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The Benue State Maternal and Neonatal Mortality Reduction Innovation and Initiative (MAMII) team, led by Dr. Kuma Gbanan, conducted a deep-dive field visit to the Naka Primary Health Care Center (PHC) in Gwer-West Local Government Area. This initiative aims to address the high maternal and neonatal mortality rates in Nigeria, particularly in the 172 high-burden Local Government Areas, including Gwer-West.
The visit, reported by Grace Akure, Information Officer for the Benue State Primary Health Care Board, outlined ambitious objectives: eliminating stages 1 and 2 of obstetric transition by 2026, reducing maternal mortality by 30%, and increasing health facility utilization in high-burden areas by 60% by 2030. The team conducted a comprehensive assessment, divided into three key components.
The Facility Assessment, led by Mr. Aondowase Apinega, revealed major issues including the non-availability of essential drugs, problems with the revolving fund committee, lack of maternal, perinatal, and child deaths surveillance response, and poverty hindering access to healthcare facilities. The Community Assessment, led by Mrs. Ruth Asor, highlighted the impact of local beliefs and traditions, noting that women giving birth at home instead of attending antenatal clinics is a significant factor. The Verbal Social Autopsy, led by Mr. Ismael Jimoh, involved sessions with families who lost members during or after childbirth, providing valuable insights into the circumstances surrounding these deaths.
Prof. Silas Ochejele, an active participant, emphasized that home deliveries are a leading cause of maternal and newborn deaths in Gwer-West, reiterating the need for recognition of early warning signs of complications in pregnancy. Mr. Abo Stephen, Director of Gwer-West Local Government Health Authority, welcomed the MAMII team, expressing delight in hosting them.
The MAMII initiative is seen as a timely intervention to address Nigeria’s high maternal and neonatal mortality rates. The team’s findings and recommendations will inform strategies to improve healthcare outcomes in Gwer-West and beyond. Further updates are expected as the initiative progresses.