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152. Community study of maternal mortality in South West Nigeria: how applicable is the sisterhood method

Author

Adegoke, Adetoro A., Campbell, Malcolm, Ogundeji, Martins O., Lawoyin, Taiwo O., and Thomson, Ann M.

Subjects
Women -- Health aspects, Mothers -- Patient outcomes, Health care industry
Abstract

A significant reduction in maternal mortality was witnessed globally in the year 2010, yet, no significant reduction in the maternal mortality ratio (MMR) in Nigeria was recorded. The absence of accurate data on the numbers, causes and local factors influencing adverse maternal outcomes has been identified as a major obstacle hindering appropriate distribution of resources targeted towards improving maternal healthcare. This paper reports the first community based study that measures the incidence of maternal mortality in Ibadan, Nigeria using the indirect sisterhood method and explores the applicability of this method in a community where maternal mortality is not a rare event. A community-based study was conducted in Ibadan using the principles of the sisterhood method developed by Graham et al. for developing countries. Using a multi-stage sampling design with stratification and clustering, 3,028 households were selected. All persons approached agreed to take part in the study (a participation rate of 100%), with 2,877 respondents eligible for analysis. There was a high incidence of maternal mortality in the study setting: 1,324/6,519 (20.3%) sisters of the respondents had died, with 1,139 deaths reportedly related to pregnancy, childbirth or the puerperium. The MMR was 7,778 per 100,000 live births (95% CI 7,326-8,229). Adjusted for a published Total Fertility Rate of 6.0, the MMR was 6,525 per 100,000 live births (95% CI 6,144-6,909). Women in Ibadan were dying more from pregnancy related complications than from other causes. Findings of this study have implications for midwifery education, training and practice and for the first time provide policy makers and planners with information on maternal mortality in the community of Ibadan city and shed light on the causes of maternal mortality in the area. Keywords Maternal mortality * Deaths of women * Nigeria * Maternal death * Sisterhood method, Introduction Twenty-four years after the landmark publication that drew attention to the neglected tragedy of maternal mortality [1], women continue to die during pregnancy, childbirth and the puerperium in unacceptably [...]

Published
2013
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165. Additional file 1 of The good, the bad, and the environment: developing an area-based measure of access to health-promoting and health-constraining environments in New Zealand

Author

Marek, Lukas, Hobbs, Matthew, Wiki, Jesse, Kingham, Simon, and Campbell, Malcolm

Abstract

Additional file 1: Geo-FERN (Geographic Information System Food Environment ReportiNg) Checklist. Figure S1. Boxplots (with jittered individual values) of distance (km) to health-constraining environmental ‘bads’ and health-promoting environmental ‘goods’ by decile of area-level deprivation. The y-axis has been transformed (pseudo-log) to cover full range of values.

Published
2021
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181. Rising farm costs, marginal land cropping, and ecosystem service markets

Author

Esch, Ellen, primary, McCann, Kevin, additional, Kamm, Caroline, additional, Arce, Bernal, additional, Carroll, Oliver, additional, Dolezal, Aleksandra, additional, Mazzorato, Annalisa, additional, Noble, Dan, additional, Fraser, Evan, additional, Fryxell, John, additional, Gilvesy, Bryan, additional, Krumholz, Sam, additional, Campbell, Malcolm, additional, and Macdougall, Andrew, additional

Published
2021
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184. A scoping review of the digital agricultural revolution and ecosystem services: implications for Canadian policy and research agendas

Author

Green, Arthur G., primary, Abdulai, Abdul-Rahim, additional, Duncan, Emily, additional, Glaros, Alesandros, additional, Campbell, Malcolm, additional, Newell, Rob, additional, Quarshie, Philip, additional, KC, Krishna Bahadur, additional, Newman, Lenore, additional, Nost, Eric, additional, and Fraser, Evan D. G., additional

Published
2021
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