PMID- 26455491
OWN - NLM
STAT- MEDLINE
DCOM- 20160627
LR  - 20191210
IS  - 1654-9880 (Electronic)
IS  - 1654-9716 (Print)
IS  - 1654-9880 (Linking)
VI  - 8
DP  - 2015
TI  - Monitoring maternal, newborn, and child health interventions using lot quality 
      assurance sampling in Sokoto State of northern Nigeria.
PG  - 27526
LID - 10.3402/gha.v8.27526 [doi]
AB  - BACKGROUND: Maternal mortality ratio and infant mortality rate are as high as 
      1,576 per 100,000 live births and 78 per 1,000 live births, respectively, in 
      Nigeria's northwestern region, where Sokoto State is located. Using applicable 
      monitoring indicators for tracking progress in the UN/WHO framework on continuum 
      of maternal, newborn, and child health care, this study evaluated the progress of 
      Sokoto toward achieving the Millennium Development Goals (MDGs) 4 and 5 by 
      December 2015. The changes in outcomes in 2012-2013 associated with maternal and 
      child health interventions were assessed. DESIGN: We used baseline and follow-up 
      lot quality assurance sampling (LQAS) data obtained in 2012 and 2013, 
      respectively. In each of the surveys, data were obtained from 437 households 
      sampled from 19 LQAS locations in each of the 23 local government areas (LGAs). 
      The composite state-level coverage estimates of the respective indicators were 
      aggregated from estimated LGA coverage estimates. RESULTS: None of the nine 
      indicators associated with the continuum of maternal, neonatal, and child care 
      satisfied the recommended 90% coverage target for achieving MDGs 4 and 5. 
      Similarly, the average state coverage estimates were lower than national coverage 
      estimates. Marginal improvements in coverage were obtained in the demand for 
      family planning satisfied, antenatal care visits, postnatal care for mothers, and 
      exclusive breast-feeding. Antibiotic treatment for acute pneumonia increased 
      significantly by 12.8 percentage points. The majority of the LGAs were 
      classifiable as low-performing, high-priority areas for intensified program 
      intervention. CONCLUSIONS: Despite the limited time left in the countdown to 
      December 2015, Sokoto State, Nigeria, is not on track to achieving the MDG 90% 
      coverage of indicators tied to the continuum of maternal and child care, to 
      reduce maternal and childhood mortality by a third by 2015. Targeted health 
      system investments at the primary care level remain a priority, for intensive 
      program scale-up to accelerate impact.
FAU - Abegunde, Dele
AU  - Abegunde D
AD  - United States Agency for International Development - John Snow Inc. Research and 
      Training, Inc. - Targeted States High Impact Project Nigeria; 
      dabegunde@tshipnigeria.org.
FAU - Orobaton, Nosa
AU  - Orobaton N
AD  - United States Agency for International Development - John Snow Inc. Research and 
      Training, Inc. - Targeted States High Impact Project Nigeria.
FAU - Shoretire, Kamil
AU  - Shoretire K
AD  - Jhpeigo - Targeted States High Impact Project Nigeria, Bauchi, Nigeria.
FAU - Ibrahim, Mohammed
AU  - Ibrahim M
AD  - United States Agency for International Development - John Snow Inc. Research and 
      Training, Inc. - Targeted States High Impact Project Nigeria.
FAU - Mohammed, Zainab
AU  - Mohammed Z
AD  - United States Agency for International Development - John Snow Inc. Research and 
      Training, Inc. - Targeted States High Impact Project Nigeria.
FAU - Abdulazeez, Jumare
AU  - Abdulazeez J
AD  - United States Agency for International Development - John Snow Inc. Research and 
      Training, Inc. - Targeted States High Impact Project Nigeria.
FAU - Gwamzhi, Ringpon
AU  - Gwamzhi R
AD  - United States Agency for International Development - John Snow Inc. Research and 
      Training, Inc. - Targeted States High Impact Project Nigeria.
FAU - Ganiyu, Akeem
AU  - Ganiyu A
AD  - United States Agency for International Development - John Snow Inc. Research and 
      Training, Inc. - Targeted States High Impact Project Nigeria.
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20151009
PL  - United States
TA  - Glob Health Action
JT  - Global health action
JID - 101496665
SB  - IM
MH  - Breast Feeding/statistics & numerical data
MH  - Child Mortality
MH  - Child, Preschool
MH  - Family Planning Services
MH  - Female
MH  - Global Health
MH  - Humans
MH  - Immunization/statistics & numerical data
MH  - Infant
MH  - *Infant Mortality
MH  - Infant, Newborn
MH  - Lot Quality Assurance Sampling/*methods
MH  - Male
MH  - *Maternal Mortality
MH  - *Maternal-Child Health Services
MH  - Nigeria/epidemiology
MH  - Outcome Assessment, Health Care
MH  - Pregnancy
MH  - Prenatal Care/standards
MH  - Preventive Health Services/standards
MH  - Program Evaluation
PMC - PMC4600711
OTO - NOTNLM
OT  - Nigeria
OT  - lot quality assurance sampling
OT  - maternal
OT  - monitoring and evaluation
OT  - newborn and child health
EDAT- 2015/10/13 06:00
MHDA- 2016/06/28 06:00
PMCR- 2015/10/09
CRDT- 2015/10/13 06:00
PHST- 2015/02/08 00:00 [received]
PHST- 2015/07/25 00:00 [revised]
PHST- 2015/08/18 00:00 [accepted]
PHST- 2015/10/13 06:00 [entrez]
PHST- 2015/10/13 06:00 [pubmed]
PHST- 2016/06/28 06:00 [medline]
PHST- 2015/10/09 00:00 [pmc-release]
AID - 27526 [pii]
AID - 10.3402/gha.v8.27526 [doi]
PST - epublish
SO  - Glob Health Action. 2015 Oct 9;8:27526. doi: 10.3402/gha.v8.27526. eCollection 
      2015.