Perinatal Mortality in Nigeria: Do Place of Delivery and Delivery Assistants Matter?

Otia, Samuel Oji; Odimegwuc, Clifford

doi:10.2174/1874918601104010001

Cited by 15 publications

(6 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This finding is consistent with previous studies [40,41], which attributed this finding to limited access to health facilities and maternal healthcare services, such as delivery assisted by a healthcare professional, and prenatal and postnatal care. This disproportionally hinders rural dwellers from receiving adequate healthcare services, resulting in a high probability of neonatal death.…”

Section: Discussionsupporting

confidence: 93%

Determinants of neonatal mortality in Nigeria: evidence from the 2008 demographic and health survey

et al. 2014

View full text Add to dashboard Cite

BackgroundNigeria continues to have one of the highest rates of neonatal deaths in Africa. This study aimed to identify risk factors associated with neonatal death in Nigeria using the 2008 Nigeria Demographic and Health Survey (NDHS).MethodsNeonatal deaths of all singleton live-born infants between 2003 and 2008 were extracted from the 2008 NDHS. The 2008 NDHS was a multi-stage cluster sample survey of 36,298 households. Of these households, survival information of 27,147 singleton live-borns was obtained, including 996 cases of neonatal mortality. The risk of death was adjusted for confounders relating to individual, household, and community level factors using Cox regression.ResultsMultivariable analyses indicated that a higher birth order of newborns with a short birth interval ≤ 2 years (hazard ratio [HR] = 2.19, confidence interval [CI]: 1.68–2.84) and newborns with a higher birth order with a longer birth interval > 2 years (HR = 1.36, CI: 1.05–1.78) were significantly associated with neonatal mortality. Other significant factors that affected neonatal deaths included neonates born to mothers younger than 20 years (HR = 4.07, CI: 2.83–5.86), neonates born to mothers residing in rural areas compared with urban residents (HR = 1.26, CI: 1.03–1.55), male neonates (HR = 1.30, CI: 1.12–1.53), mothers who perceived their neonate’s body size to be smaller than the average size (HR = 2.10, CI: 1.77–2.50), and mothers who delivered their neonates by caesarean section (HR = 2.80, CI: 1.84–4.25).ConclusionsOur study suggests that the Nigerian government needs to invest more in the healthcare system to ensure quality care for women and newborns. Community-based intervention is also required and should focus on child spacing, childbearing at a younger age, and poverty eradication programs, particularly in rural areas, to reduce avoidable neonatal deaths in Nigeria.

show abstract

Section: Discussionsupporting

confidence: 93%

Determinants of neonatal mortality in Nigeria: evidence from the 2008 demographic and health survey

et al. 2014

View full text Add to dashboard Cite

show abstract

“…However, the odds revealed higher likelihood of U5M among home deliveries. This nding was in agreement with other studies done in the developing countries of Nigeria and South Africa [40,41]. However, other studies have revealed a lower probability of child's death among deliveries that occurs in health facilities as compared to home deliveries [10,21,23].…”

Section: Discussionsupporting

confidence: 92%

“…In recent years, such accessibility has been complicated by the emergence of motorbikes, which appear to be expensive and thus not affordable by most mothers [43]. Other studies carried out in poor resource settings of Vietnam and Nigeria also found a higher likelihood of U5M from mothers with transportation di culties [41,44]. However, the results between the previous studies and the current study should be translated cautiously due to time differences.…”

Section: Discussionmentioning

confidence: 54%

Maternal Factors Influencing Under-five Mortality in Karemo Sub-county in Siaya County, Kenya

Odingo

Munde

Sang

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Despite the substantial reduction of under-five mortality (U5M) across the world, about 15,000 under-fives (U5s) die daily. Majority occurs in developing countries with Sub-Saharan African countries like Kenya accounting for over 50%. In Kenya, the former Nyanza Province in western region exhibits the highest U5MR of 82 deaths/1000 live births. Karemo Sub-County in Nyanza Province displays twice as much U5MR as Nyanza Province despite having relatively good access to private and public health facilities. Moreover, the influence of maternal risk factors on U5M remains unknown. Methodology: The current cross-sectional study assessed the influence of maternal risk factors associated with U5M in Karemo Sub-County in Siaya County in 299 households of women of reproductive age (15–49 years). Data was collected using pre-tested structured questionnaire on a face-to-face interview. Differences between proportions were determined using Chi-square test while binary logistic regression was used to determine the association between maternal factors and U5M. Results Results show that children of older mothers (35–49 years) had increased mortality relative to those of younger mothers (< 20 years) (OR = 2.484; 95%CI: 1.249–4.940; P = 0.009). Short preceding birth interval of (< 2 years) was associated with increased risk of U5M relative to longer preceding birth intervals (> 2 years) (OR = 2.079; 95%CI: 1.240–3.485; P = 0.005). Relative to primary education level, children born to mothers who had attained tertiary level had reduced risk of U5M (OR = 0.408; 95%CI: 0.208-0.800; P = 0.009). Higher birth orders of 4 and above were five times more associated withU5M compared to lower birth orders (OR = 5.442; 95%CI: 2.789–10.620; P < 0.0001). Polygamy was associated with increased risk of U5M (OR = 3.370; 95%CI: 1.922–5.910; P < 0.0001). Similarly, lower death rates of about 61% were observed among children of married mothers compared to those of single mothers (OR = 0.382; 95%CI: 0.218–0.669; P = 0.001). Employment, subsistent farmers and small-scale business mothers showed increased risk to U5M (OR = 3.505, 95%CI: 1.657–7.414; P = 0.001), 2.1 (OR = 2.196; 95%CI: 1.190–4.053; P = 0.012) and 5.6 (OR = 5.639; 95%CI: 2.871–11.077; P < 0.0001), respectively. Conclusion Strategies targeting promotion of girl-child education above primary levels, women economic empowerment and acceptance of family planning are considered fundamental interventions and should be emphasized in reducing U5M in this region.

show abstract

“…Nine were from Africa: Nigeria [40,41], Uganda [42], Malawi [43], Egypt [44], Ghana [45], Tanzania [46], Ethiopia [47] and Burkina Faso [48]. Nine were from Asia: China [49], India [50,51], Iran [52], Vietnam [53,54], Indonesia [55] and Pakistan [56,57].…”

Section: Resultsmentioning

confidence: 99%

The effect of health facility delivery on neonatal mortality: systematic review and meta-analysis

Tura

Fantahun

Worku

2013

BMC Pregnancy Childbirth

162

106

View full text Add to dashboard Cite

BackgroundThough promising progress has been made towards achieving the Millennium Development Goal four through substantial reduction in under-five mortality, the decline in neonatal mortality remains stagnant, mainly in the middle and low-income countries. As an option, health facility delivery is assumed to reduce this problem significantly. However, the existing evidences show contradicting conclusions about this fact, particularly in areas where enabling environments are constraint. Thus, this review was conducted with the aim of determining the pooled effect of health facility delivery on neonatal mortality.MethodsThe reviewed studies were accessed through electronic web-based search strategy from PUBMED, Cochrane Library and Advanced Google Scholar by using combination key terms. The analysis was done by using STATA-11. I2 test statistic was used to assess heterogeneity. Funnel plot, Begg’s test and Egger’s test were used to check for publication bias. Pooled effect size was determined in the form of relative risk in the random-effects model using DerSimonian and Laird's estimator.ResultsA total of 2,216 studies conducted on the review topic were identified. During screening, 37 studies found to be relevant for data abstraction. From these, only 19 studies fulfilled the preset criteria and included in the analysis. In 10 of the 19 studies included in the analysis, facility delivery had significant association with neonatal mortality; while in 9 studies the association was not significant. Based on the random effects model, the final pooled effect size in the form of relative risk was 0.71 (95% CI: 0.54, 0.87) for health facility delivery as compared to home delivery.ConclusionHealth facility delivery is found to reduce the risk of neonatal mortality by 29% in low and middle income countries. Expansion of health facilities, fulfilling the enabling environments and promoting their utilization during childbirth are essential in areas where home delivery is a common practice.

show abstract

Perinatal Mortality in Nigeria: Do Place of Delivery and Delivery Assistants Matter?

Cited by 15 publications

References 24 publications

Determinants of neonatal mortality in Nigeria: evidence from the 2008 demographic and health survey

Determinants of neonatal mortality in Nigeria: evidence from the 2008 demographic and health survey

Maternal Factors Influencing Under-five Mortality in Karemo Sub-county in Siaya County, Kenya

The effect of health facility delivery on neonatal mortality: systematic review and meta-analysis

Contact Info

Product

Resources

About