Reproductive Health Indicators in Rural Communities of Bauchi
Transcript of 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.
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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
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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 ´
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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
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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
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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
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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
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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
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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.
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CHALLENGES AND SOLUTIONS
GOVERNMENT LEVEL
HEALTH CARE PROVIDER LEVEL
COMMUNITY LEVEL
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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.
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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.
.
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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.
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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