BBC's Africa Health Correspondent, Dorcas Wangira, discusses the challenges of maternal healthcare in Nigeria and Kenya, highlighting the causes of maternal deaths and prevention efforts. The podcast also features Isata Dumbuya, a midwife from Sierra Leone, sharing the success of reducing maternal mortality rates by 60% through improved healthcare initiatives.
Factors contributing to high maternal mortality in Nigeria include low doctor to patient ratio and reliance on traditional healers.
Sierra Leone's successful reduction of maternal mortality by 60% was achieved through strategies like increasing healthcare staff and resources.
Deep dives
Maternal Mortality in Africa: Nigeria's Challenges
Nigeria, despite its relative wealth, faces challenges in maternal healthcare due to a low doctor to patient ratio, healthcare workers leaving the country, and issues like severe bleeding and obstructed labor leading to maternal deaths. Factors like late visits to health clinics and reliance on traditional healers exacerbate the problem, contributing to Nigeria's high maternal mortality rates.
Maternal Mortality in Africa: Kenya's Increase
Kenya has seen a 55% rise in maternal mortality rates from 2017 to 2020, attributed to factors like a 100-day healthcare worker strike affecting care, late visits, and preference for traditional birth attendants over skilled hospital workers. Poor infrastructure and lack of awareness also contribute to maternal deaths in Kenya.
Success in Reducing Maternal Deaths: Sierra Leone's Progress
Sierra Leone, formerly one of Africa's highest in maternal mortality, achieved a 60% reduction by 2020. Strategies like increasing healthcare staff, training nurses and midwives, providing resources and ambulances, and building a new maternal center of excellence have contributed to this significant decline, with a commitment to further improve maternal healthcare in the country.
Despite the latest data showing fewer women are dying in childbirth globally, maternal mortality remains a huge issue for women across Africa. The World Health Organization says that more than two thirds of maternal deaths across the world happen in the continent. Chad and South Sudan rank the highest for maternal mortality, followed by Nigeria, one of the richest countries in Africa.
Dorcas Wangira, the BBC’s Africa Health Correspondent, explains the major causes of maternal death and what efforts are being made towards prevention and reducing rates. She also tells us about the specific issues faced by Nigeria and Kenya.
Plus, we speak to Isata Dumbuya, a trained midwife who moved back to Sierra Leone from the UK to improve maternal healthcare. Sierra Leone successfully reduced their maternal mortality rate by 60% and she describes exactly how they achieved this.