Abstract:

Maternal and Perinatal Death Reviews (MPDR) are essential tools for reducing maternal and neonatal mortality by identifying and addressing causes of death. Sub-Saharan Africa, including Nigeria, faces high maternal and perinatal mortality, exacerbated by inadequate healthcare infrastructure, cultural beliefs, and poor health-seeking behaviours. In Nigeria, particularly in rural areas like Kebbi State, MPDR implementation is insufficient due to a lack of awareness, engagement, and logistical barriers. This study assessed healthcare workers' knowledge, attitudes, and practices regarding MPDR in four secondary health facilities in Kebbi. The study involved 80 healthcare workers and used both qualitative and quantitative methods, including structured questionnaires and interviews. Findings revealed significant awareness of MPDR but highlighted gaps in training, experience, and institutional support, with many workers lacking confidence in conducting reviews. Barriers to effective implementation included insufficient training, lack of resources, and time constraints. Facilitators, such as better training, resources, and administrative support, could help overcome these challenges. The study recommended the establishment of an MPDSR bill, hiring more healthcare professionals, mandating MPDSR in all secondary facilities, and organizing regular training on quality care and MPDSR. Implementing these recommendations could improve maternal and neonatal care, reduce preventable deaths, and strengthen MPDR practices in Kebbi State and similar settings.

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