How to improve access to maternal health
Many stakeholders working to improve maternal health have observed and argued that some women in Nigeria prefer delivery at traditional birth homes to hospitals, yet the TBAs are not skilled or trained to deliver women during complications.
It is understandable that many experts would see this
In a recent investigation on barriers women face in accessing health care in Nigeria, the NOTAGAIN Editorial team found that some experts have already begun asking a critical question about why women fail to return to health care facilities or a skilled provider to deliver their babies after attending antenatal care.
One of such expert is Dr. Kole Shettima, the Director, MacArthur Foundation's
Attitude of Health workers:
Attitude of health workers is one of the several factors women complained about as challenges in accessing health care in Nigeria. According to the NDHS 2013, about 16.5 percent of women said attitude of health workers was reason why they did not access care. Attitudes of health workers could mean treatment meted out to patients, opening and closing hours, and so on. It is a fact that pregnancy doesn’t give notice and emergency could occur at any time of the day - whether it is 2am or 2pm. Thus, it becomes imperative for hospitals to be functional throughout the day.
Quality of Service
According to Dr. Kole, some Nigerians travel outside the country to seek medical attention. Nigerians have been reported attending care in Niger, Chad, Cameroon, India, South Africa, America and others. Thus, it essential to know why they do that, what kind of services they offer, and what should be done to enable them to stay in Nigeria.
He said, "maybe there are certain things that they do there in terms of convenience of services, attitude of the health workers, even the security guard or the person who on/off the generator in clinics and hospital."
The heath system is expected to be accountable to its citizens and make it possible for them to work. According to Dr. Kole, there is a need for enquiry into the death of every single woman whose death
He said, "
"So there are all kinds of little things that could contribute to the death of the person but if you can have a system that is not punitive. What you don't want to do is to punish the person. What you want to have is a system of a confidential inquiry in which you would say if a woman dies, we need a report. Why did she die? Once she came to the hospital, what are the things that we did? and what are the things we didn’t do? Maybe that will help us in order to prevent the system from failing in the future" he added.
Furthermore, Dr. Shettima believes that a lot of these that needed adjustment in the system may not necessarily require big money but