1
|
Wright KO, Fagbemi T, Omoera V, Johnson T, Aderibigbe AA, Baruwa B, Oludara F, Ogboye O, Imosemi D, Omololu O, Odugbemi B, Adeyemi O, Omosun A, Akinola I, Akinyinka M, Balogun M, Abe J, Sadiku B, Banke-Thomas A, Fabamwo AO. A population-based estimation of maternal mortality in Lagos State, Nigeria using the indirect sisterhood method. BMC Pregnancy Childbirth 2024; 24:314. [PMID: 38664731 PMCID: PMC11044405 DOI: 10.1186/s12884-024-06516-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Accepted: 04/14/2024] [Indexed: 04/29/2024] Open
Abstract
BACKGROUND Pregnancy and delivery deaths represent a risk to women, particularly those living in low- and middle-income countries (LMICs). This population-based survey was conducted to provide estimates of the maternal mortality ratio (MMR) in Lagos Nigeria. METHODS A community-based, cross-sectional study was conducted in mapped Wards and Enumeration Areas (EA) of all Local Government Areas (LGAs) in Lagos, among 9,986 women of reproductive age (15-49 years) from April to August 2022 using a 2-stage cluster sampling technique. A semi-structured, pre-tested questionnaire adapted from nationally representative surveys was administered using REDCap by trained field assistants for data collection on socio-demographics, reproductive health, fertility, and maternal mortality. Data were analysed using SPSS and MMR was estimated using the indirect sisterhood method. Ethical approval was obtained from the Lagos State University Teaching Hospital Health Research and Ethics Committee. RESULTS Most of the respondents (28.7%) were aged 25-29 years. Out of 546 deceased sisters reported, 120 (22%) died from maternal causes. Sisters of the deceased aged 20-24 reported almost half of the deaths (46.7%) as due to maternal causes, while those aged 45-49 reported the highest number of deceased sisters who died from other causes (90.2%). The total fertility rate (TFR) was calculated as 3.807, the Lifetime Risk (LTR) of maternal death was 0.0196 or 1-in-51, and the MMR was 430 per 100,000 [95% CI: 360-510]. CONCLUSION Our findings show that the maternal mortality rate for Lagos remains unacceptable and has not changed significantly over time in actual terms. There is need to develop and intensify community-based intervention strategies, programs for private hospitals, monitor MMR trends, identify and contextually address barriers at all levels of maternal care.
Collapse
Affiliation(s)
- Kikelomo Ololade Wright
- Department of Community Health and Primary Health Care, Lagos State University College of Medicine (LASUCOM), Ikeja, Lagos, Nigeria.
- Centre for Reproductive Health Research and Innovation (CHRHI), LASUCOM, Ikeja, Lagos, Nigeria.
- Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital (LASUTH), Lagos, Nigeria.
| | - Temiloluwa Fagbemi
- Centre for Reproductive Health Research and Innovation (CHRHI), LASUCOM, Ikeja, Lagos, Nigeria
| | - Victoria Omoera
- Directorate of Family Health and Nutrition, Lagos State Ministry of Health (LSMoH), Lagos, Nigeria
| | - Taiwo Johnson
- Directorate of Family Health and Nutrition, Lagos State Ministry of Health (LSMoH), Lagos, Nigeria
| | - Adedayo Ayodele Aderibigbe
- Centre for Reproductive Health Research and Innovation (CHRHI), LASUCOM, Ikeja, Lagos, Nigeria
- Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital (LASUTH), Lagos, Nigeria
| | - Basit Baruwa
- Lagos Bureau of Statistics (LBS), Lagos, Nigeria
| | - Folashade Oludara
- Directorate of Family Health and Nutrition, Lagos State Ministry of Health (LSMoH), Lagos, Nigeria
| | - Olusegun Ogboye
- Directorate of Family Health and Nutrition, Lagos State Ministry of Health (LSMoH), Lagos, Nigeria
| | | | | | - Babatunde Odugbemi
- Department of Community Health and Primary Health Care, Lagos State University College of Medicine (LASUCOM), Ikeja, Lagos, Nigeria
- Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital (LASUTH), Lagos, Nigeria
| | - Oluwatoni Adeyemi
- Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital (LASUTH), Lagos, Nigeria
| | - Adenike Omosun
- Department of Planning, Research and Statistics, Lagos State Health Service Commission, Lagos, Nigeria
| | - Ibironke Akinola
- Department of Paediatrics and Child Health, LASUCOM, Lagos, Nigeria
| | - Modupe Akinyinka
- Department of Community Health and Primary Health Care, Lagos State University College of Medicine (LASUCOM), Ikeja, Lagos, Nigeria
- Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital (LASUTH), Lagos, Nigeria
| | - Mobolanle Balogun
- Department of Community Health and Primary Care, College of Medicine, University of Lagos, Lagos, Nigeria
| | - John Abe
- Department of Demography and Social Statistics, Obafemi Awolowo University, Ile-Ife, Osun, Nigeria
| | | | - Aduragbemi Banke-Thomas
- Centre for Reproductive Health Research and Innovation (CHRHI), LASUCOM, Ikeja, Lagos, Nigeria
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | | |
Collapse
|