent access to health

care by our pregnant women. Efforts should be intensified to

make quality Health care available, accessible and affordable

to every pregnant woman in the State. Also, healthy

pregnancy and health advocacy programme should be

introduced or fortified in Ifako Ijaye Local Government area

for all women of reproductive age to reduce pregnancy

related death cases.

NUMBER OF UNDER 5 DEATH

Under 5 deaths or child mortality refers to the death of infants

and children under the age of five or between the age of one

month to four years depending on the definition. A child's

death is emotionally and physically hard on the parents. But

the State Government in its efforts had tried to make health

care available, accessible and avoidable to its citizens both in

0 100 200 300 400 500

Agege

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

State Indicator

30

16

32

7

8

21

0

1

19

26

55

2

66

28

12

67

10

26

4

4

434

12

9

15

23

16

26

0

0

12

34

83

5

40

5

1

79

5

27

13

52

457

NUMBER OF UNDER 5 DEATH

2015 2014


24

urban and sub urban areas. The leading causes of death of

children under five include: prematurity, malaria, diarrhea,

malnutrition, pneumonia and infections.

Further analysis of the under 5 death across the State revealed

that 434 and 457 children died under the age of 5 in Y2014

and Y2015 respectively. There was an increase of 23 cases

of under-5-death in Y2015 compared with Y2014. At Local

Government level, Ikeja LG with 83 cases recorded the

highest number of under-5-death in Y2015 followed by

Mushin LG with 79 cases and Surulere LG with 52 cases.

However, Epe LG recorded no cases of under-5- death in both

Y2014 and Y2015 whereas Eti-Osa and Lagos Island LGs

recorded only 1 case of such death in Y2015 respectively.

The Lagos Government should embark on massive maternal

health and Child mortality reduction advocacy. Also, the

State Government should not relent in its child survival

strategies and interventions. In addition, proper attention

should be focused to Ikeja, Mushin and Surulere LGs to

reduce the child mortality rate to the bearest minimum.

PREGNANT WOMEN WHO RECEIVED HIV

COUNSELLING, GOT TESTED AND COLLECTED

RESULT (AT ANC)

0 50,000 100,000 150,000

Agege

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

State Indicator

9,570

3,149

7,373

1,715

3,159

7,042

2,280

5,219

4,818

10,416

9,354

4,105

9,062

2,672

2,481

3,328

5,040

10,674

6,502

3,922

111,881

8,809

3,826

13,298

4,450

3,329

4,319

2,059

7,012

3,751

11,781

9,908

6,367

7,609

3,552

697

1,827

6,273

13,790

6,310

5,031

123,998

PREGNANT WOMEN WHO RECEIVED HIV COUNSELLING, GOT TESTED AND

COLLECTED RESULT (AT ANC)

2015 2014


25

HIV is transmitted through unprotected sexual intercourse

(anal or vaginal), transfusion of contaminated blood, sharing

of contaminated needles, and between a mother and her infant

during pregnancy, childbirth and breastfeeding.

The State Government through its various health policies had

introduced HIV counseling for pregnant women in both

Primary and Secondary health facilities during Antenatal care

to enlighten them on the mode of the spread of HIV/AIDS

and ways people can reduce their chances of getting the

incurable and deadly disease.

The number of pregnant women across the State who

received HIV/AIDS counseling, got tested and received result

during Antenatal Care (ANC) was 111,881 and 123,998 in

Y2014 and Y2015 respectively. This remarkable increase in

2015 may be as a result of continuous enlightenment

campaigns on HIV/AIDS embarked upon by the relevant

Agencies of Government in the State. At the Local

Government level, Oshodi Isolo (13,790), Alimosho (13,298)

and Ifako Ijaye (11,781) reportedly recorded the highest

number of Pregnant women who received HIV/AIDS

counseling, got tested and obtained result in year 2015

whereas, Lagos Island (697), Mushin (1,827) and Epe (2,059)

recorded the lowest number in Y2015.


COUNSELLING, GOT TESTED AND COLLECTED

RESULT (AT L & D)

It is very important for the Pregnant women to receive

HIV/AIDS counseling, get tested and obtain result at child

Labour and Delivery (L&D).The number of pregnant women

across the State who received HIV/AIDS counseling, got

0 2000 4000 6000 8000 10000

Agege

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

State Indicator

255

293

1,516

359

332

666

7

308

314

585

288

592

318

207

575

300

270

475

160

196

8,016

489

378

1,307

188

113

306

16

204

65

1,042

662

137

352

338

53

530

913

445

230

310

8,078


COUNSELLING, GOT TESTED AND COLLECTED RESULT (AT L& D)

2015 2014


26

tested and received result during child labour and

delivery(L&D) was 8,016 and 8,078 in year 2014 and 2015

respectively. There is an increase of 62 (0.77%) in 2015 and

this may be due to the quality of trained health personnels in

the various primary, secondary and tertiary health centres in

the State. Further analysis on Local Government level,

Alimosho (1,307) , Ifako Ijaye (1,042) and Ojo (913)

reportedly recorded the highest number of Pregnant women

who received HIV/AIDS counseling, got tested and obtained

result during child labour and delivery in year 2015 while,

Epe (16), Lagos Island (53) and Ibeju Lekki (65) recorded the

lowest number in year 2015.

Advocacy health programmes and enlightenment campaigns

should be strengthened in Lagos Mainland, Epe and Ibeju

Lekki Local Government for continuous sensitization of

pregnant women on the need to receive HIV/AIDS

counseling, carry out HIV/AIDS test at child labour and

delivery.


COUNSELING, TESTING AND RECEIVED

RESULTS AT POST NATAL CARE (PNC)

HIV/AIDS counseling and test are part of the Post Natal Care

(PNC) introduced by the State Government to reduce the

chances of a baby getting the deadly disease during

breastfeeding as well as to combat HIV/AIDS as enshrined in

the Sustainable Development Goal.

Further analysis across the State revealed that 6,452 and

8,618 women received counseling, got tested and received

HIV/AIDS result during Post Natal Care (PNC) in Y2014

and y2015 respectively. There was an increase of 2,166

107

541

297

235

200

252

113

29

368

1,212

259

660

302

128

345

627

209

109

127

332

6,452

199

1,615

638

117

554

362

67

271

353

452

836

1,283

33

75

131

908

171

93

232

228

8,618

0 2000 4000 6000 8000 10000

Agege

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

State Indicator

PREGNANT WOMEN WHO RECEIVED HIV COUNSELING, TESTING AND RECEIVED RESULTS AT POST NATAL CARE (PNC)

2015 2014


27

(25.13%) cases in Y2015. This incredible increase in year

2015 could be due to strict compliance of Health workers to

the directives of the State Government on the intensive care

for nursing mother at Post Natal Care (PNC). At the Local

Government level, Ajeromi Ifelodun (1,615), Ikorodu (1,283)

and Mushin (908) LGs recorded the highest number of

women who received HIV/AIDS counseling, got tested and

obtained result during post natal care in year 2015. However,

Kosofe (33), Epe (67) and Lagos Island (75) recorded the

least number in year 2015. Therefore Kosofe, Epe and Lagos

Island Local Governments should renew their commitment in

providing intensive Post Natal Care (PNC) to every woman

who visits any of the Government health facility in their

areas.

PREGNANT WOMEN TESTED HIV POSITIVE

The human immunodeficiency virus (HIV) is a retrovirus that

infects cells of the immune system, destroying or impairing

their function. HIV is transmitted through unprotected sexual

intercourse (anal or vaginal), transfusion of contaminated

blood, sharing of contaminated needles, and between a

mother and her infant during pregnancy, childbirth and

breastfeeding.

The State Government through its Health related Agencies

had educated its citizens through various enlightenment

campaigns on the prevention and control of HIV/AIDS. An

0 1000 2000 3000 4000

Agege

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

State Indicator

91

648

662

103

69

82

182

33

4

33

33

168

198

23

63

257

289

205

21

192

3,356

96

94

536

83

47

75

34

24

11

22

93

57

52

32

63

255

47

158

25

143

1,947

PREGNANT WOMEN TESTED HIV POSITIVE

2015 2014


28

infected HIV pregnant woman can transmit the infection to

the baby in the womb as well as during child birth or

breastfeeding.

Across the State, the analysis of pregnant women tested HIV

positive showed that 3,356 and 1,947 pregnant women were

tested HIV positive in Y2014 and Y2015 respectively. The

number of cases declined by 1,409 (72.38%). At the Local

Government level, Alimosho with 536 reported cases

recorded the highest number of pregnant women tested HIV

positive in Y2015 followed by Mushin with 255 numbers of

cases and Oshodi Isolo which recorded 158 cases. However,

Ibeju Lekki, Ifako Ijaye and Eti-Osa LGs with 11 and 22 and

24 number of cases recorded the lowest number of pregnant

women tested HIV positive in Y2015 respectively.

The drastic decline in the number of women tested HIV

positive in Y2015 could be attributed to advocacy

programmes embarked upon by the State on the control and

prevention of HIV/AIDS in the State.

PREGNANT HIV WOMEN WHO RECEIVED ARV

Antiretroviral (ARV) drugs are special drugs that a doctor or

nurse can give to a woman infected with HIV/AIDS to reduce

the risk of transmission to the baby during pregnancy or

breastfeeding. There is no cure for AIDS. However, there are

drugs that can slow down the HIV virus, and the damage to

one’s immune system. There is no way to “clear” the HIV out

of one’s body. The newer, stronger Antiretroviral (ARVs)

have also helped reduce the rates of most opportunistic

infections (OIs).

Furth analysis on number of pregnant HIV positive women

who received Antiretroviral Prophylaxis for PMTCT (AZT)

drugs across the State revealed that 101 and 115 pregnant

0 50 100 150

Agege

Alimosho

Apapa

Epe

Ibeju Lekki

Ikeja

Kosofe

Lagos Mainland

Ojo

Shomolu

State Indicator

1

0

16

13

6

0

3

4

2

3

24

1

3

8

7

2

2

4

2

101

0

1

38

12

0

0

0

3

0

11

33

1

3

0

1

4

0

1

1

6

115

PREGNANT HIV WOMEN WHO RECEIVED ARV

2015 2014


29

HIV positive women received the special drugs in year 2014

and 2015 respectively. The increase in the number of

pregnant HIV positive woman who received ARV in 2015

may be due to the awareness created by the State Government

on the use of ARV to reduce the risk of a woman to transmit

HIV to their babies as well as the ability of the drugs to help

them to live longer.

On desegregation to Local Government level, Alimosho with

38 number of cases recorded the highest number of Pregnant

HIV positive women who received ARV in Y2015, followed

by Ikorodu with 33 reported number of cases and Amuwo-

Odofin which had 12 reported cases.. However, Agege,

Apapa, Badagry, Epe, Ibeju Lekki, Lagos Island Island and

Ojo recorded no cases of pregnant HIV positive women who

received such ARV drug.

CONFIRMED UNCOMPLICATED MALARIA

Malaria is an infectious disease of tropical countries. It is

spread by mosquitoes. It is manifested by fever along with

chills and rigors. Unless it is diagnosed and treated promptly,

it can be fatal. A single mosquito bite may be enough to cause

the infection. Malaria disease can be categorized as

uncomplicated or severe (complicated). In general, malaria is

a curable disease if diagnosed and treated promptly and

correctly. Malaria may be described as uncomplicated when

the malaria infection is not life threatening and is easily

treatable.

0 200,000 400,000 600,000 800,000

Agege

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

State Indicator

22,143

44,040

74,367

46,355

17,399

12,588

7,959

27,209

19,324

56,139

67,048

65,720

38,879

9,640

12,025

10,441

18,705

47,120

25,153

18,594

640,848

25,291

42,934

82,629

40,085

24,344

11,951

14,559

36,866

20,606

65,872

85,173

65,858

46,642

8,780

7,382

16,126

27,909

49,163

29,141

25,995

727,306

CONFIRMED UNCOMPLICATED MALARIA

2015 2014


30

The State Government had introduced different malaria

prevention and control interventions such as larviciding,

indoor residual spraying (IRS), free distribution of long

lasting insecticidal nets (LLINs), sulphadoxine-

pyrimethamine (SP) etc. to combat malaria in the State.

Across the State, the number of people with confirmed

uncomplicated malaria in year 2014 and 2015 were 640,848

and 727,306 respectively. There was an increase of 86,458

confirmed uncomplicated malaria cases inY2015. At Local

Government level, Ikeja with 85,173 recorded the highest

number of confirmed uncomplicated malaria cases in year

2015 followed by Alimosho and Ifako Ijaye LGs which

reportedly recorded 82,629 and 65,872 number of cases

respectively. However, Lagos Mainland (7,382), Lagos

Island (8,780) and Badagry (11,951) reportedly recorded

lowest number of such cases in year 2015.

Malaria advocacy programmes still need to be strengthened

by the State Government in Ifako Ijaye, Alimosho and Ikeja

Local Governments to reduce the incidence of malaria in the

areas.

CLINICALLY CONFIRMED MALARIA

Most malaria infections cause symptoms like the flu, such as

a high fever, chills, and muscle pain. Symptoms tend to come

and go in cycles. Some types of malaria may cause more

serious problems, such as damage to the heart, lungs, kidneys,

or brain. These types can be deadly. Clinical findings in

malaria are extremely diverse and may range in severity from

mild headache to serious complications leading to death,

particularly in falciparum malaria. Clinical features of

malaria are; a change in behaviour, confusion or drowsiness;

impaired consciousness or unarousable coma;

0 200,000400,000600,000800,000

Agege

Ajeromi Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi Isolo

Shomolu

Surulere

State Indicator

22,728

50,599

94,303

44,857

18,056

17,626

10,223

15,435

1,432

21,940

20,473

74,854

44,555

18,588

16,217

13,197

20,410

44,944

23,478

29,890

603,805

17,321

27,392

57,291

27,633

16,831

12,349

5,698

12,666

210

24,359

18,575

69,166

30,323

14,628

11,521

21,728

23,744

46,962

17,071

25,450

480,918

CLINICALLY CONFIRMED MALARIA

2015 2014


31

multiple/recurrent convulsion; deep breathing or respiratory

distress; difficulty in breathing or demonstrable pulmonary

oedema as may be seen radiologically; circulatory collapse or

shock; jaundice; haemoglobinuria; bleeding tendency;

prostration i.e generalized weakness so the patient cannot

walk, or sit up without assistance; and severe anaemia with

or without congestive cardiac failure.

The clinical incidence of malaria in the State was examined

for Y2014 and Y2015. The findings revealed that about

603,805 and 480,918 clinical malaria cases was recorded in

Y2014 and Y2015 respectively across the State. At the Local

Government basis, Ikorodu (69,166), Alimosho (57,291) and

Oshodi Isolo recorded the largest number of clinical malaria

cases in year 2015 whereas Ibeju Lekki (210), Epe (5,698)

and Lagos Mainland (11,521) recorded the lowest number of

cases.

PREGNANT WOMEN WHO RECEIVED

MALARIA IPT 1

The percentage number of respondents who received at least

one dose of Sulphadoxine- Pyrimethamine (SP) during their

most recent pregnancy refer to Intermittent Preventive

Treatment 1 (IPT1)

Malaria infection during pregnancy is a major public health

problem, with substantial risks for the mother, her fetus and

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAIYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SOMOLU

SURULERE

TOTAL

5,521

7,072

15,642

5,015

1,741

4,338

1,143

5,288

2,925

10,701

8,118

6,341

6,504

2,503

1,802

2,961

13,029

8,474

5,366

5,927

114,890

5,810

6,357

22,353

5,850

2,360

3,950

1,185

6,328

3,430

10,258

7,613

6,101

5,692

2,616

1,134

3,447

8,462

10,977

5,029

6,564

119,706

PREGNANT WOMEN WHO RECEIVED MALARIA IPT 1

Y2015 Y2014


32

the neonate. Intermittent Preventive Treatment (IPT) of

malaria in pregnancy is a full therapeutic course of

antimalarial medicine given to pregnant women at routine

antenatal care visits, regardless of whether the recipient is

infected with malaria. IPT reduces maternal malaria episodes,

maternal and fetal anaemia, placental parasitaemia, low birth

weight, and neonatal mortality.

Pregnant women who received malaria IPT1 showed a slight

increase of 4.2% from 114,890 in Y2014 cases to 119,706 in

the Y2015. Highest increase was noticed in Lagos Mainland

with 37.1% and Ojo with 35.1%. However, Alimosho and

Apapa recorded 42.9% and 35.6% increase respectively.

PREGNANT WOMEN WHO RECEIVED MALARIA

IPT II

Intermittent Preventive Treatment 2 (IPT2) is the percentage

number of respondents who received at least two doses of

Sulphadoxine- Pyrimethamine (SP) during their most recent

pregnancy.

The distribution showed that there is slight increase of 4.6%

in the number of pregnant women who received malaria IPT2

AGEGE

AJEROMI IFELODUN

ALIMOSHO

AMUWO ODOFIN

APAPA

BADAGRY

EPE

ETI‐OSA

IBEJU LEKKI

IFAKO IJAIYE

IKEJA

IKORODU

KOSOFE

LAGOS ISLAND

LAGOS MAINLAND

MUSHIN

OJO

OSHODI ISOLO

SOMOLU

SURULERE

TOTAL

4,447

5,434

12,512

3,911

1,273

3,231

796

3,738

2,166

7,929

5,971

5,346

5,624

1,921

1,450

2,650

6,997

8,286

3,593

5,663

92,938

4,267

5,443

15,404

4,553

1,818

3,128

857

4,603

2,831

8,202

5,972

4,542

4,535

1,994

912

3,220

6,508

9,117

3,921

5,359

97,186

PREGNANT WOMEN WHO RECEIVED MALARIA IPT 2

Y2015 Y2014


33

from 92,938 in Y2014 to 97,186 in Y2015. A cursory look

into the Local Government revealed that Alimosho Local

Government increased by 2,892 (23.1%) pregnant women

that took IPT2 from 12,512 (Y2014) to 15,404 (Y2015).

Notwithstanding, Kosofe Local Government had a decrease

of 19.3% from 5,624 (Y2014) to 4,535 (Y2015) and Lagos

Mainland decreased from 1,450 (2014) to 912 (Y2015)

making 37.1% decrease.

SECONDARY HEALTH FACILITIES

34

CLINICAL ATTENDANCES

The secondary healthcare data revealed that the Clinical

Attendance reduced from 185,081 in Y2014 to 169,077 in

Y2015, an indication of 12% decrease.

The decrease is more pronounced at Ikorodu, Apapa and

Mushin General Hospitals. A drop of 42.6% from 14,351 in

Y2014 to 8,235 in Y 2015was recorded at Ikorodu General

Hospital. Apapa recorded 449 drop in the numbers of

Clinical Attendance given 36% decrease while Mushin had

35% decrease from 6,263 (Y2014) to 4,048 (Y2015).

Notwithstanding, tremendous increase was recorded at

Amuwo Odofin and Epe. An increase of 89.6% from 6,126

(Y2014) to 11,612 (2015) was recorded in Amuwo Odofin

and 59.7% increase was recorded in Epe.

14,800

6,968

13,404

1,246

6,126

7,254

192

2,101

769

5,763

4,146

14,351

12,381

19,932

3,844

4,726

20,128

6,263

14,510

6,326

19,851

185,081

15,894

5,668

8,801

797

11,612

6,109

266

3,355

794

6,109

4,010

8,235

10,353

20,404

3,142

4,346

17,082

4,048

11,765

6,483

19,804

169,077

ORILE

AJIF

ALIM

APAPA

AMUWO

BAD

KT EJINRIN

EPE

AGBOWA

IBJ/LK

IJEDE

IKD

GB G H

IFAKO

HARVEY RD

ONIKAN

LAGOS ISLAND

MUS

ISOLO

SOM

SL

TOTAL

CLINICAL ATTENDANCES

Y2015 Y2014


35

DELIVERIES-NORMAL

The data revealed that 13,788 pregnant women have normal

delivery in the year 2014 using secondary health facilities in

the State against 12,945 in the Year 2015.

DELIVERIES- CAESEAREAN

747

516

1,276

135

469

875

14

218

66

735

315

1,021

860

1,233

404

357

1,480

283

953

593

1,238

13,788

854

481

1,191

90

816

674

18

228

59

587

286

511

879

1,242

337

309

1,665

305

822

491

1,100

12,945

‐ 5,000 10,000 15,000

ORILE

AJIF

ALIM

APAPA

AMUWO

BAD

KT EJINRIN

EPE

AGBOWA

IBJ/LK

IJEDE

IKD

GB G H

IFAKO

HARVEY RD

ONIKAN

LAGOS ISLAND

MUS

ISOLO

SOM

SL

GRAND TOTAL

Deliveries‐NORMAL

Y2015

Y2014

646

449

1,042

51

411

522

‐

144

29

364

190

914

443

1,105

158

159

1,226

248

741

261

921

10,024

694

408

1,092

35

644

402

‐

193

22

361

173

543

482

1,206

141

156

1,514

229

777

269

947

10,288

‐ 4,000 8,000 12,000

ORILE

AJIF

ALIM

APAPA

AMUWO

BAD

KT EJINRIN

EPE

AGBOWA

IBJ/LK

IJEDE

IKD

GB G H

IFAKO

HARVEY RD

ONIKAN

LAGOS ISLAND

MUS

ISOLO

SOM

SL

GRAND TOTAL

Deliveries‐ CAESEAREAN

Y2015

Y2014


36

A caesarean delivery is a surgical procedure in which a

foetus is delivered through an incision in the mother's

abdomen and uterus. The data disclosed that 10,024 have

caesarean delivery in the year 2014 against 10,288 in the

year 2015 .The high rate of caesarean delivery were more

severe at ten Secondary Health Facilities in the State.

DELIVERIES-BREECH

A baby is considered in a breech position when their feet are

positioned to be delivered before their head. According to the

Health Practitioner, this occurs in about 4 percent of full-

term births. Most babies born in this position are healthy.

Doctor will recommend caesarian section rather than a

vaginal birth if the baby shows signs of distress or is too big

to pass safely through the birth canal. If Doctor finds out that

a baby is in the breech position a few weeks before delivery,

they might try to change the position of the baby. If the baby

is still in the breech position when labour starts, most Doctors

recommend a cesarean delivery. The data showed that 115

babies were in breech position at the secondary health

facilities in the year 2014 as against 1,138 in the year 2015.

2

7

0

0

0

0

0

12

0

4

0

2

21

16

0

0

39

3

4

0

5

115

0

2

0

0

4

23

0

10

0

0

0

1054

8

18

2

0

0

3

4

6

4

1138

0 500 1000 1500

ORILE

AJIF

ALIM

APAPA

AMUWO

BAD

KT EJINRIN

EPE

AGBOWA

IBJ/LK

IJEDE

IKD

GB G H

IFAKO

HARVEY RD

ONIKAN

LAGOS ISLAND

MUS

ISOLO

SOM

SL

GRAND TOTAL

Deliveries‐BREECH

Y2015

Y2014


37

DELIVERIES-VACUUM

A vacuum extractor uses a small, soft cup that is applied to

the top and back of the baby’s head. A tube runs from the cup

to a vacuum pump that provides suction. During a

contraction, the physician pulls or applies gentle traction to

the baby’s head while suction from the vacuum assists in

pulling the baby’s head out of the birth canal so the baby can

be delivered. The data revealed that 11 women delivered

using vacuum at secondary health facilities in the State in the

year 2015 against 18 in the year 2014. The decrease could be

attributed to reproductive health programme embarked by

the State.

DELIVERIES-FORCEPS

Forceps are surgical instrument that resembles a pair of

tongs and can be used in surgery for grabbing, maneuvering,

or removing various things within or from the body. They

can be used to assist the delivery of a baby as an alternative

to the vacuum extraction method. The data revealed that 55

0

1

0

0

2

0

0

0

0

0

0

0

2

7

1

0

5

0

0

0

0

18

0

0

0

0

6

0

0

0

0

0

0

0

1

2

1

0

0

0

1

0

0

11

0 5 10 15 20

ORILE

AJIF

ALIM

APAPA

AMUWO

BAD

KT EJINRIN

EPE

AGBOWA

IBJ/LK

IJEDE

IKD

GB G H

IFAKO

HARVEY RD

ONIKAN

LAGOS ISLAND

MUS

ISOLO

SOM

SL

GRAND TOTAL

Deliveries‐VACUUM

Y2015

Y2014

0 20 40 60

ORILE

AJIF

ALIM

APAPA

AMUWO

BAD

KT EJINRIN

EPE

AGBOWA

IBJ/LK

IJEDE

IKD

GB G H

IFAKO

HARVEY RD

ONIKAN

LAGOS ISLAND

MUS

ISOLO

SOM

SL

GRAND TOTAL

Deliveries‐FORCEPS

Y2014

Y2015


38

pregnant women delivered using forceps in the year 2015

while the data was drastically reduced to 40 (72%) in the

Y2015. The analysis further showed that forceps deliveries

were mostly done in the following secondary health care

facilities in the State namely Epe, Amuwo-Odofin, Isolo,

Ifako, Lagos Island, Somolu and Gbagada General Hospital;

and Harvey Road and Ijede Health Centres

However, this assisted deliveries could be reduced

drastically by sensitizing pregnant women on the importance

and need to attend health facility frequently for their health

care before and during pregnancy.

TOTAL LIVE BIRTH

The total live births obtained from Twenty One (21)

Secondary Health facilities in the State were examined.

The result shows a total of 46,725 live births were

recorded in Y2014 and dropped to 24,435 in Y2015.

The reduction are prevalent in Alimosho, Agbowa,

2,901

1,840

4,551

302

2,459

2,381

34

768

178

1,989

1,017

2,937

2,620

4,555

1,052

1,002

5,932

1,123

3,278

1,552

4,254

46,725

1,510

868

2,327

118

1,607

1,182

19

407

87

926

543

2,032

1,396

2,450

487

487

3,096

533

1,578

714

2,068

24,435

ORILE

AJEROMI…

ALIMOSHO

APAPA

AMUWO

BADAGRY

KETU EJINRIN

EPE

AGBOWA

IBEJU LEKI

IJEDE

IKORODU

GBAGADA G H

IFAKO

HARVEY RD

ONIKAN

LAGOS ISLAND

MUSHIN

ISOLO

SHOMOLU

SURU LERE

TOTAL

TOTAL LIVE BIRTH

Y2015

Y2014


39

Ijede, Ifako, Mushin and Isolo General Hospitals. It is

recommended that adequate visits should be made on

regular basis to these secondary health facilities to

ascertain the causes of the shortfall.

TOTAL STILL BIRTH

Still birth refers to inability of newly born babies to respond

to external stimulus after delivery by an expectant mother.

At times, babies could be in still birth position after maturity

of the foetus in which evacuation is sought by Caesarean

Section. In Y2014, the total still birth across the twenty one

(21) General Hospitals was 1,072 compared to 1,008 in

Y2015. The slight decrease showcased could be due to

patients not attending adequate ante natal care, not using

drugs prescribed by medical experts. Ketu Ejinrin has no

record of still birth in Y2015.

47

41

85

4

42

106

0

33

16

87

18

82

77

80

12

8

215

9

48

25

37

1,072

58

26

60

9

40

95

0

42

0

52

14

54

58

89

12

6

242

14

52

22

63

1,008

ORILE

AJEROMI…

ALIMOSHO

APAPA

AMUWO

BADAGRY

KETU EJINRIN

EPE

AGBOWA

IBEJU LEKI

IJEDE

IKORODU

GBAGADA G H

IFAKO

HARVEY RD

ONIKAN

LAGOS ISLAND

MUSHIN

ISOLO

SHOMOLU

SURU LERE

TOTAL

TOTAL STILL BIRTH

Y2015 Y2014


40

MATERNAL DEATHS

Maternal death is the death of a woman during pregnancy or

within one year of the end of pregnancy from a pregnancy

complication. Every minute in a day, somewhere in the

world, a woman dies from pregnancy related complications

such that this represents a significant cause of death among

women of reproductive age.

The analysis of maternal deaths at various secondary health

facilities across the State revealed that 189 and 221 cases of

maternal deaths were recorded in Y2014 and Y2015

respectively. There was an increase of 32 cases in year 2015

when compared with year 2014. Though, pregnancies related

complications cannot be accurately predicted but can be

treated, the State Government still needs to strengthen its

maternal and mortality deaths rate reduction policies.

At the General Hospital level, Lagos Island Maternity

Hospital with 59 cases recorded the highest number of

maternal deaths in year 2015, followed by Ifako Ijaye and

Alimosho General Hospitals which reportedly recorded 31

and 20 cases respectively in year 2015. However, Somolu,

Onikan, Harvey Road and Apapa General Hospitals recorded

no case of maternal deaths whereas, Epe and Mushin General

hospitals recorded 1 and 2 cases of maternal deaths

respectively in year 2015.

0 100 200 300

ORILE

AJEROMI IFELODUN

ALIMOSHO

APAPA

AMUWO‐ODOFIN

BADAGRY

KETU EJINRIN

EPE

AGBOWA

IBEJU/LEKKI

IJEDE

IKORODU

GBAGADA

IFAKO IJAYE

HARVEY RD

ONIKAN

LAGOS ISLAND

MUSHIN

ISOLO

SOMOLU

ISOLO

STATE INDICATOR

10

5

23

4

1

17

0

8

0

4

2

15

11

33

1

1

37

0

10

6

1

189

18

7

20

0

2

11

10

1

0

10

4

11

16

31

0

0

59

2

12

0

7

221

MATERNAL DEATHS

2015 2014


41

NEONATAL DEATH

Neonatal death is the death of a baby within the first 28 days

of life. The concern of the State Government is to reduce

mortality rate in Lagos State. In order to achieve this, the

Lagos State Government has intensified effort to provide

quality child and maternal health care to its citizens.

An attempt was made to analysis of neonatal deaths in the

secondary health facilities in the State. In absolute term, 363

neonatal deaths were recorded in Y2014 while 346 was

reportedly recorded in Y2015. There is a reduction in the

neonatal deaths by 17 in Y2015.

At the General Hospital level, Ikorodu General Hospital with

67 number of cases recorded the highest number of neonatal

death in year 2015, followed by Gbagada and Amuwo-

Odofin General Hospitals which recorded 52 and 48 number

of cases respectively. On the other hand, Somolu, Lagos

Island, Ibeju Lekki, Ijede, Ketu Ejirin, Ajeromi/Ifelodun,

Onikan, Harvey Road and Mushin General Hospitals

recorded no case of neonatal death in 2015 whereas Agbowa

and Apapa General Hospital recorded 1 and 2 cases

respectively.

0 100 200 300 400

ORILE

AJEROMI IFELODUN

ALIMOSHO

APAPA

AMUWO‐ODOFIN

BADAGRY

KETU EJINRIN

EPE

AGBOWA

IBEJU/LEKKI

IJEDE

IKORODU

GBAGADA

IFAKO IJAYE

HARVEY RD

ONIKAN

LAGOS ISLAND

MUSHIN

ISOLO

SOMOLU

ISOLO

STATE INDICATOR

6

66

52

1

19

15

0

9

0

0

0

72

0

49

1

0

0

0

53

1

19

363

10

0

41

2

48

12

0

6

1

0

0

67

52

32

0

0

0

0

43

0

32

346

NEONATAL DEATH

2015 2014


42

POST NATAL DEATH

Postnatal death is the death of a baby or child within the

period of 28 days to 1 year (12 months) of life.

An attempt was also made to the analysis of postnatal deaths

in the secondary health facilities in the State. Further analysis

revealed that 136 postnatal deaths were recorded in year

2014 whereas in year 2015 181 cases of postnatal deaths

were recorded in the secondary health facilities across the

State. There was an increase of 45 cases in year 2015. The

State should continue to fortify its advocacy health

programmes on child care in the secondary health facilities

in the State.

At the General Hospital level, Alimosho General Hospital

with 32 cases recorded the highest number of postnatal

deaths in year 2015, followed by Orile Agege and Gbagada

General Hospitals that recorded 30 and 20 number of cases

respectively. However, Somolu, Lagos Island, Ibeju Lekki,

Ketu Ejirin, Ajeromi/Ifelodun, Harvey Road and Mushin

General Hospitals recorded no case of postnatal death in

Y2015 while Agbowa General hospital recorded only 1 case,

Onikan and Apapa General Hospitals recorded 2 cases of

such death each.

0 50 100 150 200

ORILE

AJEROMI IFELODUN

ALIMOSHO

APAPA

AMUWO‐ODOFIN

BADAGRY

KETU EJINRIN

EPE

AGBOWA

IBEJU/LEKKI

IJEDE

IKORODU

GBAGADA

IFAKO IJAYE

HARVEY RD

ONIKAN

LAGOS ISLAND

MUSHIN

ISOLO

SOMOLU

ISOLO

STATE INDICATOR

19

7

28

10

4

6

0

4

2

0

0

15

0

16

0

0

0

1

12

1

11

136

30

0

32

2

16

15

0

9

2

0

7

9

20

11

0

1

0

0

15

0

12

181

POST NATAL DEATH

2015 2014


43

NUMBER OF UNDER- 5 DEATHS

Under 5 deaths or child under 5 death or under 5 mortality

refers to the death of infants and children under the age of

five or between the age of one month to four years depending

on the definition.

In order to investigate under 5 deaths rate across the State,

analysis of data sets at secondary health facilities in the State

were carried out. The result indicated that 184 under-5 death

cases was recorded in year 2014 while in year 2015, 181

number of death cases were reportedly recorded across the

State.

At the General Hospital level, Ikorodu General Hospital had

the highest number of under-5 death cases in year 2015,

followed by Orile Agege and Alimosho General Hospitals

with 20 and 18 number of cases respectively. Nevertheless,

Somolu, Mushin, Lagos Island, Onikan, Harvey Road,

Ibeju/Lekki, Ijede, Ketu-Ejirin Ajeromi/Ifelodun General

Hospitals recorded no case of under-5 deaths. However, Epe

and Amuwo-Odofin General Hospitals recorded 2 and 4

cases respectively in year 2015.

0 50 100 150 200

ORILE

AJEROMI IFELODUN

ALIMOSHO

APAPA

AMUWO‐ODOFIN

BADAGRY

KETU EJINRIN

EPE

AGBOWA

IBEJU/LEKKI

IJEDE

IKORODU

GBAGADA

IFAKO IJAYE

HARVEY RD

ONIKAN

LAGOS ISLAND

MUSHIN

ISOLO

SOMOLU

ISOLO

STATE INDICATOR

41

8

27

8

1

9

0

5

6

0

0

52

0

6

0

0

0

1

11

3

6

184

20

0

18

6

4

7

0

2

7

0

0

76

15

12

0

0

0

0

5

0

9

181

NUMBER OF UNDER‐ 5 DEATHS

2015 2014

REPORTING RATES AND POLICY ISSUES

44

YEAR 2014 REPORTING RATES

The reporting rates refer to the percentage of Primary

Health Facilities (PHF) that forwarded their data to the

Demographic Health Information Scheme (DHIS) as and

when due. There are two categories of this; those that

submitted on or before the scheduled date (Timely Reports)

and all those that eventually submitted (Total Reports).

Timely report is very important as it makes data available

on time to Researchers, Planners, Government, and all data

users, for programmes and projects, designing plans, and

policy formulation.

In the year 2014, it was observed that on the average, less

than half of the Primary Health Care Centres (PHCs)

submitted their reports on time while just about half of them

ended up submitted for that year. This implies that data

captured in this bulletin for the Primary Health Facilities are

insufficient and thus, may not give the true picture of the

activities/observations in the Primary Health Facilities.

High reporting rate are predominant in Ikorodu, Ifako Ijaye,

Apapa. and Amuwo Odofin, LG/LCDAs thus the data

gathered from these Local Government Areas are more

reliable than other areas.

YEAR 2015 REPORTING RATES

43.9

62.5

42.1

73.3

81.2

52.4

47.5

36.3

69.3

72.3

66.7

87.1

54.9

53.3

33.4

41.6

46.8

63.4

53.4

38

53.8

33

58.7

33.2

65.6

72.7

44.6

38.6

22.6

68.1

70

60.2

66.9

40.5

40.8

27.6

31.2

42

53.4

29.9

21

43.4

0 50 100

Agege

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako/Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi/Isolo

Shomolu

Surulere

INDICATOR

% of Timely Reports % of Total Reports

56.8

68.7

51.1

81

87.7

72.8

61.7

56.5

82.7

76.9

75.6

95.8

62

65.5

36

53.7

55.9

75

73.4

48.7

64.2

50.2

63.7

42.8

71.7

85.8

69.2

58.9

50.7

79.7

76.3

71.9

89.6

47.6

62.6

29.6

49.9

55.1

67.9

62.9

38.9

57.7

0 50 100

Agege

Ajeromi/Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako/Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi/Isolo

Shomolu

Surulere

INDICATOR

% of Timely Reports % of Total Reports


45

In the year 2015, about 6 of every 10 Primary Health Care

facilities in Lagos State submitted their data to the DHIS.

Surulere and Lagos Mainland had a very low reporting rate.

It is advisable that Officers in charge of data keeping/

mamagement on PHF in those LGAs should be sensitized

on the importance and availability of data. They could be

assisted with deployment of a Monitoring and Evaluation

(M & E) staff for easier and timely data collation and

dissemination.

Although, high reporting rates were recorded in Ikorodu,

Ikeja, Ifako-Ijaiye, Ibeju-Lekki, Badagry, Apapa, and

Amuwo Odofin. However, there is the need to encourage

PHCs in those areas since an 100% rate is essential for

proper planning and policy formulation.

TIMELY REPORTS FOR Y2014 & Y2015

The DHIS reveals that across the 20 LG/LCDAs in Lagos

State, there was a general increase in timely submission of

reports in year 2015 when comparered with the previous

year. An impressive reporting rate of 6 out of every 10

PHCs were recorded on the average, which is a move in the

right direction. A better approach could account for at least

0 50 100

Agege

Ajeromi/Ifelodun

Alimosho

Amuwo Odofin

Apapa

Badagry

Epe

Eti‐Osa

Ibeju Lekki

Ifako/Ijaye

Ikeja

Ikorodu

Kosofe

Lagos Island

Lagos Mainland

Mushin

Ojo

Oshodi/Isolo

Shomolu

Surulere

STATE INDICATOR

33

58.7

33.2

65.6

72.7

44.6

38.6

22.6

68.1

70

60.2

66.9

40.5

40.8

27.6

31.2

42

53.4

29.9

21

43.4

50.2

63.7

42.8

71.7

85.8

69.2

58.9

50.7

79.7

76.3

71.9

89.6

47.6

62.6

29.6

49.9

55.1

67.9

62.9

38.9

57.7

2015

2014


46

9 out of every 10 PHCs. State Government should intensify

effort in Surulere and Lagos Mainland LGAs to find out

their respective challenges and proffer solutions for better

service delivery in the areas.

POLICY ISSUES

1. There is the need to encourage, motivate and

educate women in the State especially in Apapa,

Lagos Mainland, Ojo, Lagos Island, Ikorodu, Ifako-

Ijaiye, Ibeju-Lekki and Epe LG/LCDAs on the

importance of ANC visits before and during

pregnancy

2. At Mushin, Lagos Mainland, Lagos Island,

Ikorodu, Eti-Osa, Badagry and Agege LGAs more

advocacy programmes should be embarked upon to

reduce the number of pregnant women being

assisted by Health Practitioners during delivery.

3. Generally, the State Government should continue in

their mission to give women adequate medical care

during and after delivery in order to bring an end to

complications during/after delivery.

4. The State Government should strengthen sentinel

surveillance on malaria treatment across the State.

5. Malaria elimination and reduction operation

strategies should be reviewed annually in the State

so as to determine a better way of combating this

common disease.

6. Malaria advocacy programmes still need to be

strengthened by the State Government in Ifako

Ijaye, Alimosho and Ikeja Local Government Areas

to reduce the incidence of malaria in the areas.

7. Strengthening of Malaria Advocacy,

Communication and Social Mobilization (ACSM)

coordination at all levels in the State.

8. Fortifying of Monitoring and Evaluation of

Maternal and Child Health activities in both public

and private health facilities in the State to reduce

maternal, neonatal, postnatal and under-5 deaths.

9. The State Government should step-up its

intervention and enlightenment campaigns on the

control of women reproductive health, maintenance

of healthy diet and weight.

10. Strengthening of referral system and quality of

service by provision of ambulances and

establishment of quality assurance mechanism in

both primary and secondary health facilities to

reduce maternal and mortality deaths.

11. Advocacy programmes for the improvement of the

health seeking behaviour of women of child-

bearing-age and the community in general on

preventable maternal and child health interventions

such as essential obstetric care, family planning

services and to increase utilization of the Primary

Health Care Centres which is the first point of

contact for all women and members of the

community.

12. Addressing issues that prevent access to health care

by our pregnant women to reduce pregnancy related

deaths in the State.

13. Efforts should be intensified to make quality Health

care available, accessible and affordable to every

pregnant woman in the State.

14. Also, healthy pregnancy and health advocacy

programmes should be introduced or fortified in

Ifako Ijaye Local Government area for all women

of reproductive age to reduce pregnancy related

death cases.

15. The State Government should continue to fortify its

advocacy health programmes on child care at the

secondary health facilities in the State.


47

16. Proper attention should be focused to Ikeja, Mushin

and Surulere Local Government Areas to reduce

child mortality rate to the bearest minimum.

17. Advocacy health programmes and enlightenment

campaigns should be strengthened in Lagos

Mainland, Epe and Ibeju/Lekki Local Government

Areas for continuous sensitization of pregnant

women on the need to receive HIV/AIDS

counseling, carry out HIV/AIDS test at child labour

and delivery.

18. Kosofe, Epe and Lagos Island Local Government

Areas should renew their commitment in providing

intensive Post Natal Care (PNC) to every woman

who visits any of the Government health facility in

their areas.

19. The reach-out programme and the campaign for

expectant mothers to take their first antenatal

booking visit seriously should be sustained.

20. Nevertheless, Lagos Mainland, Ikorodu and Eti-

Osa are areas that require supervisory visits to

enhance appreciable live birth deliveries.

REFERENCES

1. State Health Management Information System

(HMIS) online platform by Ministry of Health.

2. Household Survey Report (2014) produced by

Lagos Bureau of Statistics (LBS).

3. Digest of Statistics 2015 produced by Lagos

Bureau of Statistics (LBS).

4. Performance, Monitoring and Accountability

(PMA) 2014 Lagos

5. World Bank Data

www.data.worldbank.org/indicator

6. NDHS 2013, MICS 2011

Documents

LAGOS STATE GOVERNMENTmepb.lagosstate.gov.ng/wp-content/uploads/sites/29/... · Health Care Facilities and three (3) prominent Tertiary Health Facilities. The State also has a significant