Azuh Dominic, Oladosun Muyiwa, Chinedu Shalom Nwodo, Azuh Akunna Ebere, Duh Emelda, Nwosu Joy
Department of Economics and Development Studies, Covenant University, Ota, Ogun State, Nigeria.
Public-Private Partnership Research Cluster, Covenant University Centre for Research Innovation and Discovery (CUCRID), Ota, Ogun State, Nigeria.
Afr J Reprod Health. 2021 Nov;25(s5):159-170. doi: 10.29063/ajrh2021/v25i5s.15.
Nigeria's under five-mortality was 132 per 1000 in 2018. The statistic makes Nigeria the country with the third-highest under-five mortality globally. It implies that the government may not achieve the Sustainable Development Goal (SDG) of 25 per 1000 births by 2030. This situation is of grave concern to policymakers and other stakeholders interested in the country's development. This study provides unique community micro-level information on child mortality determinants in rural communities where the country's health system is weakest. The study used a sample of 1350 pregnant women aged 20-44 who attended antenatal care in22 health facilities in selected rural communities of Ogun State, South-west Nigeria. The multicollinearity diagnostics tests conducted between the dependent variable and predictors showed no abnormality in the values of the variance inflation factor, eigenvalues, and condition indexes. Logistics regression results showed that the socio-demographic characteristics such as the respondent's age, educational level, number of living children, and husband's education directly affected child mortality. In contrast, the husband has another wife had an indirect effect on child mortality. Environmental factors that directly impacted child mortality included the type of household toilet facility, source of water supply, and household waste disposal practices. These findings indicate that policies and programs to reduce child mortality in rural Nigeria must address socio-demographic and context-specific factors, especially at the community level.
2018年，尼日利亚五岁以下儿童死亡率为每1000人中有132人。这一统计数据使尼日利亚成为全球五岁以下儿童死亡率第三高的国家。这意味着政府可能无法在2030年实现每1000例出生25人的可持续发展目标。这种情况引起了对该国发展感兴趣的政策制定者和其他利益相关者的严重关切。本研究提供了关于该国卫生系统最薄弱的农村社区儿童死亡率决定因素的独特社区微观层面信息。该研究对1350名年龄在20至44岁之间、在尼日利亚西南部奥贡州选定农村社区的22个卫生设施接受产前护理的孕妇进行了抽样调查。在因变量和预测变量之间进行的多重共线性诊断测试显示，方差膨胀因子、特征值和条件指数的值没有异常。逻辑回归结果表明，受访者的年龄、教育水平、在世子女数量和丈夫的教育程度等社会人口特征直接影响儿童死亡率。相比之下，丈夫有另一个妻子对儿童死亡率有间接影响。直接影响儿童死亡率的环境因素包括家庭厕所设施类型、供水来源和家庭废物处理方式。这些发现表明，尼日利亚农村地区降低儿童死亡率的政策和方案必须解决社会人口和特定背景因素，特别是在社区层面。
