ArticleBMC pregnancy and childbirth2017
High maternal mortality in Jigawa State, Northern Nigeria estimated using the sisterhood method.
Article in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01487707 (Strengthening the Midwife Service Scheme With Community Focused Interventions), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Strengthening the Midwife Service Scheme With Community Focused Interventions: Evidence From a Randomized Controlled Field Trial in Nigeria
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Pregnancy-related acute kidney injury in the African continent: where do we stand? A systematic review.Journal of nephrology · 2022Pooled it
- Trial
- Abortion in Africa: diverging paths of DR Congo and Nigeria under the Maputo Protocol.BMJ global health · 2026Review
- Commonest causes of maternal mortality in Nigeria: a situational report requiring an urgent action.Reproduction & fertility · 2026Review
- Trend and social determinants of non-facility births in Northwestern Nigeria: pooled analysis of demographic and health survey 2003-2018.BMC public health · 2026Article
- Results from a maternal, newborn and child health program targeting pregnant, married adolescent girls in northern Nigeria.PLOS global public health · 2026Article
- Necrotizing soft tissue infection of the abdominal wall following vaginal delivery in a ruptured uterus: a case series from Nigeria.Journal of surgical case reports · 2025Article
- "I went to the primary health centre close to my workplace, but their capacity cannot deliver the baby": exploring why women choose different providers for maternal health services in Nigeria.BMC pregnancy and childbirth · 2025Article
- Non-utilisation of postpartum services in northwestern Nigeria: analyses of trend and social determinants from 2003 to 2018.BMJ open · 2025Article
- Role of men in women's health service utilisation in northern Nigeria: a qualitative study of women, men and provider perspectives.BMJ open · 2024Article
- High severity of abortion complications in fragile and conflict-affected settings: a cross-sectional study in two referral hospitals in sub-Saharan Africa (AMoCo study).BMC pregnancy and childbirth · 2023Article
- Article
- Trends in and predictors of pregnancy termination among 15-24 year-old women in Nigeria: a multi-level analysis of demographic and health surveys 2003-2018.BMC pregnancy and childbirth · 2020Article
- "That's a woman's problem": a qualitative analysis to understand male involvement in maternal and newborn health in Jigawa state, northern Nigeria.Reproductive health · 2019Article
- Mitigating Gender and Maternal and Child Health Injustices through Faith Community-Led Initiatives.International journal of MCH and AIDS · 2019Article
- Maternal mortality ratio in selected rural communities in Kebbi State, Northwest Nigeria.BMC pregnancy and childbirth · 2018Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal mortality is extremely high in Nigeria. Accurate estimation of maternal mortality is challenging in low-income settings such as Nigeria where vital registration is incomplete. The objective of this study was to estimate the lifetime risk (LTR) of maternal death and the maternal mortality ratio (MMR) in Jigawa State, Northern Nigeria using the Sisterhood Method.
methodsInterviews with 7,069 women aged 15-49 in 96 randomly selected clusters of communities in 24 Local Government Areas (LGAs) across Jigawa state were conducted. A retrospective cohort of their sisters of reproductive age was constructed to calculate the lifetime risk of maternal mortality. Using most recent estimates of total fertility for the state, the MMR was estimated.
resultsThe 7,069 respondents reported 10,957 sisters who reached reproductive age. Of the 1,026 deaths in these sisters, 300 (29.2%) occurred during pregnancy, childbirth or within 42 days after delivery. This corresponds to a LTR of 6.6% and an estimated MMR for the study areas of 1,012 maternal deaths per 100,000 live births (95% CI: 898-1,126) with a time reference of 2001.
conclusionsJigawa State has an extremely high maternal mortality ratio underscoring the urgent need for health systems improvement and interventions to accelerate reductions in MMR.
trial registrationThe trial is registered at clinicaltrials.gov ( NCT01487707 ). Initially registered on December 6, 2011.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.