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.com
Volume 8
Journal of Community Medicine & Health Education
Public Health Congress 2018
July 23-24, 2018
July 23-24, 2018 Melbourne, Australia
5
th
World Congress on
Public Health, Nutrition & Epidemiology
Ibrahim Suleiman et al., J Community Med Health Educ 2018, Volume 8
DOI: 10.4172/2161-0711-C3-038
Frontline health workers profiling of Maternal and New-born Care (MNCH) burden in local
communities in Nigeria: A case study of Bauchi and Cross River State
Ibrahim Suleiman, Godwin Unumeri, Ekechi Okereke and George Eluwa
Population Council, Nigeria
Statement of the Problem:
Women and children are faced with a huge disease burden in local communities where Frontline
Health Workers (FLHWs) deliver maternal, newborn and child health services.
Methodology & Theoretical Orientation:
To find out about the disease burden with a view to designing appropriate
interventions towards empowering FLHWs to respond to the situation. A house hold survey was conducted among 1,548
respondents in selected LGAs of Bauchi and Cross River States (CRS), as part of a need assessment that took place in host
communities. The data was analyzed using SPSS software.
Findings:
Reported illnesses among women were diseases (Bauchi: 20.9%; CRS: 8.4%), eclampsia (Bauchi: 5.2%; CRS:
0.2%), 41.4% were treated in PHCs and 33.3% in chemists with recovery rates (Bauchi, 54.2%; CRS 51.2%) and reported
client satisfaction (Bauchi: 91.5%; CRS: 69.4%). Newborn and under-fives mainly suffered from watery stool (Bauchi: 36.5%;
CRS: 10.9%), treated at PHC (Bauchi: 22.4%; CRS: 18.5%) and responded to treatment (Bauchi: 29.8%; Cross River: 33.2%)
and to household satisfaction (Bauchi 55.6%, CRS: 39.3%). For under-fives’ illnesses report included fever (Bauchi: 55.6%;
CRS: 49.8%), cough with catarrh (Bauchi: 24.8%; CRS: 37.0%) and watery stool (Bauchi: 17.8%; CRS: 10.8%) with treatment
occurring in PHCs (Bauchi: 29.5%) and patent medicine vendors (CRS: 28.3%). Successfully treated under-fives (CRS: 56.2%;
Bauchi: 40.6%) to household satisfaction (Bauchi: 66.2%; CRS: 62.4%). Deaths occurred among women 64% (Bauchi: 53.1%:
CRS: 46.9%), due to wish of god (Bauchi: 38.2%), diseases (CRS: 46.7%), inadequate FLHWcare in (Bauchi 41.2%) and spiritual
attacks (CRS 73.3%). Newborns and under-fives died 79% (Bauchi 67.1% CRS 32.9%) from unknown causes (Bauchi: 41.5%;
CRS: 30.8%) and wish of God (Bauchi, 88.7%; CRS 38.5%).
Conclusion & Significance:
Knowledge of household disease burden and perception of the causes of death will help in
designing effective interventions for FLHWs to mitigate maternal and child health related diseases.
Biography
Ibrahim Suleiman has his expertise in health system strengthening, human resource for health and research. He is also a Reproductive Health Specialist working
towards strengthening the health sector in collaboration with the Nigerian Government.
isuleiman@popcouncil.org