Nigeria’s government has initiated In 2024, in 2004, an initiative offers free urgent urgent seizarier sections in the plan to reduce the number of people in childbirth, poor and sensitive women.
The best Thomas Spiritual, a Mother and New Born Health researcherand ithan Osayde, Folk health training companionDiscuss how to achieve their initiative and objectives.
How serious is the mother’s death in Nigeria?
From 287,000 pregnant women who died in 2020 Was almost from the third Nigeria. Nigeria has 1,047 deaths to 100,000 living living The third highest maternity death rates globally scale. This is behind South Sudan and Chad.
The leading causes of the mother’s death are severe bleeding, infections and high blood pressure during pregnancy and dangerous abortions. These deaths can be prevented mainly when pregnant women are emergencies, including emergencies, including caesarean sections.
What does Nigeria build the death death?
Have Several factors.
Horse At the individual levelThere is an argument that women have postponed their care for various reasons. The lack of awareness of attention and threat signs is among them. And there is also Cultural norms Recommends rescue measures such as Caesaryean section.
There are also issues related to Nigeria’s health care system. The research shows that When women have reached the health facility, they can’t always care. This may not be to take care of health facilities Because women cannot afford. There are some for others who cannot afford but not to take care Illegally arrested in a health facility until the payment. Other shortcomings are ineffective appeal systems and skilled health professionals. There was one in recent years A sharp increase in health professionals to other countries.
Failure to pay means that some women do not seek care in health facilities. They put the presentation in health facilities or to go to traditional birth workers, and their unborn babies are in the risk of complications and death.
Outside the healthcare system, other factors include poor roads. There are many pregnant women in Nigeria left to travel to their own health facilities Even in case of emergency. In rural areas, women face long travel distances to get to the nearest hospital.
In addition, the conflict removes pregnant women and their families from their homes and Breaks access to health care.
Will the new initiative reduce death?
This initiative Aims to increase the use of the health facility and an experienced birthday of 60%. Also aims reduce the mother’s death by 30% over three years.
Nigeria recognizes that the mother’s death can be very sided and only very highly recommended. In addition, although the national problem, it also recognizes the solution to the submunities.
The scheme includes a set of community-centered interventions from 17 countries that contribute more than half of the maternal deaths in Nigeria. These include:
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Having powers of public leaders to watch and promote pregnant women to use maternity services in primary health centers of pregnant women
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Propaganda to promote the safe delivery experience of outstanding people
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Partnership with traditional birth workers to apply for pregnant women to health facilities
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Revitalizes national emergency medical and emergency system
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Offer of free Caharsarean sections for poor and sensitive women.
Suggestion Free Cesareanean sections were very interested When declared in a global society.
What conditions are added to the free Caesarea scheme?
Pregnant women copy Write to the Nigerian National Health Insurance Scheme to access the free Caesaryare sections.
This is a double-edged sword.
Combining health insurance registration, the federal government and health facilities offer a free initiative to prevent some expenses to prevent. Nigerians with health insurance pay monthly premiums.
However, those who can’t afford the Cementa part, they do not subscribe to the insurance scheme. Before 2022 National Health Insurance Organization ActMedical insurance for all citizens and legal residents made the binding National registration in the health insurance scheme was only 3%. Most subscribers are working in the official sector. But There was only medical insurance in 19 Niggers in 100 In 2024.
Are there any countries with similar initiatives?
Some African countries have taken steps to improve access to vital maternity health interventions, including vital motherhood health interventions, including the importance of users, user rights, including the uniqueity section.
There are examples Benin, Burkina Faso, Ghana, Kenya, Commodity, Moroccan, Nigerand Senegal.
Although The impact of the policy of the maternal mortality of the free Caesaryean section policy It’s not definitive, it’s already higher Especially low-income, rural and less educated background prices of the Caisfaction.
Free Delivery and Caesaryian Section Policies in Ghana and Burkina Faso A The 54% decrease in baby death compared to Nigeria and Zambia, which does not exist in neonatal protection and no such politics. This shows that the benefits of such schemes are pregnancy and childbirth.
What do you need to ensure that politics is successful?
There are classes of countries implementing similar schemes.
Free “Free” Caesarye can cause more women to be determined as more women in Caesarye, because it can come to a higher price for pregnant women. Although a caesareaner can be saved, unnecessary operations are not recommended because it is not risky. Both vaginal birth and cementation should be considered “free”.
Free needs for free are free. Shares of drugs, blood and blood products and consumption materials can force people to get them to get them.
Skilled health personnel should follow the clear rules to assess whether a caesareaner is needed. Audit and opinions related to the use of the procedure will help determine the examples of exploitation or abuse.
There is a need to root the tidal of doctors and nurses who emigrate when they are taken care of pregnant women who can perform the procedure.
The Nigerian government will have to investigate innovative financing mechanisms to maintain its policy. With Recent financial cutting and retreat in foreign assistance from the United StatesIt is difficult to come from outside of help.
Increased incentives must be taken into account to access the scheme of approved private sector providers.
The scheme should be expanded to women on health insurance schemes based on the more likely society based on the financial shortages of poor families.
His implementation should be based on evidence for the scheme to succeed.
