Who are the target groups?
Key target group of the project “Reduction of Maternal and Child Mortality - Prevention and Treatment of Obstetric Fistula Northern Nigeria” are women of the two target States and their families. Both States together accommodate approx. 14 million inhabitants, thereof 7 million females. Of these 7 million women, about 2 million will be under 13 or above 50 years of age. The remaining 5 million females are in the birth giving age, i.e. between 13 and 49 years old. For traditional reasons, in these two target States, young girls marry at a very early age. Approx. 45 % of all female teenagers between 15 and 19 are either mothers already or they are pregnant. Because their body is not ready for such a challenge and stress, these young females develop obstetric fistulas in approx. 2-5 cases per 1.000 births. Even worse, between 800 and 1,200 per 100,000 mothers die as a consequence of pregnancy and birth.
In order to provide and guarantee a good and secure health care for women and children, the project cooperates with the following 12 hospitals in Kaduna and Kano State:
|Amadu Bello Teaching Hospital, Kaduna
Yusuf Dantosho General Hospital, Kaduna
General Hospital, Kafanchan
General Hospital, Birnin Gwari
Gambo Sawaba Hospital, Kofan Gaya Zaria
General Hospital, Saminaka
|Aminu Kano Teaching Hospital, Kano
General Hospital, Sumaila
General Hospital, Gaya
General Hospital, Wudil
General Hospital, Takai
General Hospital, Sheik Jiddah
How many people benefited from the project?
More than 1300 Fistula patients have been repaired. They are the direct beneficiaries. We estimate that altogether indirectly up to a million people are benefitting from the project: Women and children as well as men; families of fistula patients, women in childbearing age and their families, children who survived delivery because of better conditions in the partnering hospitals both in equipment and in skilled staff; all communities around our selected 10 hospitals.
Impact of the project on the beneficiaries
Fistula patients have been repaired. Several thousand women in childbearing age have been made aware of the problem of early marriage, delay of pregnancy and child spacing in general; they learned that the health of mother, children and family increases by spacing the births. Women are now aware of the necessity to attend antenatal care and being admitted to a hospital before getting in obstructed labor. Many of them will have avoided problems during delivery. Many doctors, nurses and midwives were able to qualify in the field of VVF-repair and prevention. Working conditions of the staff in the hospitals have been improved by Rotary donated equipment and by Rotary supported training.