Background: Nigeria’s efforts to reduce under-five mortality has been biased in favour of childhood mortality to the neglect of neonates and as such the literature is short of adequate information on the determinants of neonatal mortality. The demographic and health survey program has its own standards for protecting the privacy of participants. The objective of this study is to assess sociodemographic and other determinants of neonatal mortality in Wesley Guild Hospital (WGH), Ilesa, Nigeria. International Journal of Academic Research in Business and Social Sciences; vol. It has been consistently claimed that mother’s education is a prominent factor in explaining risk of childhood mortality. 1997, 44: 989-1002. (1) Only surviving women were interviewed, which may have led to under-reporting of the number of newborn deaths because of the association of neonatal death with maternal death [22]. Matern Child Nutr. A major limitation was that interactions could not be examined for the study due to large size of combinations inherent from the independent variables. Zero-inflated negative binomial (ZINB) regression analysis was carried out to determine the factors associated with childhood mortality. Ezeh, O.K., Agho, K.E., Dibley, M.J. et al. Ruiz-López MJ, Espeso G, Evenson DP, Roldan ER, Gomendio M. Paternal levels of DNA damage in spermatozoa and maternal parity influence offspring mortality in an endangered ungulate. Other significant factors that affected neonatal deaths included neonates born to mothers younger than 20 years (HR = 4.07, CI: 2.83–5.86), neonates born to mothers residing in rural areas compared with urban residents (HR = 1.26, CI: 1.03–1.55), male neonates (HR = 1.30, CI: 1.12–1.53), mothers who perceived their neonate’s body size to be smaller than the average size (HR = 2.10, CI: 1.77–2.50), and mothers who delivered their neonates by caesarean section (HR = 2.80, CI: 1.84–4.25). Data was obtained from Nigeria DHS, 2013. Furthermore, region and religion were found to be significant factors associated with childhood mortality in Nigeria. 10.2471/BLT.09.065813. The status of maternal health is poor in Nigeria, defined by maternal mortality of 59,000 per annum due to pregnancy-related causes. In each of the selected clusters, a complete listing of households was obtained. effect on child mortality, particularly to assess the relationship between the environment and childhood mortality in Nigeria and identify the environmental determinants of child mortality, controlling for other covariates. Anyamele OD. 1 Nigeria State Health Investment Project (NSHIP) -Result Based Financing, Ondo State Primary Health Care Development Board, Akure, Nigeria. Children of employed male partners had 0.3% reduction in mortality rates (IRR = 0.997; 95% CI: 0.865–1.150; p = 972) compared to unemployed male partners. https://doi.org/10.1186/1471-2458-14-521, DOI: https://doi.org/10.1186/1471-2458-14-521. This research work focused on the assessment of the demographic and economic determinants of infant mortality in Nigeria. Evidence-based knowledge of trends and drivers of child mortality will aid proper interventions needed to combat the menace. The purpose of this study was to identify determinants for infant mortality among this cohort. Buor D. Mothers' education and childhood mortality in Ghana. Risk factors of infant and child mortality in rural Burkina Faso. The strengths and weaknesses of this study need to be considered when drawing specific inferences. Background Under-5 mortality rate in the sub-Saharan region has remained unabated. A mother’s education modifies her role in the family and enables her to take core measures to swift child health and effectively utilize innovative health services [28]. Soc Sci Med. Perceived challenges of using maternal health care services in Nigeria. PubMed  In this analysis, two perinatal healthcare variables, antenatal care and postnatal care, were not included because nearly one third of the information was missing. Children of employed women had 9.6% increase in the risk of childhood mortality (IRR = 1.096; 95% CI: 0.996–1.207; p = 0.061) compared to unemployed female partners. Knowledge of Religion of female partners impacted mortality among children; childhood mortality increased by 18.4% in Islam (IRR = 1.184; 95% CI: 0.990–1.416; p < 0.064) and 43.2% in Traditionalist (IRR = 1.432; 95% CI: 1.179–1.740; p < 0.001) compared to Christianity. Thereafter, a systematic sampling with equal probability was used in the second stage in selecting the specified number of households in each cluster for interview [7]. 2005, 365: 891-900. Antai D, Wedre S, Bellocco R, Moradi T. Migration and child health inequities in Nigeria: a multilevel analysis of contextual- and individual-level factors. In the second stage, one enumeration area was selected at random from a selected list of localities and the resulting list of households gave the list for the selection of households at the last stage. The age (mean ± std.) Furthermore, we make recommendations towards reducing the presently high maternal mortality rate experienced in the country. Therefore, this study assessed the trends and drivers of NMR, IMR, and U5M over a decade in Nigeria. Risk factors for postneonatal, infant, child and under-5 mortality in Nigeria: a pooled cross-sectional analysis. 2010;303(15):1507–16. To achieve the objectives of the study, infant mortality rate (measure of child health outcome) was regressed on government health expenditure, real GDP, inflation, population growth rate and population density in Nigeria. This study is part of the first author’s thesis for a doctoral dissertation with the School of Science and Health at the University of Western Sydney, Australia. BMC Public Health 17, 485 (2017). Int J Womens Health. This research work focused on the assessment of the demographic and economic determinants of infant mortality in Nigeria. Privacy J Demogr Soc Stat. Individual and contextual factors associated with childhood stunting in Nigeria: a multilevel analysis. Heiko B, et al. These variables could potentially be determinants of neonatal mortality in Nigeria. The NMR for male neonates was higher than that for female neonates (NMR: 41.4 vs 31.7). 10.1016/S0277-9536(96)00224-9. Bull World Health Organ. Therefore, this dearth of research in the In Nigeria, different studies have been carried out on the pattern and determinants of infant mortality at the rural and micro determinants of infant mortality [12,15,16,17]. To achieve the objectives of the study, infant mortality rate (measure of child health outcome) was regressed on government health expenditure, real GDP, inflation, population growth rate and population density in Nigeria. Maternal depletion syndrome could be attributed to this finding. But result showed a 1.6% increase in Poorer (IRR = 1.016; 95% CI: 0.926–1.114; p = 0.738) compared to the Poorest which was not statistically significant. 2009;26(1):31–9. Chukwu Angela 1* & Okonkwo Uju 1 Department of Statistics, University of Ibadan, Ibadan, Nigeria Abstract: Many researchers in Nigeria have made efforts during the past decades to … The objective of this study is to assess sociodemographic and other determinants of neonatal mortality in Wesley Guild Hospital (WGH), Ilesa, Nigeria. Lancet, 2014: published online Sept 18. Afr J Reprod Health. Lawn JE, Cousens S, Zupan J: Neonatal survival 1: 4 million neonatal deaths: when? About one-third of female partners were in their late 20’s and only about one-tenth of them were above 39 years old. Each year in Nigeria, more than a quarter million neonates die, which translates to approximately 700 neonates every day [5]. Bull World Health Organ. Since there is a predominantly young population in this country, high maternal mortality ratios may persist. The rest of this paper is organized as follows. PubMed  For example, fathers with secondary and tertiary education had 3.8% and 12.1% reduction in childhood mortality respectively than non-educated fathers. Article  2006, Calverton, Maryland: ORC Macro, 93-102. Zero-inflated negative binomial regression is for modeling count variables with excess zeros and it is used for over-dispersed count outcome variables. 2004, 24 (3): 245-251. 2010;277(1693):2541–6. At the time of the survey, nearly 5% of the households were not occupied. Okonofua F, Yaya S, Owolabi T, Ekholuenetale M, Kadio B. Unlocking the benefits of emergency obstetric Care in Africa. This paper is an attempt to review and integrate international and Turkish research on infant and child mortality. volume 14, Article number: 521 (2014) Soc Sci Med. neonatal survival series paper 1. Environmental and Socioeconomic Determinants of Child Mortality: Evidence from the 2013 Nigerian Demographic Health Survey. Urban and rural differences across countries in child mortality in sub-Saharan Africa. why? Data analysis was conducted using STATA Software version 12.0. In 2015, Nigeria’s estimated 317,700 stillbirths accounted for 12.2% of the 2.6 million estimated global stillbirths. Health Policy. Previous studies have shown that the global decline in neonatal mortality rates has been slower compared with infant and under-5 years of age mortality rates, especially in the sub-Sahara African region [1, 2, 4]. However, a preliminary report from the 2013 NDHS indicated that the NMR slightly fell by approximately 8% from 40 deaths per 1000 live births in 2008 to 37 in 2013 [23]. In the first stage, each State was stratified into rural and urban areas, and this brought a list of localities. The risk of death was adjusted for confounders relating to individual, household, and community level factors using Cox regression. Introduction: Despite efforts toward the prevention and management of diarrhoea, associated mortality among infants has remained high in Northern Nigeria. A similar study conducted in Swaziland reported a higher risk of death for neonates delivered by caesarean section than vaginal delivery, but this was not significant [30]. CAS  doi:10.1016/S0168-8510(02)00178-1. Objectives To identify common factors associated with post-neonatal, infant, child and under-5 mortality in Nigeria. To reduce the recall period of using these instruments, a verbal autopsy should be undertaken before the culturally prescribed mourning period [44]. The data showed that 2667 (30.8%) women reported loss of children compared to 3231 (37.3%) men. Similar results were obtained for the fathers, with reduction in the incidence-rate ratio of 3.3%, 20.2 and 28.7% for middle, richer and richest economic quintiles respectively, compared to the poorest status. Of the world’s 7.7 million deaths in those aged younger than 5 years, 3.1 million occurred after birth through to 1 month of life (neonatal deaths) [2]. A total of 34,596 eligible women aged between 15 and 49 years were interviewed, yielding a response rate of 96.5%. 2008, 40 (2): 183-201. Regarding child mortality as a persistent public health challenge in Nigeria and other developing countries, researchers have made immense efforts to identify factors responsible for this menace [10,11,12]. Previous studies on neonatal mortality in Nigeria have indicated that low birth weight, lack of antenatal care, maternal illness, mother’s age, prematurity, and birth asphyxia are linked with neonatal mortality, but these studies were all hospital-based case–control and experimental studies [8–11]. Previous studies on neonatal mortality in Nigeria have indicated that low birth weight, lack of antenatal care, maternal illness, mother’s age, prematurity, and birth asphyxia are linked with neonatal mortality, but these studies were all hospital-based case–control and experimental studies [ … Neonatal mortality remains disturbingly high in Nigeria, despite the significant decline in most parts of the developing world, including some sub-Sahara African countries, such as Ghana and Uganda [6]. Adeolu M.O 1, Akpa O.M 2, Adeolu A.T 3,, Aladeniyi I.O 4. To achieve the objectives of the study, infant mortality rate (measure of child health outcome) was regressed on government health expenditure, real GDP, inflation, population growth rate and population density in Nigeria. Titaley CR, Dibley MJ, Roberts CL, Hall J, Agho K: Iron and folic acid supplements and reduced early neonatal deaths in Indonesia. Methods: This was a prospective cohort study of post-delivery outcomes at 40 churches in Enugu State, Nigeria between 2013 and 2014. The women’s questionnaire consists of information included, but not limited to, birth history, childhood mortality, fertility preferences, knowledge and use of family planning methods, antenatal care, delivery, postnatal care, vaccinations, and childhood illnesses, as well as malaria prevention and treatment. Even though our finding on perceived size of newborns were significant, we need to exercise caution in interpreting this result because the rationale mothers used in estimating the size of their neonates is unclear. BMJ Open. Article  CONTEXTUAL DETERMINANTS OF INFANT AND CHILD MORTALITY IN NIGERIA By Sunday Adepoju ADEDINI (560454) A Doctoral Thesis submitted to the Faculty of Humanities, University of the Witwatersrand, Johannesburg, South Africa; in fulfillment of the requirements for the award of PhD in Demography and Population Studies September 2013 This study applied the nationally representative data from the Nigeria Demographic and Health Survey, 2013 to explore factors associated with childhood mortality in Nigeria. 1994, 8 (1): 17-39. 10.1017/S0021932005026957. https://doi.org/10.1186/s12889-017-4420-7, DOI: https://doi.org/10.1186/s12889-017-4420-7. Determinants of health investment in Nigeria: A case of infant mortality (2000-2014). National Population Commission, Federal Republic of Nigeria: Final Report on Nigeria Demographic and Health Survey. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 935- 949 1985, 151 (6): 777-782. The rest of this paper is organized as follows. Adetoro GW, Amoo EO. 12, Maternal and Child Health in Africa for Sustainable Development Goals (SDGs) Beyond 2015, pp. Proc R Soc B. Risk factors for infant mortality were assessed using chi square, odds ratios, and multiple logistic regression. 2016;20(1):10. dekanmbi VT, Kayode GA, Uthman OA. from neonatal mortality, infant and child mortality to ma-ternal mortality are still high [2–4]. Int J Gynaecol Obstet. Furthermore, the belief of partners did not vary significantly across the major religions in Nigeria. Arokiasamy P, Gautam A: Neonatal mortality in the empowered action group States of India: trends and determinants. Multivariable analyses indicated that a higher birth order of newborns with a short birth interval ≤ 2 years (hazard ratio [HR] = 2.19, confidence interval [CI]: 1.68–2.84) and newborns with a higher birth order with a longer birth interval > 2 years (HR = 1.36, CI: 1.05–1.78) were significantly associated with neonatal mortality. Our study showed that male neonates had a significantly higher risk of dying during the neonatal period compared with female neonates. RESEARCH ARTICLE Trends in and determinants of neonatal and infant mortality in Nigeria based on Demographic and Health Survey data Kamalesh Kumar Patel1, Jang Bahadur Prasad2* and Rajeshwari A. Biradar3 1Indian Institute of Health Management Research, Rajasthan, India, 2Department of Epidemiology and Biostatistics, KLE University, India and 3School of Development Studies, Tata … Egypt J Community Med. Google Scholar. This finding is consistent with previous studies [40, 41], which attributed this finding to limited access to health facilities and maternal healthcare services, such as delivery assisted by a healthcare professional, and prenatal and postnatal care. Furthermore, the ICF International certifies that the survey complies with the United States Department of Health and Human Services rules for the protection of participants and ensures that the survey follows the laws and regulations of the nation. Article  http://dhsprogram.com/publications/publication-fr293-dhs-final-reports.cfm, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s12889-017-4420-7, Health policies, systems and management in low and middle-income countries. 2006, 38 (4): 537-551. A recent United Nations (UN) report on childhood mortality reported that over the last 2 decades, the Nigerian neonatal mortality rate (NMR) dropped by only 20.4%, from 49 deaths per 1000 live births in 1990 to 39 in 2011 [5]. Neonatal mortality is defined as the probability of dying in the first month of life (0 to 28 days), infant mortality is the probability of dying between birth and first birthday (0 to <12 months) and under-five mortality is the death of a child under the age of 5 years (0 to <60 months). By using this website, you agree to our The significantly high risk of caesarean section observed in our study may be attributed to negative perceptions, such as misconception, fear, and aversion to caesarean section among mothers in Nigeria [31, 32]. Findings from the study reveal that couples with formal education experienced lower childhood mortality than those without formal education. J. contextual determinants of infant and child mortality in Nigeria during the periods under study. SY, ME, GT, GB, VS and BK were involved in data cleaning and analysis, results interpretation, drafting and revision of the manuscript. A conceptual framework of child survival in developed and developing countries has been developed by other authors [14–17]. Zero-inflated negative binomial regression (ZINB) analysis was carried out to determine the risk factors of childhood mortality. 10.2307/2094510. The correlation between childhood mortality and fathers’ and mothers’ ages were found to increase the incidence of the outcome for every unit increase in age. http://www.unicef.org/sowc08/docs/sowc08.pdf. Lancet. Therefore, this study assessed the trends and drivers of NMR, IMR, and U5M over a decade in Nigeria. Short-interval births could have adverse effects on the mother’s biological well-being and there could be economic resource competition between infants, especially in poor households, as well as inadequate care given to infants compared with high-ranked infants [39]. Igme ): Levels and trends in child mortality: linking social variables to infant were... A quarter million neonates die, which may be an important risk factor for neonatal mortality along with categorisations. Findings from the NDHS 2008 [ 7 ] used for interviewing the selected for! [ 16,17 ] level necessitated this study examined the factors associated with childhood mortality for the! Households then served as the clusters for the study was conducted to determine factors associated with childhood stunting Nigeria! For this study was a prospective cohort study of child mortality to ma-ternal mortality are high. 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