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Monitoring maternal, newborn, and child health interventions using lot quality assurance sampling in Sokoto State of northern Nigeria.
Glob Health Action. 2015; 8:27526.GH

Abstract

BACKGROUND

Maternal mortality ratio and infant mortality rate are as high as 1,576 per 100,000 live births and 78 per 1,000 live births, respectively, in Nigeria's northwestern region, where Sokoto State is located. Using applicable monitoring indicators for tracking progress in the UN/WHO framework on continuum of maternal, newborn, and child health care, this study evaluated the progress of Sokoto toward achieving the Millennium Development Goals (MDGs) 4 and 5 by December 2015. The changes in outcomes in 2012-2013 associated with maternal and child health interventions were assessed.

DESIGN

We used baseline and follow-up lot quality assurance sampling (LQAS) data obtained in 2012 and 2013, respectively. In each of the surveys, data were obtained from 437 households sampled from 19 LQAS locations in each of the 23 local government areas (LGAs). The composite state-level coverage estimates of the respective indicators were aggregated from estimated LGA coverage estimates.

RESULTS

None of the nine indicators associated with the continuum of maternal, neonatal, and child care satisfied the recommended 90% coverage target for achieving MDGs 4 and 5. Similarly, the average state coverage estimates were lower than national coverage estimates. Marginal improvements in coverage were obtained in the demand for family planning satisfied, antenatal care visits, postnatal care for mothers, and exclusive breast-feeding. Antibiotic treatment for acute pneumonia increased significantly by 12.8 percentage points. The majority of the LGAs were classifiable as low-performing, high-priority areas for intensified program intervention.

CONCLUSIONS

Despite the limited time left in the countdown to December 2015, Sokoto State, Nigeria, is not on track to achieving the MDG 90% coverage of indicators tied to the continuum of maternal and child care, to reduce maternal and childhood mortality by a third by 2015. Targeted health system investments at the primary care level remain a priority, for intensive program scale-up to accelerate impact.

Authors+Show Affiliations

United States Agency for International Development - John Snow Inc. Research and Training, Inc. - Targeted States High Impact Project Nigeria; dabegunde@tshipnigeria.org.United States Agency for International Development - John Snow Inc. Research and Training, Inc. - Targeted States High Impact Project Nigeria.Jhpeigo - Targeted States High Impact Project Nigeria, Bauchi, Nigeria.United States Agency for International Development - John Snow Inc. Research and Training, Inc. - Targeted States High Impact Project Nigeria.United States Agency for International Development - John Snow Inc. Research and Training, Inc. - Targeted States High Impact Project Nigeria.United States Agency for International Development - John Snow Inc. Research and Training, Inc. - Targeted States High Impact Project Nigeria.United States Agency for International Development - John Snow Inc. Research and Training, Inc. - Targeted States High Impact Project Nigeria.United States Agency for International Development - John Snow Inc. Research and Training, Inc. - Targeted States High Impact Project Nigeria.

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

26455491

Citation

Abegunde, Dele, et al. "Monitoring Maternal, Newborn, and Child Health Interventions Using Lot Quality Assurance Sampling in Sokoto State of Northern Nigeria." Global Health Action, vol. 8, 2015, p. 27526.
Abegunde D, Orobaton N, Shoretire K, et al. Monitoring maternal, newborn, and child health interventions using lot quality assurance sampling in Sokoto State of northern Nigeria. Glob Health Action. 2015;8:27526.
Abegunde, D., Orobaton, N., Shoretire, K., Ibrahim, M., Mohammed, Z., Abdulazeez, J., Gwamzhi, R., & Ganiyu, A. (2015). Monitoring maternal, newborn, and child health interventions using lot quality assurance sampling in Sokoto State of northern Nigeria. Global Health Action, 8, 27526. https://doi.org/10.3402/gha.v8.27526
Abegunde D, et al. Monitoring Maternal, Newborn, and Child Health Interventions Using Lot Quality Assurance Sampling in Sokoto State of Northern Nigeria. Glob Health Action. 2015;8:27526. PubMed PMID: 26455491.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Monitoring maternal, newborn, and child health interventions using lot quality assurance sampling in Sokoto State of northern Nigeria. AU - Abegunde,Dele, AU - Orobaton,Nosa, AU - Shoretire,Kamil, AU - Ibrahim,Mohammed, AU - Mohammed,Zainab, AU - Abdulazeez,Jumare, AU - Gwamzhi,Ringpon, AU - Ganiyu,Akeem, Y1 - 2015/10/09/ PY - 2015/02/08/received PY - 2015/07/25/revised PY - 2015/08/18/accepted PY - 2015/10/13/entrez PY - 2015/10/13/pubmed PY - 2016/6/28/medline KW - Nigeria KW - lot quality assurance sampling KW - maternal KW - monitoring and evaluation KW - newborn and child health SP - 27526 EP - 27526 JF - Global health action JO - Glob Health Action VL - 8 N2 - BACKGROUND: Maternal mortality ratio and infant mortality rate are as high as 1,576 per 100,000 live births and 78 per 1,000 live births, respectively, in Nigeria's northwestern region, where Sokoto State is located. Using applicable monitoring indicators for tracking progress in the UN/WHO framework on continuum of maternal, newborn, and child health care, this study evaluated the progress of Sokoto toward achieving the Millennium Development Goals (MDGs) 4 and 5 by December 2015. The changes in outcomes in 2012-2013 associated with maternal and child health interventions were assessed. DESIGN: We used baseline and follow-up lot quality assurance sampling (LQAS) data obtained in 2012 and 2013, respectively. In each of the surveys, data were obtained from 437 households sampled from 19 LQAS locations in each of the 23 local government areas (LGAs). The composite state-level coverage estimates of the respective indicators were aggregated from estimated LGA coverage estimates. RESULTS: None of the nine indicators associated with the continuum of maternal, neonatal, and child care satisfied the recommended 90% coverage target for achieving MDGs 4 and 5. Similarly, the average state coverage estimates were lower than national coverage estimates. Marginal improvements in coverage were obtained in the demand for family planning satisfied, antenatal care visits, postnatal care for mothers, and exclusive breast-feeding. Antibiotic treatment for acute pneumonia increased significantly by 12.8 percentage points. The majority of the LGAs were classifiable as low-performing, high-priority areas for intensified program intervention. CONCLUSIONS: Despite the limited time left in the countdown to December 2015, Sokoto State, Nigeria, is not on track to achieving the MDG 90% coverage of indicators tied to the continuum of maternal and child care, to reduce maternal and childhood mortality by a third by 2015. Targeted health system investments at the primary care level remain a priority, for intensive program scale-up to accelerate impact. SN - 1654-9880 UR - http://www.nlm.medscape.idmu.unboundmedicine.unboundmedicine.com/medline/citation/26455491/Monitoring_maternal_newborn_and_child_health_interventions_using_lot_quality_assurance_sampling_in_Sokoto_State_of_northern_Nigeria_ L2 - https://www.tandfonline.com/doi/full/10.3402/gha.v8.27526 DB - PRIME DP - Unbound Medicine ER -