TITLE

New trends in under-five mortality determinants and their effects on child survival in Nigeria: A review of childhood mortality data from 1990-2008

AUTHOR(S)
Akinyemi, Joshua O.; Afolabi Bamgboye, E.; Ayeni, Olusola
PUB. DATE
April 2013
SOURCE
African Population Studies;2013, Vol. 27 Issue 1, p25
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Under-five mortality in Nigeria has been reported to be on the decline, but the dynamics are yet to receive adequate attention. Thus the main objective of this study was to assess these factors and quantify their relative contributions to under-five mortality between 1990 and 2008. The Nigeria Demographic and Health Survey data for 1990, 2003 and 2008 were re-analysed to assess the trends in determinants of under-fivemortality. Cox Regression model was applied to determine the relative contributions of each factor to the under-five mortality risk. The results showed there were improvements in maternal education (8.6%), childhood vaccination (17.7%), use of oral rehydration therapy (13.9%) and medical treatment of childhood illnesses (17.5%) over the 19-year period. There were declines in proportions with birth interval less than 24 months (3.9%), access to improved sources of drinking water (24.2%), improved toilet facilities (9.0%) antenatal care (4.5%), skilled delivery (3.0%) while maternal age at childbirth remained unchanged. These factors increased the death hazards by 4.6% between 1990-2003 but decreased them by 12% between 2003 and 2008. It was concluded that Nigeria has recorded very minimal improvements in birth spacing and antenatal/delivery care. Poor access to potable drinking water and sewage disposal, and short birth intervals, are among the factors fuelling childhood mortality risks. Further improvements in these environmental and health practices as well as other factors are recommended as strategies for promoting child survival in Nigeria.
ACCESSION #
94839224

 

Related Articles

  • CHILD SPACING AND THE UTILISATION OF MATERNAL HEALTH CARE SERVICES IN SOME SELECTED STATES OF INDIA - AN ANALYSIS. Pathak, K.B.; Pandey, Arvind; Ojha, Ashutosh // Journal of Family Welfare;Oct2001, Vol. 47 Issue 2, p18 

    This paper studies the effect of the utilization of antenatal care services as an indicator of the contraceptive environment and breastfeeding practices on fertility by taking the most recent birth interval as the outcome variable in three selected states of India, namely, Tamil Nadu, Madhya...

  • Small-Area Analysis: Targeting High-Risk Areas For Adolescent Pregnancy Prevention Programs. Gould, Jeffrey B.; Herrchen, Beate; Pham, Tanya; Bera, Stephan; Brindis, Claire // Family Planning Perspectives;Jul/Aug98, Vol. 30 Issue 4, p173 

    Context: Traditional methods of identifying areas in need of adolescent pregnancy prevention programs may miss small localities with high levels of adolescent childbearing. Methods: Birthrates for 15-1 7-year-olds were computed for all California zip codes, and the zip codes with birthrates in...

  • Permissive Abortion Laws Do Not Reduce Maternal Deaths. Polo, Carlos; Bruno, Moriah // National Right to Life News;Sep2015, p7 

    The article focuses on a study by researchers Elard Koch & others, which analyzes the impact of abortion legislation on maternal mortality rates using population data from Mexico, published in the British Medical Journal. The study findings highlights that developing countries should focus on...

  • \Spacing Effects on Maternal-Child Health. A Hospital Based Study at Tikrit Teaching Hospital. Tawfeek, Ruqiya Subhi; Khaleel, Hadiya Ahmed; Mustafa, Zuhud Mawlood // Tikrit Medical Journal;2011, Vol. 17 Issue 2, p1 

    The effects of birth spacing are hard to measure precisely, nonetheless available evidence in developing countries shows that short intervals are linked to high infant death rates .child health also affect by short spacing like low birth weight, prematurely and poor resistance to infection, the...

  • Maternal Child Health Initiatives. Griffith, Hurdis // Nursing Economic$;Sep/Oct86, Vol. 4 Issue 5, p252 

    Although prevention of health problems is widely touted, lawmakers have infrequently translated that philosophy into concrete proposals. Recent exceptions include three maternal and child health initiatives that are gaining wide-spread bipartisan support and are based on the premise that...

  • Public Finance Policy Strategies to Increase Access to Preconception Care. Johnson, Kay A. // Maternal & Child Health Journal;Dec2006 Supplement, Vol. 10, p85 

    Policy and finance barriers reduce access to preconception care and, reportedly, limit professional practice changes that would improve the availability of needed services. Millions of women of childbearing age (15–44) lack adequate health coverage (i.e., uninsured or underinsured), and...

  • Addressing At-Risk Pregnant Women's Issues through Community, Individual, and Corporate Grassroots Efforts. Balsanek, Judy // Health & Social Work;Feb1997, Vol. 22 Issue 1, p63 

    This article focuses on issues related to pregnant women. Prenatal care is crucial to the health and well-being of the youngest children. Yet millions of children are coming into the world without the benefit of this care, and their numbers are increasing. About one-fourth of pregnant women do...

  • Family Allowance and Family Planning in Chile. Plank, S. J. // American Journal of Public Health;Oct78, Vol. 68 Issue 10, p989 

    Family allowances designed to promote maternal and child health and welfare could be selfdefeating if they stimulated otherwise unwanted births, as often assumed. That assumption, with its public health and demographic implications, needs testing. An attempt to test it was made in Chile in...

  • Understanding client and provider perspectives of antenatal care service quality: a qualitative multi-method study from Tanzania. Sheffel, Ashley; Heidkamp, Rebecca; Mpembeni, Rose; Bujari, Peter; Gupta, Jaya; Niyeha, Debora; Aung, Tricia; Bakengesa, Victor; Msuya, John; Munos, Melinda; Kennedy, Caitlin // Journal of Global Health;Jun2019, Vol. 9 Issue 1, p1 

    Background Measures of quality of care in low- and middle-income countries (LMICs) rarely include experience of care. This gap in service quality metrics may be driven by a lack of understanding of client and provider perspectives. Understanding these perspectives is a critical first step in not...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics