An Assessment of Policies and Programs for Reducing Maternal Mortality in Borno State, Nigeria
), Mairiga A(2), Geidam A(3), Bako B(4),
(1)
(2)
(3)
(4)
Corresponding Author
Abstract
The study was designed to identify and document the nature of current policy framework and programs for addressing maternal health in Borno state. In-depth interviews were conducted with key officers of the Borno State Ministry of Health, and available hospital data and other existing documents were reviewed. The results as well as those of the 2008 Nigerian Demographic and Health Survey (DHS), and surveys conducted by the Federal Ministry of Health and the Society of Gynaecology and Obstetrics of Nigeria (SOGON) indicate that Borno has one of the highest maternal mortality ratios in the country (1,600/100,000 live births). Although Borno state government has a policy on free maternal health care, the programme is not officially gazetted; it reaches only a few women; and is poorly funded. Several international development partners are active in the state but are increasingly concerned by the lack of official policies and the inadequate budgetary allocation for addressing the high rate of maternal mortality in the state. We conclude that increased political will is needed to address the inordinately high rate of maternal mortality in Borno State. (Afr. J. Reprod. Health 2010; 14[2]: 49-54).
Résumé
Evaluation des politiques et des programmes pour la réduction de la mortalité maternelle dans l’état de Borno, Nigéria. L’étude a été conçue pour identifier et documenter la nature du cadre de la politique et des programmes destinés à s’occuper de la santé maternelle dans l’état de Borno. Nous avons recueilli des interviews en profondeur auprès des responsables clé du ministère de la santé de l’état de Borno et nous avons passé en revue les données hospitalières et d’autres documents. Les résultats aussi bien que ceux de l’Enquête Nigériane de la Santé et de la Démographie de 2008 (ENSD) et les enquêtes menées par le ministère fédéral de la santé et la Société de Gynécologues et d’Obstétriciens de Nigéria (SOGON) montrent que l’état de Borno a des rapports les plus élevés de la mortalité maternelle dans le pays (1.600/100.000 naissances vivantes). Bien que l’état de Borno ait une politique de soins de la santé maternelle gratuit, elle n’a pas encore été publiée à l’Officiel ; cela n’atteint que très peu de femmes et elle n’est pas bien financée. Beaucoup de partenaires de développement internationaux sont actifs dans l’état mais ils s’inquiètent du manque de politiques officielles et de l’insuffisance d’allocation budgétaire pour s’occuper du taux élevé de la mortalité maternelle dans l’état. Nous concluons qu’il faut une volonté politique intensifiée pour s’occuper du taux de mortalité maternelle excessivement élevé dans l’état de Borno (Afr. J. Reprod. Health 2010; 14[2]: 49-54).
Key words: Maternal mortality, Borno state, Free maternal health care, northern Nigeria.
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