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Table 1 A selection of demographic indices and measures of obstetric care capacity

From: The spillover effect of midwife attrition from the Nigerian midwives service scheme

Demographic indices

National

Northern zones

Southern zones

 Population size (2006) [35]

140

71

69

 Number of women aged 15 – 49 years (million) [17, 35]

35

20

15

 Number of women aged 15 – 49 years in rural areas (million) [17, 35]

21

15

6

 Number of women aged 15 – 49 years in urban areas (million) [17, 35]

14

5

9

 Prevalence of pregnancy in women aged 15 – 49 years (%) [17]

12

14

8

Distribution of midwives before the Midwives Service Scheme

 Total number of midwives [36, 37] a, b

89,000

37,000

52,000

 Number of midwives in rural areas [38] a, b, c

30,000

12,000

18,000

 Number of midwives in urban areas [38] a, b, c

59,000

25,000

34,000

 Number of midwives per 100,000 population [36] b

68

52

75

 Nurses & midwives per 100,000 population in rural public sector clinics [39]

64

 Nurses & midwives per 100,000 population in rural private sector clinics [39]

24

 Nurses & midwives per 100,000 population in urban public sector clinics [39]

121

 Nurses & midwives per 100,000 population in urban private sector clinics [39]

63

 Annual number of graduating nurses and midwives [40]

5500

NA

NA

Some measures of primary care clinics’ capacity (rural and urban) [12]

 Can always provide emergency obstetric care (%)

41

 Can administer injectable antibiotics (%)

79

 Can diagnose and treat eclampsia (%)

23

 Can conduct assisted vaginal delivery (%)

10

 Can diagnose and treat severe shock (%)

36

 Can safely transfuse blood (%)

20

 Can conduct Caesarian section (%)

12

 Has at least one doctor that is constantly available (%)

20

 Has at least one nurse/midwife that is constantly available (%)

48

 Has at least one obstetrician that is constantly available (%)

8

 Has at least one anesthesiologist that is constantly available (%)

7

 Has an ambulance for transporting pregnant women to referral clinics (%)

5

 Has at least one labor ward (%)

79

 Has at least one delivery room (%)

74

 Has at least one functional operating room (%)

16

 Receives uninterrupted electricity supply whenever there are obstetric emergencies (%)

15

  1. NA, not applicable
  2. a – Estimates are rounded to the nearest thousand
  3. b – The zonal distribution (or densities) of midwives are plausible estimates
  4. c – The national distribution of midwives are plausible estimates