尼日利亚尼日尔三角洲核心地区孕产妇死亡率的空间格局

Adedoyin Oluwatoyin Omidiji, Odafivwotu Ohwo
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摘要

产妇死亡率在许多发展中国家,特别是尼日利亚,仍然是一个严重的挑战。因此,本研究分析了尼日利亚尼日尔三角洲核心地区孕产妇死亡率的空间格局。回顾性数据来自各自州的一家政府医院和其他二手来源,为期8年(2010-2017年)。调查结果显示,巴耶尔萨州、三角洲州和河流州的孕产妇死亡率分别为每10万活产651.16例、每10万活产380.80例和每10万活产709.16例。根据Krustal Wallis统计结果24.472和p值0.000(即p<0.05),否定了原假设,即"研究地区产妇死亡率没有显著变化",因此保留了备选假设。这意味着三个州的产妇死亡率差异很大。尼日尔三角洲核心地区的产妇死亡率(MMR)为每10万活产625.9人,这一发现的含义是,如果不加以控制,高产妇死亡率将成为尼日尔三角洲核心地区妇女移民的推动因素,这将不可避免地导致政府收入下降。研究人员建议,政府、保健中心、妇女组织、宗教团体、非政府组织和其他利益攸关方应组织旨在提高公众对孕产妇保健认识的方案,应培训不合格/不熟练的保健人员,并加强政府在该地区的支持。
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The spatial patterns of maternal mortality in the core Niger Delta region of Nigeria
Maternal mortality still constitutes serious challenge in many developing countries, especially Nigeria. Hence, this study analyzed the spatial patterns of maternal mortality in the core Niger Delta of Nigeria. Retrospective data were sourced from a government hospital in the respective states and from other secondary sources for an 8-year period (2010-2017). The findings revealed that the ratio of maternal mortality for Bayelsa, Delta and Rivers States were 651.16 per 100,000 live birth, 380.80 per 100,000 live birth and 709.16 per 100,000 live birth, respectively. Based on the result of the Krustal Wallis statistics, of 24.472 and a p-value of 0.000, (i.e. p<0.05), the null hypothesis, which states, “there is no significant variation in maternal mortality ratio in the study area” was rejected and the alternative hypothesis was therefore retained. This implies a significant variation in the maternal mortality ratio across the three states. The Maternal Mortality Ratio (MMR) of 625.9 per 100,000 live births for the core Niger Delta region is very high, The implication of this finding is that if the high maternal mortality rate is unchecked, it will act as a push factor of migration of women from the core Niger Delta region, This will invariably lead to a drop in the revenue of the government. The researchers recommend that government, health centres, women organizations, religious groups, Non-Governmental Organization (NGO) and other stakeholders should organize programmes aimed at creating public awareness on maternal health, Unqualified/unskilled health personnel should be trained and Government’s support intensified in the region.
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