Determinants of neonatal mortality in rural and urban Nigeria: Evidence from a population‐based national survey

Adewuyi, Emmanuel O; Zhao, Yun

doi:10.1111/ped.13086

Cited by 26 publications

(47 citation statements)

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“…A further analysis of 2013 Nigeria DHS showed a difference in neonatal mortality between the urban and rural population. The risk factors for neonatal mortality in urban population was lack of electricity (AOR 1.56; 95% CI 1.09-2.22), small birth size (AOR 3.05, 95% CI 2.05-4.54), and male gender (AOR 1.67, 95% CI 1.22-2.23) (Adewuyi and Zhao 2017). A further analysis of the 2012-2013 Pakistan DHS showed that employed mothers had higher odds of neonatal mortality (OR 1.47) while women living in consanguineous marriages had higher odds of infant mortality (OR 1.45) and under-five mortality (OR 1.38).…”

Section: Discussionmentioning

confidence: 99%

Trends for Neonatal Deaths in Nepal (2001–2016) to Project Progress Towards the SDG Target in 2030, and Risk Factor Analyses to Focus Action

Jha

Shrestha

et al. 2019

Matern Child Health J

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Introduction Nepal has made considerable progress on improving child survival during the Millennium Development Goal period, however, further progress will require accelerated reduction in neonatal mortality. Neonatal survival is one of the priorities for Sustainable Development Goals 2030. This paper examines the trends, equity gaps and factors associated with neonatal mortality between 2001 and 2016 to assess the likelihood of Every Newborn Action Plan (ENAP) target being reached in Nepal by 2030. Methods This study used data from the 2001, 2006, 2011 and 2016 Nepal Demographic and Health Surveys. We examined neonatal mortality rate (NMR) across the socioeconomic strata and the annual rate of reduction (ARR) between 2001 and 2016. We assessed association of socio-demographic, maternal, obstetric and neonatal factors associated with neonatal mortality. Based on the ARR among the wealth quintile between 2001 and 2016, we made projection of NMR to achieve the ENAP target. Using the Lorenz curve, we calculated the inequity distribution among the wealth quintiles between 2001 and 2016.

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Section: Discussionmentioning

confidence: 99%

Trends for Neonatal Deaths in Nepal (2001–2016) to Project Progress Towards the SDG Target in 2030, and Risk Factor Analyses to Focus Action

Jha

Shrestha

et al. 2019

Matern Child Health J

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“…Multivariable logistic regression analyses were conducted to examine the adjusted association between the outcome variable and the independent variables using the hierarchical modelling method [5,19].…”

Section: Discussionmentioning

confidence: 99%

“…Such data disaggregation approach may help capture context-specific factors which could be lost to the use of 'one-size-fits-all' method of pooled datasets [7,19].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with non-utilization of healthcare facility for childbirth in rural and urban Nigeria: Analysis of a national population-based survey

Adewuyi

Zhao

Auta

et al. 2017

Scand J Public Health

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Aims: To assess the rural-urban differences in the prevalence and factors associated with nonutilization of healthcare facility for childbirth (home delivery) in Nigeria. Methods:Dataset from the Nigeria demographic and health survey, 2013, disaggregated by rural-urban residence was analyzed with appropriate adjustment for the cluster sampling design of the survey. Factors associated with home delivery were identified using multivariable logistic regression analysis. Results:In rural and urban residence, the prevalence of home delivery were 78.3% and 38.1%, respectively (P < 0.001). The lowest prevalence of home delivery occurred in the SouthEast region for rural residence (18.6%) and the South-West region for urban residence (17.9%).The North-West region had the highest prevalence of home delivery -93.6% and 70.5% in rural and urban residence, respectively. Low maternal as well as paternal education, low antenatal attendance, being less wealthy, the practice of Islam, and living in the North-East, North-West and the South-South regions increased the likelihood of home delivery in both rural and urban residences. Whether in rural or urban residence, birth order of one decreased the likelihood of home delivery. In rural residence only, living in the North-Central region increased the chances of home delivery. In urban residence only, maternal age ≥ 36 years decreased the likelihood of home delivery, while 'Traditionalist/other' religion and maternal age < 20 years increased it. Conclusion:The prevalence of home delivery was much higher in rural than urban Nigeria and the associated factors differ to varying degrees in the two residences.

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“…Several studies have examined the determinants of use/non-use of healthcare facility for childbirth in Nigeria,10 17–21 and have reported a significant association between place of delivery and a range of sociodemographic factors including rural-urban residence, maternal/husbands education level, maternal religion, wealth index, region of residence, maternal age and birth order. However, to date, available studies have focused mainly on factors associated with institutional delivery among all mothers of reproductive age (aged 15–49 years).…”

Section: Introductionmentioning

confidence: 99%

“…Achieving universal health coverage and reducing the global burden of maternal as well as neonatal mortalities are major health-related targets of the recently launched Sustainable Development Goals (SDGs) 30. These targets are a high priority in Nigeria considering the poor indices of maternal and newborn health outcomes in the country 8 19 29. From 2015 through to 2030, an estimated 1.6 million maternal lives are at stake and Nigeria alone is projected to account for about 33.3% of this estimate 31.…”

Section: Introductionmentioning

confidence: 99%

Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study

et al. 2019

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ObjectiveTo estimate the prevalence and identify factors associated with home childbirth (delivery) among young mothers aged 15–24 years in Nigeria.DesignA secondary analysis of cross-sectional data from the 2013 Nigeria Demographic and Health Survey (NDHS).SettingNigeria.ParticipantsA total of 7543 young mothers aged 15–24 years.Outcome measurePlace of delivery.ResultsThe prevalence of home delivery among young mothers aged 15–24 years was 69.5% (95% CI 67.1% to 71.8%) in Nigeria—78.9% (95%CI 76.3% to 81.2%) in rural and 43.9% (95%CI 38.5% to 49.5%, p<0.001) in urban Nigeria. Using the Andersen’s behavioural model, increased odds of home delivery were associated with the two environmental factors: rural residence (adjusted OR, AOR: 1.39, 95% CI 1.06 to 1.85) and regions of residence (North-East: AOR: 1.97, 95% CI 1.14 to 3.34; North-West: AOR: 2.94, 95% CI 1.80 to 4.83; and South-South: AOR: 3.81, 95% CI 2.38 to 6.06). Three of the enabling factors (lack of health insurance: AOR: 2.34, 95% CI 1.16 to 4.71; difficulty with distance to healthcare facilities: AOR: 1.48, 95% CI 1.15 to 1.88; and <4 times antenatal attendance: AOR: 3.80, 95% CI 3.00 to 4.85) similarly increased the odds of home delivery. Lastly, six predisposing factors—lack of maternal and husband’s education, poor wealth index, Islamic religion, high parity and low frequency of listening to radio—were associated with increased odds of home delivery.ConclusionsYoung mothers aged 15–24 years had a higher prevalence of home delivery than the national average for all women of reproductive age in Nigeria. Priority attention is required for young mothers in poor households, rural areas, North-East, North-West and South-South regions. Faith-based interventions, a youth-oriented antenatal care package, education of girls and access to health insurance coverage are recommended to speed up the reduction of home delivery among young mothers in Nigeria.

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Determinants of neonatal mortality in rural and urban Nigeria: Evidence from a population‐based national survey

Abstract: Determinants of neonatal mortality were different in rural and urban Nigeria, and rural neonates had greater risk of mortality than their urban counterparts.

Cited by 26 publications

References 26 publications

Trends for Neonatal Deaths in Nepal (2001–2016) to Project Progress Towards the SDG Target in 2030, and Risk Factor Analyses to Focus Action

Trends for Neonatal Deaths in Nepal (2001–2016) to Project Progress Towards the SDG Target in 2030, and Risk Factor Analyses to Focus Action

Prevalence and factors associated with non-utilization of healthcare facility for childbirth in rural and urban Nigeria: Analysis of a national population-based survey

Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study

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