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I guess I'm late here, there are a number of factors that make maternal and infant mortality an issue in Northern Nigeria. One is the culture an tradition another is poverty and illiteracy. On the other hand, there is inadequate healthcare facilities and or workers at the rural areas or general in accessibility at times of real medical emergencies. If all the above factors are not a problem, then one of the others would be. I've interacted with women, husbands, mother in laws about the issue of ante natal and hospital delivery. You find that the husband family due to fear of what might be spent at the hospital make them stop the expectant mother from having a health worker attending to her.
I remember there was a program by Population and Reproductive Health Partnership in collaboration with University of Berkeley, Ahmadu University Teaching Hospital, Zaria, and a host of others took to the use of "Misoprostol" in women to stop post partum hemorrhage. It helped in reducing maternal mortality.
The use of SMS Technology to Facilitate Community Based Surveillance of Maternal &Newborn Health in Rural Communities in Northern Nigeria.