The Midwife's Multi-dimensional Responsibilities in Child Health in Nigeria: A Mini-review
Published: 2023-04-17
Page: 130-137
Issue: 2023 - Volume 6 [Issue 1]
Daisy Amen Briggs *
African Centre for Excellence Public Health and Toxicology Research (ACEPUTOR), University of Port Harcourt, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Maternal and child health is a crucial indicator of the overall health of a population. In Nigeria, there is a high rate of maternal and child mortality, with the majority of these deaths being preventable. Midwives play an essential role in providing care during pregnancy, childbirth, and the postnatal period, and are key to improving maternal and child health outcomes in Nigeria. This mini-review aimed to provide an overview of the role of midwives in child health in Nigeria, in the 21st century.
Methods: A web search was conducted using Google Scholar and PubMed databases. The search terms used were “midwives,” “child health,” “Nigeria,” and “responsibilities,” using Boolean operators. The search was limited to free full text articles published in the English Language between 2010 and 2022. The search yielded a total of 2,927 articles, and after screening the titles and abstracts, 12 full-text articles were used to inform this mini-review using a thematic approach.
Results: The articles reviewed indicate that Midwives' responsibilities in child health in Nigeria are diverse and were broadly categorized into nine areas: antenatal care, intrapartum care, postnatal care, promoting community health, family planning, promoting infant feeding and nutrition, providing immunizations, identifying and managing simple childhood illnesses (pneumonia, diarrhoea, and malaria), and promoting maternal and child health education. Midwife responsibilities were also summarised into preventative or curative activities.
Conclusion: Midwives are key players in promoting child health in Nigeria. They have a wide range of responsibilities in child health, including providing antenatal care, attending to deliveries, providing postnatal care, promoting infant feeding and nutrition, providing immunizations, and managing childhood illnesses. In addition, midwives play a crucial role in reducing maternal and neonatal mortality through the provision of emergency obstetric and newborn care services. Efforts to improve child health outcomes in Nigeria must include strategies to enhance the role of midwives in the healthcare system.
Keywords: Child health, midwife, Nigeria, preventive, responsibilities, roles
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References
Renfrew MJ, McFadden A, Bastos MH, Campbell J, Channon AA, Cheung NF, et al. Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. The Lancet. 2014;384(9948):1129–1145.
Ritchie H. How many people die and how many are born each year? Our World in Data; 2019.
Available:https://ourworldindata.org/births-and-deaths. Accessed 3 July 2022.
WHO. Strengthening quality midwifery education for Universal Health Coverage 2030: framework for action. Geneva: World Health Organization; 2019.
Forbes A, While A, Ullman R, Murgatroyd B. The contribution of nurses to child health and child health services: findings of a scoping exercise. J Child Health Care. 2007;11(3):231–247.
Adewemimo AW, Msuya SE, Olaniyan CT, Adegoke AA. Utilisation of skilled birth attendance in Northern Nigeria: A cross-sectional survey. Midwifery. 2014;30(1):e7–e13.
Nasir N, Aderoba AK, Ariana P. Scoping review of maternal and newborn health interventions and programmes in Nigeria. BMJ Open. 2022;12(2):e054784.
AWHONN. Role of the Registered Nurse in the Care of the Pregnant Woman Receiving Analgesia and Anesthesia by Catheter Techniques. J Obstet Gynecol Neonatal Nurs. 2020;49(3):327–329.
Dasbach IB. The Roles of Midwives and Community Health Workers | Health and Culture in Nicaragua. Health and Culture in Nicaragua Dartmouth College LACS 20: The Politics of Development; 2013.
Available:https://journeys.dartmouth.edu/burdondasbach_lacs20_fa15/final-project/the-roles-of-midwives-and-community-health-workers/comment-page-1/. Accessed 13 April 2023.
Tabish SA. Role of Midwives in Maternal & Child Health. 2012.
Adebayo O. Midwives are a lifeline for better maternal health, Nigeria must invest in them: OpEd. Nigeria Health Watch; 2020. Available:https://articles.nigeriahealthwatch.com/midwives-are-a-lifeline-for-better-maternal-health-nigeria-must-invest-in-them-oped/. Accessed 13 April 2023.
WHO. WHO Recommended interventions for improving maternal and newborn health: Integrated Management of Pregnancy and Childbirth; 2009. Available:https://apps.who.int/iris/bitstream/handle/10665/69509/WHO_MPS_07.05_eng.pdf?sequence=1. Accessed 13 April 2023.
Abimbola S, Okoli U, Olubajo O, Abdullahi MJ, Pate MA. The Midwives Service Scheme in Nigeria. PLoS Med. 2012;9 (5):e1001211.
Nove A, Friberg IK, de Bernis L, McConville F, Moran AC, Najjemba M, et al. Potential impact of midwives in preventing and reducing maternal and neonatal mortality and stillbirths: A Lives Saved Tool modelling study. Lancet Glob Health. 2021;9(1):e24–e32.
Okereke E, Ishaku SM, Unumeri G, Mohammed B, Ahonsi B. Reducing maternal and newborn mortality in Nigeria—A qualitative study of stakeholders’ perceptions about the performance of community health workers and the introduction of community midwifery at primary healthcare level. Hum Resour Health. 2019;17(1):102.
Mattison CA, Lavis JN, Wilson MG, Hutton EK, Dion ML. A critical interpretive synthesis of the roles of midwives in health systems. Health Res Policy Syst. 2020;18(1):77.
NMCN. Nursing and Midwifery Council of Nigeria: Function; 2019. Available:https://www.nmcn.gov.ng/function.html. Accessed 13 April 2023.
Okafor C. Nurses, midwives and health research. World Health Forum. 1990;11(1): 98–101.
Kalu FA, Chukwurah JN. Midwives’ experiences of reducing maternal morbidity and mortality from postpartum haemorrhage (PPH) in Eastern Nigeria. BMC Pregnancy Childbirth. 2022;22(1):474.
Dyson L, McCormick FM, Renfrew MJ. Interventions for promoting the initiation of breastfeeding. In: The Cochrane Collaboration, editor. Cochrane Database of Systematic Reviews. Chichester, UK. John Wiley & Sons, Ltd: CD001688.pub2; 2005.
Federal Ministry of Health. National Guidelines for Comprehensive Newborn Care: Referral Levels. 1st ed.. Federal Ministry of Health; 2021.
Federal Ministry of Health. Nigeria Every Newborn Action Plan: A plan to end preventable newborn deaths in Nigeria. 2016.
Adekanye, RN OE, Odetola, RN TD. Awareness and Implementation of Integrated Management of Childhood Illness (IMCI) Among Nurses in Paediatric Settings of Selected Hospitals in Ibadan, Nigeria. IOSR J Nurs Health Sci. 2014;3 (5):29–34.
Federal Ministry of Health. Federal Ministry of Health. Kangaroo Mother Care (KMC) Operational Guidelines. Federal Ministry of Health; 2021.
Deborah T Esan, Opeyemi A Adedeji, Cecilia B Bello, Modupe C Omolafe. Knowledge and practices of immediate newborn care among midwives in selected health care facilities in Ekiti State, Nigeria. PAMJ. 2020;37(263).
DOI:10.11604/pamj.2020.37.263.24628
Briggs DC, Eneh AU, Alikor EAD. Basic neonatal resuscitation: retention of knowledge and skills of primary health care workers in Port Harcourt, Rivers State, southern Nigeria. Pan Afr Med J. 2021; 38(75).
DOI:10.11604/pamj.2021.38.75.25812
Federal Ministry of Health. Essential Newborn Care Course Modules (Provider Guide) FMOH 2019. Module One: Provider Guide for Full ENCC; Module Two: Helping Babies Breathe; Module Three: Essential Care for Every Baby; Module Four: Essential Care for Small Babies. Abuja. FMOH, Nigeria; 2019.
Stoodley C, McKellar L, Ziaian T, Steen M, Fereday J, Gwilt I. The role of midwives in supporting the development of the mother-infant relationship: a scoping review. BMC Psychol. 2023;11(1):71.
McNeill J, Lynn F, Alderdice F. Public health interventions in midwifery: A systematic review of systematic reviews. BMC Public Health. 2012;12(1):955.
Alderdice F, McNeill J, Lynn F. A systematic review of systematic reviews of interventions to improve maternal mental health and well-being. Midwifery. 2013;29(4):389–399.
Victoria B Brown, Oyeninhun A Oluwatosin, Martins O Ogundeji. Impact of training intervention on immunization providers knowledge and practice of routine immunization in Ibadan, south-western Nigeria: A primary health care experience. PAMJ. 2017;26 (216). DOI:10.11604/pamj.2017.26.216.11545.
Okpani AI, Abimbola S. The midwives service scheme: a qualitative comparison of contextual determinants of the performance of two states in central Nigeria. Glob Health Res Policy. 2016;1 (1):16.
Okeke EN, Glick P, Abubakar IS, Chari AV, Pitchforth E, Exley J, et al. The Better Obstetrics in Rural Nigeria (BORN) Study: An Impact Evaluation of the Nigerian Midwives Service Scheme. Santa Monica, CA. RAND Corporation; 2015. DOI:10.7249/RR1215.
Olujimi S, Ngobua S, Burlew R, Jaskiewicz W, Marsden P. Study of attrition, availability, and retention of midwife service scheme officers in Nigeria. Abuja Natl Prim Health Care Dev Agency NPHCDA; 2014.