As World Health Day on April 7, 2025, draws near, global attention is turning to one of the most pressing public health crises: maternal mortality. The World Health Organization’s (WHO) theme for this year, “Healthy Beginnings, Hopeful Futures,” highlights the importance of maternal and newborn health. It serves as a call to action to eliminate preventable deaths related to pregnancy and childbirth while prioritizing the long-term well-being of women.
The Dire State of Maternal Mortality in Nigeria
While childbirth can bring joy, for too many women worldwide, it ends in tragedy. Maternal mortality, the death of a woman during pregnancy or shortly after, remains a major challenge. In 2020, nearly 800 women died every day from pregnancy-related causes, with almost 95% of these deaths occurring in low-income countries. Sub-Saharan Africa, in particular, saw alarmingly high rates, with countries like Nigeria, South Sudan, and Chad leading the grim statistics.
Nigeria’s maternal mortality rate stood at 1,047 deaths per 100,000 live births in 2020, with women facing a lifetime risk of 1 in 19 of dying due to pregnancy complications, vastly higher than the 1 in 4,900 risk in developed nations.
The majority of these deaths are preventable. In Nigeria, conditions such as hypertension, sepsis, hemorrhage, and anemia account for most cases, compounded by systemic delays in seeking and receiving care. Lack of infrastructure, poverty, early marriage, and gender inequality exacerbate the issue, making safe childbirth a distant hope for many.
Pathways to Reducing Maternal Deaths: Strategies for Change
In response, the Nigerian government has rolled out plans to improve maternal health services, including expanding access to healthcare facilities and deploying skilled birth attendants. States like Ondo have launched initiatives like the “Abiye” program, aimed at increasing access to skilled care. Yet, despite these efforts, implementation challenges such as funding shortages, lack of skilled personnel, and mistrust in the healthcare system persist.
To reverse these troubling trends, a comprehensive approach is needed. Strengthening healthcare systems, ensuring regular antenatal care, increasing the number of trained birth attendants, and improving healthcare infrastructure are essential steps. Additionally, combating poverty and addressing gender inequality are critical for empowering women to make informed health decisions.
At the community level, increased engagement, particularly with traditional leaders, can help break down cultural barriers that prevent women from seeking necessary care. Collaboration between government bodies, international organizations, and NGOs will also play a key role in tackling this issue.
Maternal mortality is not just a health problem; it’s a reflection of broader societal inequalities. With sustained investment, political will, and community involvement, Nigeria can achieve the goal of safe, dignified childbirth for every woman. The time to act is now.
