| Literature DB >> 8592770 |
J A Owa1, A I Osinaike, O O Makinde.
Abstract
Perinatal mortality rate (PNMR) at Wesley Guild Hospital (WGH), Ilesa, Nigeria, over a ten-year period was retrospectively analysed. The main objective was to determine the trends in the utilization of obstetric care and PNMR in the face of current economic difficulties in Nigeria and to make suggestions for improvement. The average PNMR over the period was 57.8/1000 births. There was a sharp rise in PNMR in 1985 to a peak of 110/1000 in 1987 (p < 0.0001). This was associated with a decline in utilization of maternity services, probably as a result of the introduction of fees for maternity services late in 1984 and increase in economic hardship in Nigeria. Actions are needed to improve enhanced access to obstetric care for the poor. These actions include: improvement in the economic conditions of the people, emphasis on primary health care (PHC) and early referral of high-risk pregnant women to tertiary units.Entities:
Keywords: Africa; Africa South Of The Sahara; Death Rate--changes; Delivery Of Health Care; Demographic Factors; Developing Countries; Economic Factors; English Speaking Africa; Fees; Fetal Death; Financial Activities; Health; Health Facilities; Health Services; Hospitals; Infant Mortality; Maternal Health Services; Maternal-child Health Services; Mortality; Neonatal Mortality; Nigeria; Organization And Administration; Population; Population Dynamics; Prenatal Care; Primary Health Care; Program Accessibility; Program Evaluation; Programs; Research Methodology; Retrospective Studies; Studies; Western Africa
Mesh：
Year: 1995 PMID： 8592770
Source DB: PubMed Journal: Trop Geogr Med ISSN： 0041-3232