Tracking and appraising maternal and perinatal death surveillance and response implementation in Nigeria: a historical timeline and policy analysis
Rattachement africain : Nigéria, gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Nigeria bears one of the highest global burdens of maternal and perinatal mortality, despite decades of global and national efforts to address preventable deaths. Maternal and Perinatal Death Surveillance and Response (MPDSR) is a key strategy to reduce preventable deaths. This study synthesises the historical trajectory and policy evolution of MPDSR in Nigeria, examining factors shaping its uptake, scope, and institutionalisation. METHODS: We conducted a historical timeline and policy analysis using systematic review principles. Peer-reviewed and grey literature were retrieved through comprehensive database and web searches, complemented by stakeholder engagement. Data were extracted from 24 eligible documents and analysed using Walt and Gilson's policy triangle framework to explore policy content, context, actors, and processes over time. RESULTS: Four phases of MPDSR implementation were identified, showing a shift from facility-based maternal death reviews to broader inclusion of perinatal and community components. Federal policymakers and professional associations have driven national-level adoption, while state-level uptake varies depending on political will and capacity. Community and facility-based MPDSR have evolved as fragmented practices rather than an integrated system. Facility-level implementation is comparatively more established, while community-based MPDSR remain limited, donor-driven, and inconsistently integrated. Progress towards institutionalisation is hampered by weak legal frameworks and insufficient subnational capacity. Persistent challenges faced by frontline workers and variable community engagement further undermine MPDSR sustainability. CONCLUSION: To maximise the potential of MPDSR as a tool for accountability and system strengthening, Nigeria must integrate community and facility-based surveillance within a unified system, backed by legislation, sustained financing, and capacity building.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Tracking and appraising maternal and perinatal death surveillance and response implementation in Nigeria: a historical timeline and policy analysis
- Date Crossref
- 26/11/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Lagos State University Department of Obstetrics and Gynaecology Lagos State University, Nigéria (code pays fourni par la source)Université ou école supérieure
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University of London pays non établi dans la noticeUniversité ou école supérieure
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University of Lagos University of Lagos, Nigéria (code pays fourni par la source)Université ou école supérieure
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London School of Hygiene & Tropical Medicine pays non établi dans la noticeUniversité ou école supérieure
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Lagos State Health Service Commission Lagos State Health Service Commission, Nigéria (code pays fourni par la source)Organisme public
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Lagos State Ministry of Health Lagos State Maternal Perinatal Death Surveillance and Response Technical Committee Lagos State Ministry of Health, Nigéria (code pays fourni par la source)Organisme public
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Lagos University Teaching Hospital Lagos University Teaching Hospital, Nigéria (code pays fourni par la source)Établissement de santé
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College of Medicine Centre for Clinical Trials University of Lagos, Nigéria (pays nommé en fin d’affiliation)Université ou école supérieure
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Faculty of Epidemiology and Population Health pays non établi dans la noticeUniversité ou école supérieure
Department of Obstetrics and Gynaecology — Lagos State University (Lagos State University, Nigéria), University of London et University of Lagos (University of Lagos, Nigéria), avec 6 autres affiliations. Pays d’affiliation : Nigéria.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.