Maternal Mortality In Nigeria
The research for this paper addresses the issues with the maternal mortality in Nigeria and North West zone of the country. According to the findings of the Nigeria Demographic Health Survey (2008), the childhood mortality is decreasing with about 75% children for every thousand newly born babies, who die before they are turned one year old; out of which 40% of children out of 100o die before they turn one month. In other words, the statistics claim that one child out of six dies before he or she turns five years old. In view of the fact that the infant mortality has now been decreased, the chilв mortality rate also decreased for about ¼ since 2008. In addition, about 75% of women, who live on the territory of Nigeria between the age of 15 and 49 years old have no proper education, which plays a significant role in the growing number of fertile women with the fertility rate of 7.3 birth per woman and premature marriages where only 8% of women are properly treated w 92% of women have standard birth attendants during the childbirth period (NDHS, 2008).
Based on the findings of the World Health Organization (2010), in Nigeria about 60% of women do not have the possibility to go through the antenatal care (ANC) given by a professional doctor. At the same time, over 30% of women in the North West zone of Nigeria could have the possibility to go through the ANC. In parallel, these percentages are twice bigger in the South and West zones of Nigeria with about 90% of women to go through the antenatal care. In comparison, during the period of pregnancy, these details are even more dramatic: less than 50% of women go through the antenatal care and only 15% of them receive such a care in the beginning of the second trimester. With this, about 40% of women do not receive such care during the pregnancy and consequently the same 40% of women are notified about the problems with the baby growth and development (World Health Statistics, 2010).
Thus, the matters go worse based on the UNICEF data as of 2010, according to which the ratio of the maternal mortality in Nigeria and North West zone of the country is projected to be about more than 550 deaths of every hundred thousand newborn babies. At the same time, the number of women, who are between 15 and 19 years old are now pregnant with 45% of females for the target population in Nigeria (UNICEF, 2010).
Based on the findings above, the objectives of the research are to find the ways to improve the availability of professional medical personnel that would take care of both mothers and children during the period of pregnancy. Therefore, the objectives address the importance of professional education of the Traditional Birth Attendants (TBAs) on the territories of the North West Zone of the country.
The idea is to help the new medical personnel learn how to manage the pregnancy health issues of both mothers and children as well as predict the possible birth problems. In addition, it is important to spread awareness among the other medical specialist in terms of the need for experienced procedure of check in the period of childbirth. Such is the intervention to address the maternal mortality in Nigeria and North West zone of the country. The purpose is to achieve its budget efficiency at all the possible levels.
Theoretical Base of the Objective
Health Promotion Model
The Health Promotion Model recognizes the circumstantial factors that have an impact on the health behavior of different people. Nonetheless, the major emphasis of the Health Promotion Model is addressed towards the theories of the medical personnel. Such perceptions are the life-threatening aspects of the intervention that could be held by the medical personnel (Pender, Murdaugh and Parsons, 2011).
Thus, with the help of the Health Promotion Model as well as the cooperative approach to working together with the patients, the medical personnel could face with different health issues and provide a better support of the clients by managing their behavior and providing the means for the better life with the healthy habits (Glanz, Rimer and Lewis, 2002).
Community Development Theory
The Community Development Theory highlights the dynamic contribution as well as the development of the medical communities that could have a better evaluation health practice along with the learned ability to resolve the health issues as well as the overall social difficulties and are thus faced with any potential challenges (Glanz and Rimer, 1997).
The idea is to empower the medical personnel to provide a high-quality services for the clients of the hospitals. At the same time, it is important to encourage them for a better participation and significance to the issues of the critical perceptions. Therefore, both the Health Promotion Model and the Community Development Theory serve as a basis for the community development approach and provide the means of the interventions that would encourage better facts and figures about the maternal mortality (Institute of Medicine, 2002).
Based on the researches of the Medical Health Associations, the practice shows that the proper medical education and an additional health training of the Traditional Birth Attendants in the relevant society serves as an efficient means of decreasing the maternal mortality. Hence, in case such a practice is applicable on the territories of Nigeria as well as the North West Zone of the country, it would help to improve the overall situation for the maternal mortality in the country (Sibley, Sipe and Barry, 2012).
In addition, the correct usage of the public outreach workers could also serve as a benefit towards the improvement of the overall situation with the mortality rates in the whole country. Such an intervention is not only beneficial for the child mortality but will also play a significant role in terms of efficient medical practice towards decreasing the maternal mortality in Nigeria and its North West Zone (National Institute for Health Research, 2002).
In order to approach this situation from the real case scenarios, it is important to address the means of the ways to measure the current situation. Such an intervention is possible due to the questionnaire in terms of the knowledge and awareness of people about the lack of educated and professional medical personnel that could offer appropriate help and support during the childbirth attendance (Naido and Wills, 2010).
At the same time, it is vitally significant to adhere to the provision of the appropriate education to the medical personnel in order to provide a need for the growing compulsion of pregnant women by means of decrease the mortality rates among children and women in particular (Sibley, Sipe and Barry, 2012).
In order to evaluate the above scenario, there are several indicators that should be used in order to match the effectiveness of the health intervention for the given population in Nigeria and North West Zone of the country. These basic indicators address the intervening factors such as the number of women who offer unpaid assistant with the ability to apply for the proper healthcare facilities in order to sustain an appropriate level of birth rate and the number of recommendations in the health centers from the position of the Traditional Birth Attendants in case they deduce the complications of any kind (Naido and Wills, 2000).
Besides, both numbers of pregnant females as well as the recommendations could be measured with the help of the Health Medical Facility Records that address the healthcare practice held by the Traditional Birth Attendants (National Institute for Health Research, 2002).