Inequities in Under-Five Mortality in Nigeria: Differentials by Religious Affiliation of the Mother

Antai, Diddy; Ghilagaber, Gebrenegus; Wedrén, Sara; Macassa, Glória; Moradi, Tahereh

doi:10.1007/s10943-008-9197-7

Cited by 27 publications

(23 citation statements)

References 20 publications

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“…In Cameroon, childhood feeding practices varies between Muslims and non-Muslims in the northern region [97]. Under-5 mortality is influenced by religious affiliation and cultural beliefs in Cameroon and Nigeria [100, 101]. Child characteristics that were controlled included birth weight (<2.5 kg and >2.5 kg), multiple or single birth, birth order, child’s sex, and experience of diarrhoea two weeks before the survey.…”

Section: Methodsmentioning

confidence: 99%

Health effects of single motherhood on children in sub-Saharan Africa: a cross-sectional study

Ntoimo

Odimegwu

2014

BMC Public Health

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BackgroundAlthough progress has been made toward reducing child morbidity and mortality globally, a large proportion of children in sub-Saharan Africa still die before age five and many suffer chronic malnutrition. This study investigated the influence of single motherhood on stunting and under-5 mortality in Cameroon, Nigeria and Democratic Republic of the Congo (DRC). Particular attention was paid to the influence of mother’s economic resources, parental care and health behaviour on the difference in children’s health in single and two-parent families.MethodsData were obtained from most recent Demographic and Health Surveys in Cameroon (2011), Nigeria (2008) and DRC (2007). The sample included women aged 15–49 years old and their under-5 children 11,748 in Cameroon, 28,100 in Nigeria, and 8,999 in DRC. Logistic regression and Cox proportional hazard analysis were used to estimate stunting and under-5 mortality, respectively.ResultsThe result showed that compared with children whose mothers were in union, children of single mothers who were not widows were more likely to be stunted (OR 1.79 p < 0.01 in Cameroon and 1.69 p < .01 in DRC). Economic resources and parental care significantly influenced the higher odds of stunting in single mother households in Cameroon and DRC. Relative to children of mothers in union, the risk of under-5 mortality in single mother families was higher in the three countries (HR 1.40 p < .05 in Cameroon, 1.27 p < 0.10 in DRC, 1.55 p < .01 in Nigeria). Economic resources, parental care and health behaviour accounted for the difference in Nigeria and Cameroon; in DRC, only economic resources had marginal influence.ConclusionsSingle motherhood is a risk factor for children’s nutritional status and chances of survival before age 5 years in sub-Saharan Africa. To achieve improved reduction in children’s exposure to stunting and under-5 mortality, there is the need for public health interventions targeted at single mother households in sub-Saharan Africa.

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Section: Methodsmentioning

confidence: 99%

Health effects of single motherhood on children in sub-Saharan Africa: a cross-sectional study

Ntoimo

Odimegwu

2014

BMC Public Health

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“…Some residents felt they were being targeted by Western biomedicine as a result of their religion [43]. Increased underfive mortality in Nigeria is also significantly associated with maternal affiliation with a traditional indigenous religion, primarily owing to differential use of maternal and child health services [45]. In Pakistan, vaccine refusals are concentrated among low income individuals of Pashtun ethnicity.…”

Section: (B) Religious and Cultural Objectionsmentioning

confidence: 99%

Vaccine refusal and the endgame: walking the last mile first

Saint-Victor

Omer

2013

Phil. Trans. R. Soc. B

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As multiple papers within this special issue illustrate, the dynamics of disease eradication are different from disease control. When it comes to disease eradication, ‘the last mile is longest’. For social and ecological reasons such as vaccine refusal, further ending incidence of a disease when it has reached low levels is frequently complex. Issues of non-compliance within a target population often influence the outcome of disease eradication efforts. Past eradication efforts confronted such obstacles towards the tail end of the campaign, when disease incidence was lowest. This article provides a comparison of non-compliance within polio, measles and smallpox campaigns, demonstrating the tendency of vaccine refusal to rise as disease incidence falls. In order to overcome one of the most intractable challenges to eradication, future disease eradication efforts must prioritize vaccine refusal from the start, i.e. ‘walk the last mile first’.

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“…Regional differences in African Geographical Review 3 socioeconomic conditions have been found to be powerful explanatory factors causing spatial differential in child mortality in Malawi (Kalipeni, 1993). Considerable efforts have been put into studying various factors affecting child mortality in Nigeria (Antai, 2011;Antai, Ghilagaber, Wedrén, Macassa, & Moradi, 2009;Caldwell, 1979;Folasade, 2000;Mesike & Mojekwu, 2012;Ogunjuyigbe, 2004;Orubuloye & Caldwell, 1975). Most of these studies have, however, neglected the spatial aspect that allows studying differences in the determinants at local level.…”

Section: Introductionmentioning

confidence: 99%

Mapping the determinants of child mortality in Nigeria: estimates from mortality index

Gayawan

Turra

2015

African Geographical Review

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Although the risk factors of child mortality in Sub-Saharan Africa have received much attention in the literature, detailed spatially varying relationships among these factors have remained unknown. The assumption is that the determinants exact matching influence across space but there are good reasons to doubt the veracity of this claim. This study examines the spatially varying relationships of determinants of child mortality in Nigeria, using data from Demographic and Health Surveys. We control the duration of exposure to the risks of mortality by computing the mortality index of individual women. Based on this, we used geographically weighted regression to map the varying effects of the risk factors. The results show that there are huge variations, across space, in the contributions of all the variables considered. We established that factors that made consistent contributions, albeit at different scales, include women's education, household headship, wealth index, and toilet facilities. The observed variations indicate that cultural, political, and climatic factors operate with these determinants to shape the level of impact on the survival chance of children.

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Inequities in Under-Five Mortality in Nigeria: Differentials by Religious Affiliation of the Mother

Cited by 27 publications

References 20 publications

Health effects of single motherhood on children in sub-Saharan Africa: a cross-sectional study

Health effects of single motherhood on children in sub-Saharan Africa: a cross-sectional study

Vaccine refusal and the endgame: walking the last mile first

Mapping the determinants of child mortality in Nigeria: estimates from mortality index

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