Association of the client-provider ratio with the risk of maternal mortality in referral hospitals: a multi-site study in Nigeria

Reproductive Health
Friday OkonofuaWHARC WHO FMOH MNCH Implementation Research StudyTeam

Abstract

The paucity of human resources for health buoyed by excessive workloads has been identified as being responsible for poor quality obstetric care, which leads to high maternal mortality in Nigeria. While there is anecdotal and qualitative research to support this observation, limited quantitative studies have been conducted to test the association between the number and density of human resources and risk of maternal mortality. This study aims to investigate the association between client-provider ratios for antenatal and delivery care and the risk of maternal mortality in 8 referral hospitals in Nigeria. Client-provider ratios were calculated for antenatal and delivery care attendees during a 3-year period (2011-2013). The maternal mortality ratio (MMR) was calculated per 100,000 live births for the hospitals, while unadjusted Poisson regression analysis was used to examine the association between the number of maternal deaths and density of healthcare providers. A total of 334,425 antenatal care attendees and 26,479 births were recorded during this period. The client-provider ratio in the maternity department for antenatal care attendees was 1343:1 for doctors and 222:1 for midwives. The ratio of births to one doctor in the ma...Continue Reading

References

Sep 27, 2013·PLoS Medicine·Giorgio ComettoRuediger Krech
Aug 12, 2014·The Lancet Global Health·Lale SayLeontine Alkema
Mar 18, 2015·Women's Health·Sarah J Kilpatrick
May 15, 2015·BJOG : an International Journal of Obstetrics and Gynaecology·O T OladapoUNKNOWN Nigeria Near-miss and Maternal Death Surveillance Network
Jul 1, 2016·Reproductive Health·David O AkejuUNKNOWN CLIP Nigeria Feasibility Working Group
Mar 18, 2017·Reproductive Health·Friday OkonofuaUNKNOWN WHARC WHO FMOH MNCH Implementation Research Study Team
Mar 28, 2017·PloS One·Friday OkonofuaUNKNOWN WHARC WHO FMOH MNCH Implementation Research Study Team

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