The government hospitals are in some cases prohibitive, and off the reach of regular people, we have significantly worked on educating people on the significance of using modern health facilities for delivery but their socio-economic milieu doesn’t make that decision easy.
People are poor, find it hard to save and can’t afford the costs at these facilities, also the bureaucratic bottlenecks of registering and accessing services are also pushing people away so they eventually end up with charlatans and untrained Traditional Birth Attendants whom they can pay and who show them good customer service, and we are back to square one.
Having a productive generation is highly intertwined with the quality of care received by the mother, including when she is pregnant and also at delivery. We are mortgaging our future by having more children delivered in unsafe conditions.
I wrote about this here (https://link.medium.com/60r7VBwoVV) highlighting the link between child birth, healthcare, poverty and economic growth.
Above all, we won’t really see any significant change in the healthcare sector including Maternal Mortality till the quality of governance improves. No sector seems to work effectively for the citizens in the country, education, security etc are all suffering. Solving this Maternal Mortality issue has at its root an importance of working towards ensuring good governance and holding the government to task. The private sector won’t take us far, the government needs to get its acts together if we will ever buck the trend.
HIFA profile: Owoyemi Ayomide is a medical doctor and Public Health practitioner, He currently works as a technical associate with an NGO working on HIV/AIDS care in Nigeria. He is also a Carrington Youth fellow. Professional interests: Maternal and Child health, Health education, Health financing. ayomideowoyemi AT gmail.com