{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T16:28:31Z","timestamp":1759422511465},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2007,2,19]],"date-time":"2007-02-19T00:00:00Z","timestamp":1171843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:p><jats:bold>Objective\u2002<\/jats:bold> To determine the level of maternal care in Northern Nigeria.<\/jats:p><jats:p><jats:bold>Design\u2002<\/jats:bold> A cross\u2010sectional descriptive study design was used.<\/jats:p><jats:p><jats:bold>Setting\u2002<\/jats:bold> The Study was Community based and carried out in the ten states that constitute UNICEF D zone in northeast Nigeria.<\/jats:p><jats:p><jats:bold>Population\u2002<\/jats:bold> Women who delivered in the 11 months preceding the survey and resident in the study area.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> The WHO cluster sampling methodology was used to draw a sample of 210 eligible women in each of the 10 local government areas (LGAs).<\/jats:p><jats:p><jats:bold>Main outcome measures\u2002<\/jats:bold> Utilization of antenatal care (ANC) services, tetanous toxoid immunization, skilled attendant at delivery and postnatal care.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Majority of the respondents, 73.2%, were between the ages 20 and 34 years. Overall, 50% of the women attended antenatal clinics during their last pregnancy, with a range of ANC coverage by LGA of 14.0\u201381.0%. The proportion of women who booked in the first, second and third trimesters was 22.8, 63.0 and 14.2%, respectively. The antenatal services offered ranged from 95.7% for abdominal examination to 41.2% for urine examination. Sixty percent of the women received no tetanus toxoid in their last pregnancy, 11% had one dose and 29% had at least two doses. Home delivery was still the norm throughout the zone with 1791 (85.3%) delivering at home. Up to 80.5% of the deliveries were supervised by personnel with no verifiable training in sanitary birthing techniques. Only 11.4% (233) of those who received ANC had postnatal check\u2010up.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> Maternal health care as evidenced above is far from the ideal. Likewise, the commitment of the 5th Millennium Development Goal is extremely far\u2010reaching: to reduce the maternal mortality ratio by 75% by the year 2015 with this level of maternal care.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2007.01229.x","type":"journal-article","created":{"date-parts":[[2007,2,19]],"date-time":"2007-02-19T12:28:19Z","timestamp":1171888099000},"page":"448-452","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Maternal health in Northern Nigeria\u2014a far cry from ideal"],"prefix":"10.1111","volume":"114","author":[{"given":"HS","family":"Galadanci","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CL","family":"Ejembi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z","family":"Iliyasu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Alagh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"US","family":"Umar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,2,19]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.2307\/3583426"},{"key":"e_1_2_7_3_2","volume-title":"Revised 1990 Estimates of Maternal Mortality. 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