Date of Conferral

2021

Degree

Doctor of Public Health (DrPH)

School

Public Health

Advisor

John D. Oswald

Abstract

Approximately 529,000 women die from pregnancy-related causes every year, with 99% of these maternal deaths occurring in developing countries. Each year, about 59,000 maternal deaths occur in Nigeria, with a mortality rate of 576 deaths per 100,000 births. Women constitute about half of the 33.2 million internally displaced persons (IDPs) worldwide. The purpose of this retrospective cross-sectional study was to explore the association between the reproductive health factors and maternal mortality of internally displaced women in Borno state, Nigeria. McCarthy and Maine’s model for determinants of maternal mortality informed this study. A secondary dataset of 400 women (age 14-49 years) who died from pregnancy or its complication and those alive in the IDP camp clinic and specialist hospital between 2016 and 2020 were used. Data were analyzed using descriptive and inferential statistics, chi-square, and binominal logistic regression. The findings showed that not attending at least four antenatal care (ANC) and postnatal care (PNC) visits increase the odds of maternal deaths by 1.75 and 0.28 times, respectively. The use of the family planning method reduces the odds of maternal death by a factor of 0.73. Also, the findings showed that women living in IDP camps have a higher risk of maternal death than women living in their homes. Also, the risk of maternal death was high among adolescent mothers between the ages of 14-19 years in Nigeria. Findings from this study will draw the legislature's attention to develop policies towards improving access to reproductive health services in the IDP camps. It would also address the issue of health inequality leading to positive social change.

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