Maternal Health Care Services Access Index and Infant Survival in Nigeria

Adebowale, SA; Udjo, Eric O.

doi:10.4314/ejhs.v26i2.7

Cited by 16 publications

(19 citation statements)

References 24 publications

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“…The rate of infant mortality among women who reported high maternal healthcare utilization was 3.7 per 1000 compared to 12.3 per 1000 among women who reported no maternal healthcare utilization. The rate of infant deaths found in this study was consistent with a previous study conducted in Nigeria, which reported that the mean maternal healthcare service utilization was higher among mothers who reported low infant deaths compared to mothers who reported high infant deaths [47].…”

Section: Discussionsupporting

confidence: 90%

“…A previous study conducted on the combined effect of maternal healthcare service utilization on infant mortality in Nigeria showed that infant deaths were higher among women with no or low maternal healthcare service utilization compared with high and complete maternal healthcare service utilization [47]. A national study in Kenya showed that a lack of skilled antenatal care and insu cient antenatal care visits increases neonatal mortality.…”

Section: Discussionmentioning

confidence: 99%

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Optimum Maternal Healthcare Service Utilization and Infant Mortality in Ethiopia

Kiross

Chojenta

Barker

et al. 2020

Preprint

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Background: Ethiopia has one of the highest rates of infant mortality in the world. Utilization of maternal healthcare during pregnancy, at delivery, and after delivery is critical to reducing the risk of infant mortality. Studies in Ethiopia have shown how infant survival is affected by utilization of maternal healthcare services; however, no studies to date have investigated the effect of optimum utilization of maternal healthcare services based on the World Health Organization (WHO) guidelines on infant mortality. Therefore, this study examined the effect of optimum utilization of maternal healthcare services on infant mortality in Ethiopia. Methods: We used nationally representative cross-sectional data from the Ethiopian Demographic and Health Survey (EDHS). Sampling weights were applied to adjust for the non-proportional allocation of the sample to the nine regions and two city administrations as well as the sample difference across urban and rural areas. We applied a multivariate logistic regression analysis to estimate the relationship between optimum maternal healthcare service utilization and infant mortality in Ethiopia. Results: The findings from this study showed that optimum maternal healthcare service utilization had a significant association with infant mortality after adjusting for other socioeconomic characteristics. This implies that increased maternal healthcare service utilization decreases the rate of infant mortality in Ethiopia. The main finding from this study indicated that infant mortality was reduced by approximately 66% among mothers who had high utilization of maternal healthcare services compared to mothers who had not utilized maternal healthcare services (AOR=0.34; 95%CI: 0.16-0.75; p-value=0.007). Furthermore, infant mortality was reduced by approximately 46% among mothers who had low utilization of maternal healthcare services compared to mothers who had not utilized any maternal healthcare services (AOR=0.54; 95%CI: 0.31-0.97; p-value=0.040).Conclusions: From this study, we concluded that optimum utilization of maternal healthcare services during pregnancy, at delivery and after delivery might reduce the rate of infant mortality in Ethiopia. The maternal healthcare service intervention packages in Ethiopia should involve a variety of care, spanning pregnancy, childbirth, and post-delivery, which should lead to the improvement of children’s’ survival in their first year of life.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Optimum Maternal Healthcare Service Utilization and Infant Mortality in Ethiopia

Kiross

Chojenta

Barker

et al. 2020

Preprint

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“…They also identified birth size, birth interval and caesarian section delivery as key predictors of IMR in rural areas and poverty, birth size, male gender, birth interval, maternal obesity and caesarian section delivery as key predictors of IMRs in urban areas. Similar studies include those by Adebayo and Fahmeir (2004), Adebowale (), Adebowale and Udjo (), and Ahonsi ().…”

Section: Introductionsupporting

confidence: 57%

Spatio‐temporal patterns and determinants of infant mortality in Nigeria

Ayoade¹

2017

Int Social Sci J

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“…These studies also show that women who attend antenatal care are more likely to deliver in health facilities and to continue to utilize postnatal care services than women who do not attend antenatal care [18][19][20] . Postnatal care services ensures that newborns get proper care in the period immediately following delivery which is when newborns are at highest risk of dying.…”

Section: African Journal Of Reproductive Health September 2016 (Specimentioning

confidence: 86%

Trends in Health Facility Births in sub-Saharan Africa: An Analysis of Lessons Learned under the Millennium Development Goal Framework

Udo

Doctor

2016

Afr J Reprod Health

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Sub-Saharan Africa (SSA) has the highest maternal and under-5 mortality rates as well as low facility births, with a high percentage of births occurring in the absence of skilled personnel. We examine trends in health facility births in SSA by geographic areas (urban-rural) and regions; and also the correlation between health facility birth and neonatal mortality rate (NMR). Data come from Demographic and Health Surveys (27 countries), conducted between 1990 and 2014. Median health facility births, urban-rural gaps, and regional variations in health facility births between initial (1990) and latest (2014) surveys were calculated. The median health facility birth increased from 44% at initial survey to 57% at the latest survey. Rural areas had a higher percentage increase in health facility births between initial and latest surveys (16%) than urban areas (6%) with a 2% overall gap reduction between initial and latest surveys. Health facility births were inversely associated with NMR at initial (R 2 =0.20, p=0.019) and latest (R 2 =0.26, p=0.007) surveys. To achieve the Sustainable Development Goal target of reducing neonatal mortality, policies should particularly focus on bringing rural areas on par with urban areas. (Afr J Reprod Health 2016 (Special Edition); 20[3]: 108-117).Keywords: Skilled birth attendants, maternal mortality, infant mortality, neonatal mortality, health facility birth. RésuméL'Afrique sub-saharienne (ASS) a les taux de mortalité maternelle et de moins de 5 ans les plus hauts, ainsi que les faible niveau de naissances dans des établissements de santé, avec un pourcentage élevé de naissances survenues en l'absence de personnel qualifié. Nous examinons les tendances des naissances dans des établissements de santé en Afrique subsaharienne par zones géographiques (urbain-rural) et les régions; et aussi la corrélation entre la naissance dans les 'établissements de santé et le taux de mortalité néonatale (TMN). Les données proviennent des Enquêtes démographiques et de santé (27 pays), réalisées entre 1990 et 2014. Les naissances qui ont lieu dans les établissements de santé médian, les lacunes urbaines et rurales, et les variations régionales des naissances dans des établissements de santé entre les enquêtes initiales (1990) et les dernières (2014) ont été calculées. La naissance dans des établissements de santé médians est passée de 44% au départ à 57% au dernier sondage. Les zones rurales ont une plus forte augmentation en pourcentage des naissances dans un établissement de santé entre l'enquête initiale et la dernière (16%) qu'en milieu urbain (6%), avec une réduction globale de l'écart de 2% entre l'enquête initiale et les dernières enquêtes. Les naissances dans les établissements de santé étaient inversement associées à TMN dans les enquêtes initiales (R2 = 0,20, p = 0,019) et les dernières (R2 = 0,26, p = 0,007) enquêtes. Pour atteindre l'Objectif du développement durable visant à réduire la mortalité néonatale, les politiques devraient particulièrement mettre les régions rurales et...

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Maternal Health Care Services Access Index and Infant Survival in Nigeria

Cited by 16 publications

References 24 publications

Optimum Maternal Healthcare Service Utilization and Infant Mortality in Ethiopia

Optimum Maternal Healthcare Service Utilization and Infant Mortality in Ethiopia

Spatio‐temporal patterns and determinants of infant mortality in Nigeria

Trends in Health Facility Births in sub-Saharan Africa: An Analysis of Lessons Learned under the Millennium Development Goal Framework

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