Ethnic differentials in under-five mortality in Nigeria

Adedini, Sunday A.; Odimegwu, Clifford; Imasiku, Eunice N. S.; Ononokpono, Dorothy N.

doi:10.1080/13557858.2014.890599

Cited by 60 publications

(58 citation statements)

References 30 publications

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“…Contraceptive use was categorised as 1) currently using modern method or 2) not currently using modern method. These variables have been reported as important factors influencing child survival ( 22 , 23 ).…”

Section: Methods and Datamentioning

confidence: 99%

Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis

Akinyemi

Adedini

Hounton

et al. 2015

Global Health Action

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BackgroundFamily planning expansion has been identified as an impetus to harnessing Nigeria's demographic dividend. However, there is a need for data to address pockets of inequality and to better understand cultural and social factors affecting contraceptive use and health benefits. This paper contributes to addressing these needs by providing evidence on the trends and sub-national patterns of modern contraceptive prevalence in Nigeria and the association between contraceptive use and high-risk births in Nigeria.DesignThe study utilised women's data from the last three Demographic and Health Surveys (2003, 2008, and 2013) in Nigeria. The analysis involved descriptive, bivariate, and multivariate analyses. The multivariate analyses were performed to examine the relationship between high-risk births and contraceptive use. Associations were examined using Poisson regression.ResultsFindings showed that respondents in avoidable high-risk birth categories were less likely to use contraceptives compared to those at no risk [rate ratio 0.82, confidence interval: 0.76–0.89, p<0.001]. Education and wealth index consistently predicted significant differences in contraceptive use across the models.ConclusionsThe results of this study suggest that women in the high-risk birth categories were significantly less likely to use a modern method of contraception relative to those categorised as having no risk. However, there are huge sub-national variations at regional and state levels in contraceptive prevalence and subsequent high-risk births. These results further strengthen evidence-based justification for increased investments in family planning programmes at the state and regional levels, particularly regions and states with high unmet needs for family planning.

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Section: Methods and Datamentioning

confidence: 99%

Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis

Akinyemi

Adedini

Hounton

et al. 2015

Global Health Action

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“…Previous studies have identified individual-, household-and community-level determinants of childhood mortality (Adedini, Odimegwu, Imasiku, & Ononokpono, 2014a;Akinyemi et al, 2015;Antai & Moradi, 2010), but death clustering has not been previously explored. Reports from an operational research study conducted in three Northern states of Nigeria (Jigawa, Yobe and Zamfara) revealed that more than 80% of child deaths were reported by only 20% of the women studied (Klouda & Adamu, 2013).…”

Section: Introductionmentioning

confidence: 99%

Clustering of infant deaths among Nigerian women: investigation of temporal patterns using dynamic random effects model

Akinyemi

Odimegwu

Gbadebo

2019

Genus

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This study was conducted to estimate the magnitude of infant death clustering as well as the mortality risk associated with death of a preceding child and investigate how these have changed over three decades (1980-2013) in Nigeria. Birth history data from the Nigeria Demographic and Health Survey for 1990, 2003, 2008 and 2013 were analysed using dynamic random effects models. The effect of death of an immediate preceding child (sibling mortality correlation) was estimated by controlling for background characteristics and unobserved heterogeneity. A total of 232,090 single births to 56,123 women were analysed. Results showed that 13.2% in the oldest maternal cohort (≤ 1969) experienced death of at least two infants and they accounted for 40.2% of all infant deaths. Among the 1970-1979 maternal cohort, it was 8.6% and 31.6% respectively. In the youngest maternal cohort (≥ 1980), 3. 3% had recorded multiple infant deaths but accounted for 20.3%. Model results revealed that sibling mortality correlation increased the probability of infant death by 0. 080 and 0.061 in the 1980-1989 and 2010 birth cohorts respectively. There is a substantial level of infant death clustering in Nigeria, and this is closely driven by sibling mortality correlation both of which have declined very slowly over time. To achieve desired progress in child survival, death clustering should be addressed alongside other barriers to child survival.

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“…For example, research shows that in the US, black women are three to four times more likely to die from pregnancy related causes than white women 7. In Nigeria, inequities are seen across ethnic and tribal differentials—for example, through significant disparities in mortality in children under 5 years 8…”

Section: Strengthen Rights Based Accountabilitymentioning

confidence: 99%