The Maternal Neonatal and Child health programme (MNCH2) is a five year country led programme which aims to reduce maternal and child mortality in northern Nigeria. The programme works across six states: Jigawa, Kaduna, Kano, Katsina, Yobe and Zamfara.
Since 2014, MNCH2 has been supporting maternal and perinatal death surveillance and response (MPDSR) across its six states. At secondary level facilities (which often have a high number of deliveries), MDR committees have been set up to review the causes of maternal death and take action to prevent similar deaths in the future. MNCH2 also supports State MDR Committees to mentor and monitor facility-level committees. MNCH2’s support to MPDSR across northern Nigeria has resulted in a number of achievements. Here are some examples:
- At a general hospital in Kaduna State, one of the MPDSR activities led to the establishment of a “call room” in a labour ward based on MPDSR observations. The facility MPDSR committee found that in the event of an emergency especially with cases of antepartum haemorrhage, it was difficult for the medical doctor to immediately attend to the patient as the doctors live far away from the hospital. To overcome this problem, the MPDSR committee advocated for there to be a call room at the facility. Hospital management provided funds for the renovation of a space that now serves as the call room. The room has been prepared and is being used by on call staff. The response to emergency cases has since improved.
- In Kano State, efforts led by a facility MPDSR committee at a general hospital resulted in committee members advocating for the provision of a blood-bank facility in the zone. As a result of this successful advocacy, a new blood bank was made available to patients in July 2016 and is still in use, comprising of three refrigerators. Community members were responsive to blood donation following community sensitisation of the functionality of the blood bank. Since there have been improvements in the availability of blood, the facility has not recorded any maternal deaths from postpartum haemorrhage up to the time of writing (01 March 2017).
- In Jigawa State, MDR data was collected from 12 secondary health facilities from April to June 2016. The data revealed that uterotonic drugs were only available from 8:00-14:00 when staff responsible for the medication was on duty. Outside of these hours the medication was locked in a cupboard forcing evening and night staff to buy the medication from pharmacies outside the hospital premises. In response to this, the Honourable Commissioner instructed for the medication to be available at all hours of the day and night. In September 2016, a review of the next quarterly data showed a shift in the leading cause of death from haemorrhage to eclampsia.
To read about the facility maternal death surveillance and response scorecard in Lagos State, click here.
To read the Nigeria country update from October 2016, click here.
Acknowledgements: This update was prepared based on feedback from:
- Abdulrahman Idris – Evidence and Advocacy coordinator, MNCH2 Jigawa state office
- Umma Rakana – Evidence and Advocacy coordinator, MNCH2 Kano state office
- Dije Gimba – Evidence and Advocacy coordinator,MNCH2 Kaduna state office