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Trends in and determinants of neonatal and infant mortality in Nigeria based on Demographic and Health Survey data

Published online by Cambridge University Press:  29 October 2020

Kamalesh Kumar Patel ,
Jang Bahadur Prasad Open the ORCID record for Jang Bahadur Prasad [Opens in a new window]  and
Rajeshwari A. Biradar
Kamalesh Kumar Patel
Affiliation:
Indian Institute of Health Management Research, Rajasthan, India
Jang Bahadur Prasad*
Affiliation:
Department of Epidemiology and Biostatistics, KLE University, India
Rajeshwari A. Biradar
Affiliation:
School of Development Studies, Tata Institute of Social Sciences, Mumbai, India
*
*Corresponding author. Email: [email protected]
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Abstract

This study aimed to assess the changes in neonatal and infant mortality rates in Nigeria over the period 1990 to 2018 using Nigerian Demographic and Health Survey (NDHS) data, and assess their socio-demographic determinants using data from the most recent survey conducted in 2018. The infant mortality rate was 87 per 1000 live births in 1990, and this increased to 100 per 1000 live births in 2003 – an increase of around 15% over 13 years. Neonatal and infant mortality rates started to decline steadily thereafter and continued to do so until 2013. After 2013, neonatal morality rose slightly by the year 2018. Information for 27,465 infants under 1 year of age from the NDHS-2018 was analysed using bivariate and multivariate analysis and the Cox proportional hazard technique. In 2018, infant deaths decreased as wealth increased, and the incidence of infant deaths was greater among those of Islam religion than among those of other religions. A negative association was found between infant deaths and the size of a child at birth. Infant mortality was higher in rural than in urban areas, and was higher among male than female children. Both neonatal and infant death rates varied by region and were found to be highest in the North West region and lowest in the South region. An increasing trend was observed in neonatal mortality in the 5-year period from 2013 to 2018. Policy interventions should be focused on the poor classes, women with a birth interval of less than 2 years and those living in the North West region of the country.

Keywords

Neonatal mortalityInfant mortalityNigeria
Type
Research Article
Information
Journal of Biosocial Science , Volume 53 , Issue 6 , November 2021 , pp. 924 - 934
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Adedini, SA, Odimegwu, C, Imasiku, EN, Ononokpono, DN and Ibisomi, L (2015) Regional variations in infant and child mortality in Nigeria: a multilevel analysis. Journal of Biosocial Science 47(2), 165–187.CrossRefGoogle ScholarPubMed
Aigbe, GO and Zannu, AE (2012) Differentials in infant and child mortality rates in Nigeria: evidence from the six geopolitical zones. International Journal of Humanities and Social Science 2(16), 206–114.Google Scholar
Antai, D (2011) Regional inequalities in under-5 mortality in Nigeria: a population-based analysis of individual- and community-level determinants. Population Health Metrics 9(6), 1–27.CrossRefGoogle ScholarPubMed
Alonso, V, Fuster, V and Luna, F (2006) Causes of neonatal mortality in Spain (1975–98): influence of sex, rural–urban residence and age at death. Journal of Biosocial Science 38(4), 537–551.CrossRefGoogle ScholarPubMed
Ballot, DE, Chirwa, TF and Cooper, PA (2010) Determinants of survival in very low birth weight neonates in a public sector hospital in Johannesburg. BMC Pediatrics 10(1), 30.CrossRefGoogle Scholar
Biradar, R, Patel, KK and Prasad, JB (2019) Effect of birth interval and wealth on under-5 child mortality in Nigeria. Clinical Epidemiology and Global Health 7(2), 234–238.CrossRefGoogle Scholar
Biradar, R (2018) Material health outcomes and its determinants: a comparative study among scheduled caste and other backward caste, populations in Vijayapur District, Karnataka, India. MPhil dissertation, Tata Institute for Social Sciences, Mumbai.Google Scholar
DaVanzo, J, Razzaque, A, Rahman, M, Hale, L, Ahmed, K, Khan, MA et al. (2004) The Effects of Birth Spacing on Infant and Child Mortality, Pregnancy Outcomes, and Maternal Morbidity and Mortality in Matlab, Bangladesh. Technical Consultation and Review of the Scientific Evidence for Birth Spacing. https://www.rand.org/content/dam/rand/pubs/working_papers/2004/RAND_WR198.pdf Google Scholar
Gubhaju, BB (1986) Effect of birth spacing on infant and child mortality in rural Nepal. Journal of Biosocial Science 18(4), 435–447.CrossRefGoogle ScholarPubMed
Khoury, MJ, Marks, JS, McCarthy, BJ and Zaro, SM (1985) Factors affecting the sex differential in neonatal mortality: the role of respiratory distress syndrome. American Journal of Obstetrics and Gynecology 151(6), 777–782.CrossRefGoogle ScholarPubMed
Kravdal, Ø (2004) Child mortality in India: the community-level effect of education. Population Studies 58(2), 177–192.CrossRefGoogle ScholarPubMed
Ladusingh, L and Singh, CH (2006) Place, community education, gender and child mortality in North-east India. Population, Space and Place 12(1), 65–76.CrossRefGoogle Scholar
Mondal, MN, Hossain, MK and Ali, MK (2009) Factors influencing infant and child mortality: a case study of Rajshahi District, Bangladesh. Journal of Human Ecology 26(1), 31–39.CrossRefGoogle Scholar
Mutunga, CJ (2011) Environmental determinants of child mortality in Kenya. In Health Inequality and Development. Palgrave Macmillan, London, pp. 89–110. https://link.springer.com/chapter/10.1057/9780230304673_5 CrossRefGoogle Scholar
NPC (2019) Nigeria 2018, Nigeria Demography and Health Survey. Nigeria Population Commission and ICF Macro, Calverton, MD.Google Scholar
Onwuanaku, CA, Okolo, SN, Ige, KO, Okpe, SE and Toma, BO (2011) The effects of birth weight and gender on neonatal mortality in north central Nigeria. BMC Research Notes 4(1), 562.CrossRefGoogle ScholarPubMed
Rabe-Hesketh, S, Skrondal, A, Pickles, A and GllaMM Manual (2004) UC Berkeley Division of Biostatistics Working Paper No. 160. URL: http://www.bepress.com/ucbbiostat/paper160 (accessed 30th June 2019).Google Scholar
Say, L and Raine, R (2007) A systematic review of inequalities in the use of maternal health care in developing countries: examining the scale of the problem and the importance of context. Bulletin of the World Health Organization 85, 812–819.CrossRefGoogle Scholar
Slinkard, SA, Pharr, JR, Bruno, T, Patel, D, Ogidi, A, Obiefune, M and Ezeanolue, EE (2018) Determinants of infant mortality in southeast nigeria: results from the healthy beginning initiative, 2013–2014. International Journal of MCH and AIDS 7(1), 1.CrossRefGoogle ScholarPubMed
Story, WT (2014) Social capital and the utilization of maternal and child health services in India: a multilevel analysis. Health & Place 28, 73–84.CrossRefGoogle ScholarPubMed
Titaley, CR, Dibley, MJ, Agho, K, Roberts, CL and Hall, J (2008) Determinants of neonatal mortality in Indonesia. BMC Public Health 8(1), 232.CrossRefGoogle ScholarPubMed
UNICEF (2009) The State of the World’s Children 2009: Maternal and Newborn Health. UNICEF, New York.Google Scholar
UNICEF (2019) Mother, Newborn and Child Health and Mortality in Nigeria – General Facts. URL: http://www.unicef.org/nigeria/ng_publications_advocacybrochure.pdf (accessed 1st July 2019).Google Scholar
Wall, L L (1998) Dead mothers and injured wives: the social context of maternal morbidity and mortality among the Hausa of northern Nigeria. Studies in Family Planning 29(4), 341–359.CrossRefGoogle ScholarPubMed
Whitworth, A and Stephenson, R (2002) Birth spacing, sibling rivalry and child mortality in India. Social Science & Medicine 55(12), 2107–2119.CrossRefGoogle ScholarPubMed
Winikoff, B (1983) The effects of birth spacing on child and maternal health. Studies in Family Planning 1, 231–245.CrossRefGoogle Scholar