Coverage and distribution of obstetricians and gynecologists in Nigeria

Objective: To determine the number, regional spread, and population ratio of obstetricians and gynecologists (OB/GYNs) in Nigeria. Methods: Data for the present descriptive study were collected between July 1, 2012, and December 31, 2013, as part of a national survey of OB/GYNs. Information was obtained about characteristics, qualifications, place of work, primary employer, subspecialty interest, and type of practice. Results: In total, 968 OB/GYNs were identified, of whom 846 (87.4%) were male. The estimated national population in 2013 was 175 651 197, which meant that there was one OB/GYN for every 181 458 individuals. Lagos State had the highest number of OB/GYNs (179 [18.5%]), whereas Yobe State had only 2 (0.2%) and Jigawa State 1 (0.1%). The geopolitical region with the highest number of OB/GYNs was the South West (315[32.5%]), whereas the North East had the lowest number (45 [4.6%]). Conclusion: The number of OB/GYNs in Nigeria is inadequate in view of the population size, and coverage varies greatly in different states. Efforts to improve maternal health and reduce the maternal mortality ratio should include more investment in training, engagement, and equitable distribution of OB/GYNs in all parts of the country. (C) 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.