Predictive Value of Institutional Impact Factor as an Indirect Measure of Maternal Mortality in Nigeria: A Systematic Review
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Abstract
Background: This study developed a novel measure termed as an institutional impact factor (IIF), which was used for predicting the trends of maternal mortality ratio (MMR) resulting from poor management of the health system.
Methods: A total of 3518 publications from Nigeria in PubMed from 1975 to 2005, were used to obtain IIF for each institution studied. The study periods compared, were period A (1975–1989), period B(1990–2004), and period C(1990–2005).
Results: The public health sector period A mean ± standard error(SE) IIF was 1.423 ± 0.09, and dropped significantly in period B, to IIF of 0.704 ± 0.024, P < 0.001. Conversely, in period A, the mean ± SE MMR, was 508.8 ± 115.7/100,000 live births, and rose significantly in period B to MMR of 1895.5 ± 363.7/100,000 live births, P < 0.05. The linear regression model suggested a negative correlation between IIF and MMR. The overall, F (1,18) =15.5, P < 0.001, R2 was 0.463, BETA coefficient was − 0.68, P < 0.0001. The intercept 2957.6 was significant, P< 0.0001. We predicted that the Millennium Development Goals 5 required a 75% drop in MMR to 127/100,000 live births, and IIF rise to 1.69, in 2015.
Conclusion: The IIF may be a health metric index for monitoring efficiency of the health workforce.
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References
United Nations. United Nations Millennium Declaration. A/RES/55/2. New York: United Nations; 2000.
Oladapo OT, Lamina MA, Fakoya TA. Maternal deaths in Sagamu in the new millennium: A facility-based retrospective analysis. BMC Pregnancy Childbirth 2006;6:6.
Adamu YM, Salihu HM, Sathiakumar N, Alexander GR. Maternal mortality in Northern Nigeria: A population-based study. Eur J Obstet Gynecol Reprod Biol 2003;109:153-9.
Sako S. Brain drain and Africa’s development: A reflection. Afr Issues 2002;30:28.
Takougang J. Recent African immigrants to the United States: A historical perspective. West J Black Stud 1995;19:1.
WHO. World Health Report 2000: Health Systems-Improving Performance. Geneva: World Health Organisation; 2000.
National Population Commission. National Demographic and Health Survey. Abuja: National Population Commission; 2008.
WHO. Working Together for Health; the World Health Report 2006. Geneva: World Health Organization; 2006.
Mullan F, Frehywot S, Omaswa F, Buch E, Chen C, Greysen SR, et al.Medical schools in sub-Saharan Africa. Lancet 2011;377:1113-21.
Garfield E. The history and meaning of the journal impact factor. JAMA 2006;295:90-3.
Garfield E. Long‑term vs. short‑term journal impact: Does it matter? Scientist 1998;12:10-2.
Garfield E. Long‑term vs. short‑term journal impact, II: Cumulative impact factors. Scientist 1998;12:12-3.
SCImago. SJR – SCImago Journal and Country Rank; 2007. Available from: http://www.scimagojr.com.[Last retrieved on 2011 Jul 15].
WHO. International Statistical Classification of Diseases and Related Health Problems, Tenth Revision Instruction Manual. 2nd ed. Geneva: World Health Organization; 2004.
United Nations Development Group. Indicators for Monitoring the Millennium Development Goals: Definitions, Rationale, Concepts, and Sources. Report. New York: United Nations; 2003.
Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, et al. Maternal mortality for 181 countries, 1980-2008: A systematic analysis of progress towards Millennium Development Goal 5. Lancet 2010;375:1609-23.
Unuigbe JA, Orhue AA, Oronsaye AU. Maternal mortality at the University of Benin Teaching Hospital Benin City, Nigeria. Trop J Obstet Gynaecol 1988;1:13-8.
Okoisor AT. Maternal mortality in the Lagos University Teaching Hospital. A 5-year survey-1970-1974. Niger Med J 1978;8:349-54.
Harrison KA. Maternal mortality – A sharper focus on a major issue of our time. Trop J Obstet Gynaecol 1988;1:9-13.
Adetoro OO. Maternal mortality – A twelve-year survey at the University of Ilorin Teaching Hospital (U.I.T.H.) Ilorin, Nigeria. Int J Gynaecol Obstet 1987;25:93-8.
Chukudebelu WO, Ozumba BC. Maternal mortality at the University of Nigeria Teaching Hospital, Enugu: A 10-year survey. Trop J Obstet
Gynaecol 1988;1:23-6.
Olu Oduntan S, Odunlami VB. Maternal mortality in Western Nigeria. Trop Geogr Med 1975;27:313-6.
Agan TU, Archibong EI, Ekabua JE, Ekanem EI, Abeshi SE, Edentekhe T, et al. Trends in maternal mortality at the University of Calabar Teaching Hospital, Nigeria, 1999-2009. Int J Womens Health 2010;2:249-54.
Ikechebelu JI, Okoli CC. Review of eclampsia at the Nnamdi Azikiwe University teaching hospital, Nnewi (January 1996-December 2000). J Obstet Gynaecol 2002;22:287-90.
Daramola AO, Banjo AA, Elesha SO. Maternal deaths in the Lagos University Teaching Hospital: A ten-year review (1989-1998). Niger
Postgrad Med J 2004;11:274-8.
Onah HE, Okaro JM, Umeh U, Chigbu CO. Maternal mortality in health institutions with emergency obstetric care facilities in Enugu State,
Nigeria. J Obstet Gynaecol 2005;25:569-74.
Onakewhor JU, Gharoro EP. Changing trends in maternal mortality in a developing country. Niger J Clin Pract 2008;11:111-20.
Ujah IA, Uguru VE, Aisien AO, Sagay AS, Otubu JA. How safe is motherhood in Nigeria? the trend of maternal mortality in a tertiary
health institution. East Afr Med J 1999;76:436-9.
Mairiga AG, Saleh W. Maternal mortality at the State Specialist Hospital Bauchi, Northern Nigeria. East Afr Med J 2009;86:25-30.
Ezechi OC, Fasubaa OB, Dare FO. Socioeconomic barriers to safe motherhood among booked patients in rural Nigerian communities.
J Obstet Gynaecol 2000;20:32-4.
Aboyeji AP, Ijaiya MA, Fawole AA. Maternal mortality in a Nigerian teaching hospital – A continuing tragedy. Trop Doct 2007;37:83-5.
Lawoyin TO. Infant and maternal deaths in rural south west Nigeria: A prospective study. Afr J Med Med Sci 2007;36:235-41.
Uzoigwe SA, John CT. Maternal mortality in the University of Port Harcourt Teaching Hospital, Port Harcourt in the last year before the
new millennium. Niger J Med 2004;13:32-5.
Okaro JM, Umezulike AC, Onah HE, Chukwuali LI, Ezugwu OF, Nweke PC. Maternal mortality at the University of Nigeria Teaching Hospital, Enugu, before and after Kenya. Afr J Reprod Health 2001;5:90-7.
Starrs AM. Safe motherhood initiative: 20 years and counting. Lancet 2006;368:1130-2.
Briggs ND. Maternal mortality in sub-Saharan Africa: The problems and prevention. Trop J Obstet Gynaecol 1994;2:8-11.
National Strategic Health Development Plan 2010-2015. Federal Ministry of Health, Abuja, Nigeria; 2010. Available from: http://www.phfn.org/resources/Policy/2009%20The%20National%20Strategic%20Health%20Development%20Plan%20Framework.pdf. [Last accessed Jul 28].
Paris Declaration on Aid Effectiveness; 2005. Available from: http://www.adb.org/media/articles/2005/7033_international_community_aid/
paris_declaration.pdf. [Last accessed on 2011 Jul 28].
Accra Agenda for Action; 2008. Available from: http://www.siteresources.worldbank.org/ACCRAEXT/Resources/4700790‑1217425866038/
AAA-4-SEPTEMBER-FINAL-16h00.pdf. [Last accessed on 2011 Jul 27].
Lowy C. Impact factor limits funding. Lancet 1997;350:1035.41. WHO. Engaging for Health. Eleventh General Programme of Work 2006-2015. Geneva: WHO; 2006.
Budget of the Federal Government of Nigeria, 2009. Federal Ministry of Finance, Abuja; 2009.
De Maeseneer J, van Weel C, Egilman D, Mfenyana K, Kaufman A, Sewankambo N. Strengthening primary care: Addressing the disparity
between vertical and horizontal investment. Br J Gen Pract 2008;58:3-4.