Nigeria: Accountability for maternal healthcare services

Many thanks to to Onyema Afulukwe-Eruchalu for writing this useful new article in the Ethical and Legal Issues section of the International Journal of Gynecology and Obstetrics.  She currently serves as Senior Legal Adviser for Africa at the Center for Reproductive Rights.

Afulukwe-Eruchalu, O. (2017), Accountability for maternal healthcare services in Nigeria. International Journal of Gynecology and Obstetrics 137.2 (May 2017); 137: 220–226.  DOI:10.1002/ijgo.12108   PDF free online for 12 months.     Submitted text online.

High maternal mortality ratios (MMRs) serve as objective indicators of the poor condition of women’s health in any country and point to violations of human rights that are entrenched in national, regional, and global laws. For more than a decade, Nigeria has consistently been one of the top five listed countries with the highest MMRs in the world; in 2015, its MMR was estimated at 814 deaths per 100 000 live births, accounting for 19% of maternal deaths worldwide and approximately 58 000 deaths each year. Accountability for preventable maternal deaths and injuries is essential to both achieve and sustain a reduction in Nigeria’s high levels of maternal mortality. The present article addresses key human rights strategies for securing accountability, and identifies opportunities for healthcare providers to have leadership roles in the fulfillment of legal and ethical obligations to preserve women’s lives.
Free access to PDF online for 12 months
Submitted text (typescript) online.

See also:

Afulukwe-Eruchalu O. “Accountability for Non-Fulfilment of Human
Rights Obligations: A Key Strategy for Reducing Maternal Mortality
and Morbidity in Sub-Saharan Africa,” in Strengthening the protection of sexual and reproductive health and rights in the African region through human rights, ed. Charles Ngwena and Ebenezer Durojaye (Pretoria: Pretoria University Law Press (PULP); 2014) 119–151.  Free PDF book.
Trends in Maternal Mortality: 1990 to 2015. (Geneva: World Health Organization, United Nations Children’s Fund, United Nations Population Fund, World Bank Group, United Nations Population Division, 2015). Free PDF report.

Ethical and Legal Issues in Reproductive and Sexual Health – Articles from previous issues of the International Journal of Gynecology and Obstetrics are all online here.
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