Introduction: Maternal mortality remains a significant public health challenge in Cameroon, despite various interventions, including the Emergency Obstetric and Neonatal Care (EmONC) strategy. It increased from 430 per 100,000 live births in 1991 to 782 in 2011, with a recent reduction to 406 per 100,000 live births in Cameroon remaining higher than SDG highest targets of 140 per 100,000 live births. This led to this study which aimed to develop a contextual approach to curbing maternal mortality in the MIFI Health District by analyzing the challenges, roles and perceptions of key women. Methods: The sampling technique was non-probabilistic by convenience sampling for the recruitment of participants. The study population consisted of women at post-partum. The instruments for data collection were well-structured questionnaires. The data analysis was done using R for quantitative data. Results: The results showed that women’s population, main challenges were, late ANC attendance which was significantly associated with maternal challenges (p = 0.033). Women’s roles were identified as attending ANC (Antenatal Care) regularly, following counseling and advice, educating peers, and participating in community awareness programs. Their perceptions, 87.74% believed women can help curb maternal mortality (p = 0.0016). Conclusion: The outstanding challenges were lack of ANC attendance, bad ANC timing for those who attend. Distance to health facilities was significant (p = 0.004). Women living farther away (5 hours) experienced more challenges confirming the “Three Delays Model”, Delay in deciding to seek care, Delay in reaching care, Delay in receiving care.
References
[1]
African Development Bank (2021). Cameroon: Health Sector Performance. AfDB Website.
[2]
Cameroon Ministry of Public Health (2020). National Reproductive Health Policy. Ministry of Public Health Website.
[3]
Cameroon Ministry of Public Health (2020). The Norms and Standards of Reproductive Health/Family Planning in Cameroon. Cameroon Ministry of Public Health.
[4]
CDC (2009). Increased Training of Health Professionals. https://www.cdc.gov/
[5]
CDC (2016). CDC in Cameroon. https://www.cdc.gov/global-health/countries/cameroon.html
[6]
Egbe, T. O., Dingana, T. N., Halle-Ekane, G. E., Atashili, J., Nasah, B. T., Halder, A. et al. (2016). Cameroon—Every Woman Every Child. Every Woman Every Child.
[7]
Enquete Demographique (2004). Enquete Demographique et de Sante du Cameroon. https://www.dhsprogram.com/pubs/pdf/FR163/FR163-CM04.pdf
[8]
Filippi, V., Chou, D., Ronsmans, C., Graham, W., & Say, L. (2016). Levels and Causes of Maternal Mortality and Morbidity. The International Bank for Reconstruction and Development/The World Bank.
[9]
Illah, E., Mbaruku, G., Masanja, H., & Kahn, K. (2013). Causes and Risk Factors for Maternal Mortality in Rural Tanzania—Case of Rufiji Health and Demographic Surveillance Site (HDSS). African Journal of Reproductive Health, 17, 119-130.
[10]
Iqbal, K., Shaheen, F., & Begum, A. (2014). Risk Factors of Maternal Mortality. Journal of Rawalpindi Medical College, 18, 136-138.
[11]
Kadia, R. S., Kadia, B. M., Dimala, C. A., Aroke, D., Vogue, N., & Kenfack, B. (2020). Evaluation of Emergency Obstetric and Neonatal Care Services in Kumba Health District, Southwest Region, Cameroon (2011-2014): A Before-After Study. BMCPregnancyandChildbirth,20, Article No. 95. https://doi.org/10.1186/s12884-020-2774-9
[12]
Kyei-Nimakoh, M., Carolan-Olah, M., & McCann, T. V. (2016). Millennium Development Goal 5: Progress and Challenges in Reducing Maternal Deaths in Ghana. BMC Pregnancy and Childbirth, 16, Article No. 51. https://doi.org/10.1186/s12884-016-0840-0
[13]
Mangham, L. J., Cundill, B., Achonduh, O. A., Ambebila, J. N., Lele, A. K., Metoh, T. N. et al. (2012). Malaria Prevalence and Treatment of Febrile Patients at Health Facilities and Medicine Retailers in Cameroon. TropicalMedicine&InternationalHealth,17, 330-342. https://doi.org/10.1111/j.1365-3156.2011.02918.x
[14]
McCarthy, J., & Maine, D. (1992). A Framework for Analyzing the Determinants of Maternal Mortality. StudiesinFamilyPlanning,23, 23-33. https://doi.org/10.2307/1966825
[15]
Mihiretu, A., Yakob, B., & Khuzwayo, N. (2021). Effective Coverage of Emergency Obstetric and Newborn Care Services in Africa. Open Access Emergency Medicine, 15, 93-108.
[16]
Ministry of Health (2016). Sectorial Strategies for Health 2016-2027. MINSANTE.
[17]
MINSANTE (2015). Planification Familiale: Plan operationnel du Cameroon 2015-2020. MINSANTE.
[18]
Ronsmans, C., & Graham, W. J. (2006). Maternal Mortality: Who, When, Where, and Why. TheLancet,368, 1189-1200. https://doi.org/10.1016/s0140-6736(06)69380-x
[19]
Ugochukwu, S. A., Jemisenia, O. J., & Asogwa, N. U. (2022). Women’s Perceptions of the Causes of Maternal Mortality: Qualitative Evidence from Nsukka, Nigeria. Sage Journals, 12, Article 12.
[20]
UNFPA (2011). The State of the World’s Midwifery: Delivering Health, Saving Lives 2011. UNFPA.
[21]
UNFPA (2012). Independent Country Programme Evaluation Cameroon 2008-2011. UNFPA.
[22]
UNICEF (2018). Data and Analytics, Division of Data, Research and Policy in Collaboration with Health Section Programme Division (2018), Maternal and Newborn Health Disparities Cameroon UNICEF for Every Child. UNICEF.
[23]
UNICEF (2022). Maternal and Newborn Health. UNICEF Website.
[24]
WHO (2016). Maternal Mortality Fact Sheet. https://www.worldbank.org
[25]
WHO (2017). Ending Preventable Maternal Mortality (EPMM)—A Renewed Focus for Improving Maternal and Newborn Health and Wellbeing. WHO.
[26]
World Health Organization (WHO) (2021). Maternal Mortality Ratio (per 100,000 Live Births). WHO Website.
