Synergies in video edutainment: Child spacing and regional training for rollout in Bauchi, Nigeria (IMCHA)
Nigeria has one of the highest rates of maternal mortality in the world. Maternal mortality is especially high in Bauchi State, where, according to a recent survey, only 16% of women had a qualified attendant for their last delivery, and only 40% had four or more visits to a government facility before delivery (four visits is the minimum standard set by UNICEF and the World Health Organization). Both national and state governments have identified maternal mortality as a priority issue, with a particular focus on strengthening primary healthcare services to improve maternal and child health.
One of the key strategies for reducing maternal and child mortality is child spacing. This project, a partnership between the Royal Institution for the Advancement of Learning/McGill University and the Federation of Muslim Women Association in Nigeria, will develop and test a culturally appropriate home-visit intervention focusing on child spacing and the use of contraception. This home-visit approach, using portable video-education technologies, is now in use to reach the most vulnerable population. It will be expanded to all pregnant women and their spouses. Visits will cover information on safer pregnancy and delivery and will support couples to adopt safer behaviours in child spacing using culturally relevant practices. The project will further work with state governments, in particular the Bauchi State Primary Health Care Development Agency, to equip a critical mass of government officers with the necessary skills and tools for effective management, supervision, and monitoring of such a program.
This project is funded by the Innovating for Maternal and Child Health in Africa program. It is a seven-year $36 million initiative funded by Global Affairs Canada, IDRC, and the Canadian Institutes of Health Research.
Causes of short birth interval (kunika) in Bauchi State, Nigeria : systematizing local knowledge with fuzzy cognitive mapping
In Bauchi State (northern Nigeria), “kunika” describes a short interval between successive births, understood as becoming pregnant again before the previous child is weaned. Participants of the study mapped common causes of kunika: frequent sex; not using modern or traditional contraception; and family dynamics. Women indicated forced sex as an important cause, but men focused on lack of awareness about contraception and fear of side effects. Promoting contraception is unlikely to be enough on its own to reduce kunika. The summary maps can help local stakeholders to co-design culturally safe ways of reducing kunika.
Author(s): Sarmiento, Ivan, Ansari, Umaira, Omer, Khalid, Gidado, Yagana, Baba, Muhammad Chadi, Gamawa, Adamu Ibrahim, Andersson, Neil, Cockcroft, Anne
Factors associated with short birth interval in low- and middle-income countries : a systematic review
Short birth interval is more common among women in low- and middle-income countries. Identifying actionable aspects of short birth interval is necessary to address the problem. The review concludes that research has most commonly explored education and age of the mother, previous pregnancy outcome, breastfeeding, contraception, socioeconomic level, parity, and sex of the preceding child. A shorter time breastfeeding and the female children were the only factors consistently associated with short birth intervals. The quantitative and qualitative studies reported largely non-overlapping results.
Author(s): Pimentel, Juan, Ansari, Umaira, Omer, Khalid, Gidado, Yagana, Baba, Muhd Chadi, Andersson, Neil, Cockcroft, Anne