Factors influencing the survival of under-five children among women visiting government health care facility in semi-urban communities in Nigeria

Azuh, Dominic E.; Chinedu, Shalom Nwodo; Samuel, Olugbemisola W.; Azuh, Akunna Ebere; Joshua, Grace; Amoo, Emmanuel O.

doi:10.1080/23311983.2019.1686800

Cited by 8 publications

(13 citation statements)

References 15 publications

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“…Childhood illnesses such as fever, diarrhea and acute respiratory infection (ARI) are serious child health issues in low income countries [ 1 , 2 ]. Globally, in 2015, about 5.9 million under five children died due to preventable causes [ 1 , 3 – 5 ], and approximately three out of every four under-five deaths occur due to ARI, diarrhea and fever [ 1 , 6 ]. This phenomenon is more pronounced in low-income and middle-income countries [ 7 ], where childhood deaths and illnesses are serious health issues [ 1 , 8 ], especially in sub-Saharan Africa [ 4 , 9 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, progress to achieve Sustainable Development Goal (SDG) 3.2 (elimination of preventable child death, reduction in neonatal mortality to less than 12 per 1000 live births and those of under-five mortality to less than 25 per 1000 live births for every country by 2030) is slower, and without the necessary policies and interventions, sub-Saharan Africa may not meet the SDG 3.2 target by 2030 [ 20 ]. There is evidence that at least one child dies out of every 12 births in sub-Saharan Africa before age five compared to one out of every 147 in developed countries [ 3 ]. The majority of under-five mortality in sub-Saharan Africa is due to infectious and parasitic diseases, such as malaria, respiratory infections, meningitis and diarrhea [ 5 , 13 , 14 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

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Health care seeking behaviour for children with acute childhood illnesses and its relating factors in sub-Saharan Africa: evidence from 24 countries

2021

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Background Childhood illnesses and mortality rates have declined over the past years in sub-Saharan African countries; however, under-five mortality is still high in the region. This study investigated the magnitude and factors associated with health care seeking behaviour for children with childhood illnesses in 24 sub-Saharan African countries. Methods We used secondary data from Demographic and Health Surveys (DHSs) conducted between 2013 and 2018 across the 24 sub-Saharan African countries. Binary logistic regression models were applied to identify the factors associated with health care seeking behaviour for children with acute childhood illnesses. The results were presented using adjusted odds ratios (aOR) with 95% confidence intervals (CIs). Results Overall, 45% of children under-5 years with acute childhood illnesses utilized health care facilities. The factors associated with health care seeking behaviour for children with acute illnesses were sex of child, number of living children, education, work status, wealth index, exposure to media and distance to a health facility. Conclusions Over half of mothers did not seek appropriate health care for under-five childhood illnesses. Effective health policy interventions are needed to enhance health care seeking behaviour of mothers for childhood illnesses in sub-Saharan African countries.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health care seeking behaviour for children with acute childhood illnesses and its relating factors in sub-Saharan Africa: evidence from 24 countries

2021

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“…This is similar to the work of. 39 According to the results, couples who had their first child at an earlier age are more likely to cause child mortality. These results are consistent with the findings of.…”

Section: Discussionmentioning

confidence: 99%

Prenatal consultation and survival of children under five in Togo

Tossou

2021

Health Planning & Management

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Introduction: Child survival is low in Togo, often linked to socio-economic and other exogenous factors such as lack of antenatal consultation and Bacille Calmette-Guérin (BCG) vaccination. These different variables impacting the chances of survival of children underneath five have not been completely examined. The objective of this study is to analyse the socio-economic variables that influence the survival risk of children beneath five in Togo. Methods: These different variables influencing the chances of survival of the data used is from the 2017 MICS6 Overview. It speaks to an arrangement of broadly agent tests of families, children matured 0-5 years, women matured 15-49 years and men matured 15-59 years. Information on pre-birth meetings and the inoculation status of children at (BCG) were collected from this overview. The Cox corresponding risks backslide illustrate is used to evaluate the connection between pre-birth visits and child survival. Results:The risk of survival in children beneath 5 years is high as the age of the mother increases. This risk is 0.48 for the age between 19 and 24 years (AHR = 2.485, 95% CI 1.49-4.13). A child born to a woman with no education is at high risk of child survival (AHR = 2.96, 95% CI 092-9.36).Furthermore, the results show that women with twins have a high risk of 0.44 of the death of these children (AHR = 1.44, 95% CI 1.25-1.67). In addition, (BCG) vaccination has been related with an expanded recurrence in children, where it was found that 70.37% of vaccinated children were born to women who had experienced pre-birth meetings.

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“…With respect to statistical methods, standard errors are higher by fitting separate dichotomous models of early childhood mortality (as used in the past studies), compared to a single multinomial model [ 24 , 25 ]. Also, some of these studies in Nigeria have been hospital-based [ 26 , 27 ] or limited to a specific geographical region, [ 26 – 31 ] making generalizability of findings somewhat challenging. Despite the high post-neonatal mortality rate in Nigeria (i.e., 31 deaths per 1000 live births) [ 32 ], only a handful of studies [ 17 , 33 ] have been conducted.…”

Section: Introductionmentioning

confidence: 99%

Inequities in child survival in Nigerian communities during the Sustainable Development Goal era: insights from analysis of 2016/2017 Multiple Indicator Cluster Survey

et al. 2020

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Background Child survival is a major concern in Nigeria, as it contributes 13% of the global under-five mortalities. Although studies have examined the determinants of under-five mortality in Nigeria, the comparative roles of social determinants of health at the different stages of early childhood development have not been concurrently investigated. This study, therefore, aimed to identify the social determinants of age-specific childhood (0–59 months) mortalities, which are disaggregated into neonatal mortality (0–27 days), post-neonatal mortality (1–11 months) and child mortality (12–59 months), and estimate the within-and between-community variations of mortality among under-five children in Nigeria. This study provides evidence to guide stakeholders in planning for effective child survival strategies in the Nigerian communities during the Sustainable Development Goals era. Methods Using the 2016/2017 Nigeria Multiple Indicator Cluster Survey, we performed multilevel multinomial logistic regression analysis on data of a nationally representative sample of 29,786 (weighted = 30,960) live births delivered 5 years before the survey to 18,497 women aged 15–49 years and nested within 16,151 households and 2227 communities. Results Determinants of under-five mortality differ across the neonatal, post-neonatal and toddler/pre-school stages in Nigeria. Unexpectedly, attendance of skilled health providers during delivery was associated with an increased neonatal mortality risk, although its effect disappeared during post-neonatal and toddler/pre-school stages. Also, our study found maternal-level factors such as maternal education, contraceptive use, maternal wealth index, parity, death of previous children, and quality of perinatal care accounted for high variation (39%) in childhood mortalities across the communities. The inclusion of other compositional and contextual factors had no significant additional effect on childhood mortality risks across the communities. Conclusion This study reinforces the importance of maternal-level factors in reducing childhood mortality, independent of the child, household, and community-level characteristics in the Nigerian communities. To tackle childhood mortalities in the communities, government-led strategies should prioritize implementation of community-based and community-specific interventions aimed at improving socioeconomic conditions of women. Training and continuous mentoring with adequate supervision of skilled health workers must be ensured to improve the quality of perinatal care in Nigeria.

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Factors influencing the survival of under-five children among women visiting government health care facility in semi-urban communities in Nigeria

Cited by 8 publications

References 15 publications

Health care seeking behaviour for children with acute childhood illnesses and its relating factors in sub-Saharan Africa: evidence from 24 countries

Health care seeking behaviour for children with acute childhood illnesses and its relating factors in sub-Saharan Africa: evidence from 24 countries

Prenatal consultation and survival of children under five in Togo

Inequities in child survival in Nigerian communities during the Sustainable Development Goal era: insights from analysis of 2016/2017 Multiple Indicator Cluster Survey

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