Matern Child Health J. 2010 Nov;14(6):978-86.
Predictors of preterm births and low birthweight in an inner-city hospital in sub-Saharan Africa.
Olusanya BO, Ofovwe GE.
Maternal and Child Health Unit, Department of Community Health and Primary Care, College of Medicine, University of Lagos, Lagos, Nigeria. firstname.lastname@example.org
Adverse birth outcomes remain significant contributors to perinatal mortality as well as developmental disabilities worldwide but limited evidence exists in sub-Saharan Africa based on a conceptual framework incorporating neighborhood context. This study therefore set out to determine the prevalence and risk factors for preterm births and low birthweight in an urban setting from this region.
Most maternity medical centres in Nairobi are no more than death traps, lacking in facilities, medicines and human skills.
A study carried out by the Nairobi-based African Population and Health Research Centre, the World Bank and two UK universities — Southampton and Liverpool John Moores — found high maternal deaths related to poor medical services.
In a study published in the Journal of Reproductive Health, the researchers surveyed 25 health centres in Korogocho, Viwandani and surrounding areas and found that not only were medicines, human skills and equipment lacking, but these centres are not supervised by any government authority.
Journal of Urban Health, Feb 2010.
Women’s Reproductive Health in Slum Populations in India: Evidence From NFHS-3
Indian Institute of Public Health, Delhi, India
The urban population in India is one of the largest in the world. Its unprecedented growth has resulted in a large section of the population living in abject poverty in overcrowded slums. There have been limited efforts to capture the health of people in urban slums. In the present study, we have used data collected during the National Family Health Survey-3 to provide a national representation of women’s reproductive health in the slum population in India.
We examined a sample of 4,827 women in the age group of 15–49 years to assess the association of the variable slum with selected reproductive health services. We have also tried to identify the sociodemographic factors that influence the utilization of these services among women in the slum communities. All analyses were stratified by slum/non-slum residence, and multivariate logistic regression was used to analyze the strength of association between key reproductive health services and relevant sociodemographic factors.
We found that less than half of the women from the slum areas were currently using any contraceptive methods, and discontinuation rate was higher among these women. Sterilization was the most common method of contraception (25%). Use of contraceptives depended on the age, level of education, parity, and the knowledge of contraceptive methods (p < 0.05). There were significant differences in the two populations based on the timing and frequency of antenatal visits. The probability of ANC visits depended significantly on the level of education and economic status (p < 0.05).
We found that among slum women, the proportion of deliveries conducted by skilled attendants was low, and the percentage of home deliveries was high. The use of skilled delivery care was found to be significantly associated with age, level of education, economic status, parity, and prior antenatal visits (p < 0.05). We found that women from slum areas depended on the government facilities for reproductive health services. Our findings suggest that significant differences in reproductive health outcomes exist among women from slum and non-slum communities in India. Efforts to progress towards the health MDGs and other national or international health targets may not be achieved without a focus on the urban slum population.