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Aminu Magashi Garba , MBBS , MPH ( UK ) Kano , Nigeria GAmagashi@gmail

Understanding the level of Interaction and Participation of Key Players in addressing Maternal Mortality and Morbidity in Kano State through Stakeholder Analysis. Aminu Magashi Garba , MBBS , MPH ( UK ) Kano , Nigeria GAmagashi@gmail.com

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Aminu Magashi Garba , MBBS , MPH ( UK ) Kano , Nigeria GAmagashi@gmail

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  1. Understanding the level of Interaction and Participation of Key Players in addressing Maternal Mortality and Morbidity in Kano State through Stakeholder Analysis. Aminu Magashi Garba , MBBS , MPH ( UK ) Kano , Nigeria GAmagashi@gmail.com 3rd African Conference on Sexual Health and Rights , Abuja , Nigeria 4th -7th February 2008

  2. Objectives of the paper; • To inform the audience about the Key Players in Kano from 2004 – 2007 in addressing Maternal Morbidity and Mortality, their level of participation, interaction and resources. • To present the position and interest of each player with respect to addressing MMM. • To proffer recommendation that will enhance and strengthen participation and interaction among players in addressing MMM in Kano State.

  3. Background to the Study • Kano State is the most populous state in Nigeria (NPC 2006) with a population of about 9,383,682 people .Although accurate data on Maternal Mortality situation in Kano State is difficult to ascertain, recent population survey has put the Maternal Mortality Ratio in the state to be 2,420 per 100,000. This rate is one of the worst in the world and it compares poorly to the national average in the country of 948/100,000.

  4. The main barriers to women accessing health care • First Delay: Factors in the household and community that delay the decision to seek for care. • Second Delay: Logistical factors that delay a woman getting to a facility. • Third Delay: The promptness with which a woman is seen and treated once she reaches a health facility

  5. Health Sector Constrains according to K-SEED • Dilapidated Infrastructure and Lack of Equipment and materials • Poor supply of drugs and vaccines and ineffective and inefficient managerial system and inadequate essential support services such as laboratories , X rays equipment and blood banks • Acute shortage of trained health care providers such as Doctors, midwives, traditional birth attendants (TBAs) and other trained health workers.

  6. The Safe Motherhood Initiative • This is a Kano State Ministry of Health Initiative being supported by Partnership for Transforming Health System (PATHS) a DFID funded Project that commences in 2004/5. • Supply Side : Improving Services • Demand Side : Targeting communities to be raising demand towards reducing delays of accessing Emergency Maternal Care.

  7. Key Players • Ministry of Health • Ministry for Local Governments • Local Governments where activities are being implemented . • PATHS/DFID • NGOs (Community Health and Research Initiative, Sustainable Development Initiative Centre, Grass Root Health Organisation of Nigeria) • National Union of Road Transport Workers • Communities

  8. Research Methods • Stakeholder Analysis was done through Semi – Structured Interviews and Review of Literature. • Stakeholder Analysis: It was used in order to understand those that contributed, participated or opposed the implementation of the SMI. Groups with interest, or who played a critical role in making it and those who might be affected by the Initiative.

  9. Identifying the Players • Assessing their Resources ( Tangible such as Finance and Infrastructure ; Intangible such as access to Media and People ) • Understanding their position and interests with respect to the Safe Motherhood Initiative . • Based on that a table is created with data including position and power (Position Map).

  10. Discussion/Key Findings • The Key players were; State Ministry of Health, , Non Governmental Organisations, Communities, NURTW , PATHS/DFID • The Strength varies in terms of resources (financial and human), skills and motivation to achieve set targets as well as mandate. • Interest of Key Players vary

  11. Recommendations • Communities need to be empowered through trainings and mobilisation. • NGOs need to be strengthened on Organisation development to address weak structures and improve funding capacity. • The State Government need to improve budgetary allocation to Safe Motherhood Initiative . ( Budget Advocacy and Monitoring ) • More players need to encourage to support the Initiative such as Health Professional Bodies and Religious Leaders

  12. Thank you for Listening

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