Reproductive Health Indicators in Rural Communities of Bauchi

8/8/2019 Reproductive Health Indicators in Rural Communities of Bauchi

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PRESENTATION:STAKEHOLDERS SUMMIT ON MATERNAL/CHILD MORTALITY.

THEME:SAVING THE LIFE OF THE MOTHER AND CHILD THETIME TO ACT IN BAUCHI STATE.

DR AHMAD SUFYAN JIBRIN

SPECIALIST HOSP BAUCHI.



BACKGROUND

Maternal mortality in north east is over 1500/100000

For every woman that diesduring child birth in developed, 100woman die in Nigeria.

In developed countries every delivery is assisted by a skilled

attendants (Dr or midwife),however in Nigeria only 13% are

assisted by skilled attendants.

In year 2002 an estimated 3 million pregnant women had 2.4 millionlive birth,170,000 die as a result of complications of pregnancy and

childbirth.

DEFINATION;WHO dfn Reproductive health as a physical,mental

and social well being in all matters relating to the reproductivesystem at all stages of life,RH implies that people are able to have

a satisfyingand safe sex life and that they have the capability to

reproduce and the freedom to decide if,when and how often to do

so.Implicit to this are the right of men women to be informed and

haveaccess to safe,effective,affordable and



acceptible methods of family planning of their choice and the right to

appropriate health care service that women to safely go through pregnancy

and childbirth

RH encompasses

Safe motherhood i.e eoc,anc,pnc

Early marriage

STIs,HIV/AIDS

Gender power relations

Female genital mutilation

Family planning

Reproductive health indicators

Help to determine the extend to which a project is achieving the expected

result. Helps to determine what happen against what ia planned in terms of

quality,quantity and time.

Note.good indicators has a number of important attributes

An indicator must be a ³marker of progress ´



To be scientifically robust i.e valid,specific,sensitive and

reliable

Must be representative i.e it encompasses all the issues or

pop groups

Must be understandable i.esimple to define

To be accessible that is available ,relative easy to collect

To be ethical



Minimal list of Reproductive Health indicators

1. Maternal mortality rate in Bauchi state:maternal

death per 100,000 live birth is 1360/100,000

1460

1440

1420

1400

1380

1360

13401320

1300

1990 1996 2000 2003 2004 2005 20006



Infant Mortality rate;no. of infant death /1000

birth,102/1000 in bauchi state

180

160

140

120

100

80

6040

20

0

1990 2000 20004 2006



3.Antenatal care coverage;percentage of women attended atleast once

during pregnancy by skilled health personel.

4.Birth attended by skill health personel;percentage of birth attended byskilled personel

5.Reported prevalence of women with FGM;percentage of women

interviewed in comm survey or report themselves to have

undergone FGM.

FGM is common practice among the kuraru tribe in tafawa balewaLGA(US dept of state 2001)

.HIV prevalence in pregnant women; percentage of women attending

ANC whose screened and serology positive.

Regio

n

Dr. N/Mid

wife

Chew TBA Relati

ve/Oth

ers

No

one

Misse

d

Total

NC 9.6 39.0 1.5 6.1 34.7 9.0 0.1 100 897

NE 2.4 17.4 2.2 25.4 37.1 19.38 1.0 100 1472

NW 0.8 11.5 0.7 24.3 31.1 30.5 1.2 100 2161



8.Positive syphilis serology prevalence.

9.Low birth weight prevalence;percentage of birth weight less than

2.5kg

10.Prevalence of anaemia in women (15-49yrs)

Less than 11-----preg

Less than 12g/dl---non preg

11.percentage of obstetrics & gynaecological admission owing to

abortions(induce /spontaneous)

12.Prevalence of infertility in women;% of women of reproductive age

at risk of preg not preg sexually active ,non contraceptive non

lactating,who report for two or more yrs.

13.Reported inccidence of Urethritis in men;% of men intervieved in

comm survey reporting episode of urethritis in the last 12 month .

14.Total fertility rate; due to early marriage in rural areas is within 12-

14yrs

thereby increasing total fertility rate



15.Contraceptive prevalence rate;% of women of reproductive age

using any form of contraceptives.

16.Availability of Basic obstetrics care;no. Of facilities with functioning

basic essential obs care per 500,000 popultion.

17.Availability of comprehensive essential obstetrics care.



CHALLENGES AND SOLUTIONS

GOVERNMENT LEVEL

HEALTH CARE PROVIDER LEVEL

COMMUNITY LEVEL



GOVERNMENT LEVEL

Intense advocacy to all stakeholders on reproductive health is

imperative and urgent.

Increasing access to care through health insurance scheme and

improved transportation system.

Intrest in human resourse capacity building.

Improve staff attitude and performance.

Ensuring the available of quality health services centers with equal

distribution and staffing .

Combat poverty and illitercy.

Provide continuos distance leaning for medical professionals in the

employment of Bauchi state.

Provide additional incentives to attract and retains medical personel

to serve in rural areas.

Increase awareness of HIV/AIDS through broad based awareness

creation and advocacy.



HEALTH CARE PROVIDER LEVEL

Prompt and immediate intervention in health facility to prevent delay.

Improvement in the behaviour and attitude of staffs towards patients.

Use antenatal care centre to educate women on reproductive healthi.e. Family planning, abortion, STIs, HIV/VCT

COMMUNITY LEVEL

Encourage pregnant women to patronize health facility and attendantenatal clinics

Community participation and utilization of health care facility

Redress gender relation issues particularly in decision making on

health issues. Socio-cultural change, early marriage (VVF), attitude to unwanted

pregnancy and foot taboos in pregnancy and infancy.

.



CONCLUSION

Lets come together to reduce child/maternal mortality aand

morbidity as said in Hausa ³Hannu daya baya daga jinka´.

The government has done enough.

Thank you for listening.



References:

The socio-cultural context of RH and gender issues in Bauchi state(UNFPA)

Revised Version of the Bauchi State Economic Empowerment and

Development Strategy 2005-2007

Reproductive Health and Gender indicators, base line survey

UNFPA assisted states in Nigeria. Firs Northern Governors Health Submit Rerport

Safe Motherhood component of the project contraceptive and safe

motherhood kits supply by Dr. Christian C Ibeh

Bauchi State Government Report on Safe Motherhood need

assessment, March, 2008. WHO RH indicators for global monitoring, reports of an inter-agency

technical meeting 9-11 April, 1997

www.who.int/reproductivehealth/hrp/progress/45/pdf

Documents

Reproductive Health Indicators in Rural Communities of Bauchi