Maternal mortality in Nigeria is extremely high. Access to quality antenatal and obstetric care limited. In Bauchi State, we found maternal morbidity was associated with domestic violence, heavy work pregnancy, ignorance of danger signs, lack spousal communication. This cluster randomized controlled trial tested the impact universal home visits that discussed these upstream risk factors pregnant women their spouses, precipitate household actions protecting women.We randomly allocated four...

Maternal mortality in Nigeria is one of the highest world. Access to antenatal care limited and quality services poor much country. Previous research Bauchi State found associations between maternal morbidity domestic violence, heavy work pregnancy, lack knowledge about danger signs, spousal communication pregnancy childbirth. This cluster randomized controlled stepped-wedge trial will test impact universal home visits pregnant women their partners, added value video edutainment. The take...

Short birth intervals, defined by the World Health Organization as less than 33 months, may damage health and wellbeing of children, mothers, their families. People in northern Nigeria recognise many adverse effects short interval (kunika Hausa language) but it remains common. We used fuzzy cognitive mapping to systematize local knowledge causes kunika inform co-design culturally safe strategies address it.Male female groups twelve communities built 48 maps protective factors for kunika,...

BackgroundThe World Health Organization recommends increased male involvement to improve maternal and newborn health in low-and middle-income countries, but few studies have measured the impact of male-engagement interventions on targeted men.A trial universal home visits pregnant women their spouses Nigeria improved child outcomes.This analysis examines spouses.Methods In Toro Local Government Area Bauchi State, Nigeria, we randomly allocated eight wards into four waves, beginning...

Introduction During the COVID-19 pandemic, researchers have used Internet-based applications to conduct virtual group meetings, but this is not feasible in low-resource settings. In a community health research project Bauchi State, Nigeria, restrictions precluded planned face-to-face meetings with groups. We tested feasibility of using cellular teleconferencing for these meetings. Methods an initial exercise, we six male and female focus discussions. Informed by experience, conducted...

Abstract Background Nigeria is the second biggest contributor to global child mortality. Infectious diseases continue be major killers. In Bauchi State, Nigeria, a stepped wedge cluster randomised controlled trial tested health impacts of universal home visits pregnant women and their spouses. We present here findings related early health. Methods The took place in eight wards Toro Local Government Authority, randomly allocated into four waves with delay 1 year between waves. Female male...

Adolescents (10-19 years) are a big segment of the Nigerian population, and they face serious risks to their health well-being. Maternal mortality is very high in Nigeria, rates pregnancy maternal deaths among female adolescents. Rates HIV infection rising adolescents, gender violence sexual abuse common, knowledge about reproductive low. Adolescent (ASRH) indicators worse north country.

Abstract Background In Northern Nigeria, short birth interval is common. The word kunika in the Hausa language describes a woman becoming pregnant before weaning her last child. A sizeable literature confirms an association between and adverse perinatal maternal health outcomes. Yet there are few reported studies about how people view its consequences. support of culturally safe child spacing Bauchi State, North East we explored local perspectives consequences . Methods qualitative...

Background: Maternal and newborn child health are priority concerns in Bauchi State, northern Nigeria. Increased male involvement reproductive is recommended by the World Health Organization. A trial of a program universal home visits to pregnant women their spouses, with an intention increase pregnancy childbirth, showed improvements actionable risk factors maternal morbidity. We used narrative technique explore experiences effect on gender roles dynamics within households. Methods: Trained...

Abstract Background Universal home visits to pregnant women and their spouses in Bauchi State, northern Nigeria, discussed local evidence about maternal child health risks actionable by households. The expected results chain for improved behaviours resulting from the was based on CASCADA model, which includes Conscious knowledge, Attitudes, Subjective norms, intention Change, Agency change, Discussion of options, Action change. Previous quantitative analysis confirmed impact outcomes. To...

Objective A trial of evidence-based health promotion home visits to pregnant women and their spouses in northern Nigeria found significant improvements maternal child outcomes. This study tested the added value for these outcomes including video edutainment visits. Methods In total, 19,718 households three randomly allocated intervention wards (administrative areas) received short videos on android handsets spark discussion about local risk factors health; 16,751 control with only verbal...

Background Socio-economically disadvantaged women have poor maternal health outcomes. Maternal interventions often fail to reach those who need them most and may exacerbate inequalities. In Bauchi State, Nigeria, a recent cluster randomised controlled trial (CRCT) showed an impressive impact on outcomes of universal home visits pregnant their spouses. The visitors shared evidence about local risk factors actionable by households themselves the program included specific efforts ensure all in...

Gender inequities remain critical determinants influencing maternal health. Harmful gender norms and gender-based violence adversely affect Gendered division of labour, lack access to control resources, limited women's decision-making autonomy impede healthcare services. We undertook a cluster randomized controlled trial universal home visits pregnant women their spouses in one local government area Bauchi State, North-Eastern Nigeria. The demonstrated significant improvement child health...

In Bauchi State, northern Nigeria, communities recognise short birth interval ( kunika in the Hausa language) as harmful, but family planning is a sensitive topic. This paper describes development of culturally safe way to communicate about conservative Muslim setting. The objective was co-design communication material, based on local knowledge interval, share with women and men households. Six community groups six (total 96 participants) reviewed summaries their previously created maps...

Abstract Background : In Northern Nigeria, short birth interval is common; the word kunika in Hausa language describes a woman becoming pregnant before weaning her last child. A sizeable literature confirms an association between and adverse perinatal maternal health outcomes. Yet there are few reported studies about how people view its consequences. support of culturally safe child spacing Bauchi State, North East we explored local perspectives consequences . Methods qualitative descriptive...

Abstract Background In Northern Nigeria, short birth interval is common; the word kunika in Hausa language describes a woman becoming pregnant before weaning her last child. A sizeable literature confirms an association between and adverse perinatal maternal health outcomes. Yet relatively little known about how people view its consequences. support of culturally-safe child spacing Bauchi State, North East we explored local perspectives consequences.Methods qualitative descriptive study...

Abstract Background : In Northern Nigeria, short birth interval is common; the word kunika in Hausa language describes a woman becoming pregnant before weaning her last child. A sizeable literature confirms an association between and adverse perinatal maternal health outcomes. Yet there are few reported studies about how people view its consequences. support of culturally safe child spacing Bauchi State, North East we explored local perspectives consequences . Methods qualitative descriptive...

Abstract Background In Northern Nigeria, short birth interval is common. The word kunika in the Hausa language describes a woman becoming pregnant before weaning her last child. A sizeable literature confirms an association between and adverse perinatal maternal health outcomes. Yet there are few reported studies about how people view its consequences. support of culturally safe child spacing Bauchi State, North East we explored local perspectives consequences . Methods qualitative...

<sec> <title>BACKGROUND</title> Adolescents (10-19 years) are a big segment of the Nigerian population, and they face serious risks to their health well-being. Maternal mortality is very high in Nigeria, rates pregnancy maternal deaths among female adolescents. Rates HIV infection rising adolescents, gender violence sexual abuse common, knowledge about reproductive low. Adolescent (ASRH) indicators worse north country. </sec> <title>OBJECTIVE</title> In Bauchi State, northern project will...