scholarly journals Background predictors of time to death in infancy: evidence from a survival analysis of the 2018 Nigeria DHS data

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Michael Kunnuji ◽  
Idongesit Eshiet ◽  
Bright Opoku Ahinkorah ◽  
Temitope Omogbemi ◽  
Sanni Yaya
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Basic Education ◽  
Child Death ◽  
Wealth Quintile ◽  
Infant Mortality Rate ◽  
Infant Survival ◽  
Poor Child ◽  
North West ◽  
Child Health Outcomes

Abstract Background Nigeria’s child health profile is quite concerning with an infant mortality rate of 67 deaths per 1000 live births and a significant slowing down in progress towards improving child health outcomes. Nigeria’s 2018 Demographic and Health Survey (DHS) suggests several bio-demographic risk factors for child death, including mother’s poor education, poverty, sex of child, age of mother, and location (rural vs urban) but studies are yet to explore the predictive power of these variables on infant survival in Nigeria. Methods The study extracted data for all births in the last 12 months preceding the 2018 Nigeria DHS and used the Cox proportional hazard model to predict infant survival in Nigeria. Failure in this analysis is death with two possible outcomes – dead/alive – while the survival time variable is age at death. We censored infants who were alive at the time of the study on the day of the interview. Covariates in the analysis were: age of mother, education of mother, wealth quintile, sex of child, location, region, place of delivery, and age of pregnancy. Results The study found that a higher education of a mother compared to no education (β = .429; p-value < 0.05); belonging to a household in the richer wealth quintile (β = .618; p-value < 0.05) or the highest quintile (β = .553; p-value < 0.05), compared to the lowest wealth quintile; and living in North West (β = 1.418; p-value < 0.05) or South East zone (β = 1.711; p-value < 0.05), significantly predict infant survival. Conclusion Addressing Nigeria’s infant survival problem requires interventions that give attention to the key drivers – education, socio-economic status, and socio-cultural contextual issues. We therefore recommend full implementation of the universal basic education policy, and child health education programs targeted at mothers as long- and short-term solutions to the problem of poor child health outcomes in Nigeria. We also argue in favor of better use of evidence in policy and program development in Nigeria.

scholarly journals Orphanhood and vulnerability: a conduit to poor child health outcomes in Rwanda

AIDS Care ◽  
2010 ◽  
Vol 22 (3) ◽  
pp. 314-323 ◽  
Author(s):  
Fiifi Amoako Johnson ◽  
Sabu S. Padmadas ◽  
Peter W.F. Smith
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Poor Child ◽  
Child Health Outcomes

scholarly journals Health Interventions and Child Health in Sub-Saharan Africa: Assessing the Impact of the Millennium Development Goal

2016 ◽  
Vol 9 (1) ◽  
pp. 187 ◽  
Author(s):  
Oluwatomisin M. Ogundipe ◽  
Oluranti I. Olurinola ◽  
Adeyemi A. Ogundipe
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Basic Education ◽  
Immunization Coverage ◽  
Health Interventions ◽  
Sub Saharan Africa ◽  
Intervention Programme ◽  
Under Five ◽  
Child Health Outcomes ◽  
The Impact

The study investigates the role of health interventions on child health in developing Africa for the period 1990-2013 using a dynamic panel approach. Among others, the study examines the effect of millennium development intervention programme on child health outcomes. Our analysis reveals MDG intervention as extremely pertinent in reducing the incidence of child mortality in Africa. It implies that introduction of MDGs culminates into increasing the rate of child survival in Africa. Similarly, maternal literacy, maternal health and other child protective measures adopted were found to be statistically significant in improving child health outcomes. The proportion of under-five mortality (proxy for child health) responds more strongly and negatively to immunization coverage, exclusive breastfeeding and DPT vaccines. On the other hand, the quality of institution contributively impact under-five mortality in Africa. Finally, there is need to strengthen institutional arrangement, ensure compulsory basic education for women and strengthen the health system to achieve full packages of intervention, curtain the rising incidence of child deaths and attain the MDGs.

scholarly journals Parental Care on Under Five Child Health Outcomes in Zimbabwe

2021 ◽  
Vol 9 (2) ◽  
pp. 1-9
Author(s):  
Pius Gamette ◽  
Refiloe Jabari ◽  
Sibusisiwe Bertha Muperere
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Parental Care ◽  
Family Care ◽  
Wealth Index ◽  
Poor Child ◽  
Under Five ◽  
Child Health Outcomes ◽  
Negative Effect ◽  
The Individual

This study examines the effect of parental care on child health outcomes (stunting, wasting and underweight) in Zimbabwe. The study uses data from the Zimbabwe Demographic Health Survey (ZDHS) (1994-2015) by employing the Ordinary Least Method (OLS) regression approach. The results indicate that breastfeeding and vaccination on each count has a significant negative effect on under-five child health outcomes (stunting and wasting). On the contrary, child-size shows a significant positive effect on wasting and underweight among under-five children in Zimbabwe. Area of residence indicates an under five-child in an urban center is less likely to be wasting than its contemporary in a rural area. The individual effects of mothers’ education, wealth index, child’s sex and marital status show insignificant effects under-five child health outcomes. The policy implication is that health professionals should intensify education on early child suckling and succeeding dietary mix to obviate poor health outcomes. This study also implores the Ministry of Health and Child Care in Zimbabwe to review existing vaccination programmes by extending to households with poor child health outcomes found in inaccessible areas. As a contribution, this study provides a platform for deliberations on family care and child health care in African societies.

scholarly journals In-utero exposure to antihypertensive medication and neonatal and child health outcomes

2017 ◽  
Vol 35 (11) ◽  
pp. 2123-2137 ◽  
Author(s):  
Catherine A. Fitton ◽  
Markus F.C. Steiner ◽  
Lorna Aucott ◽  
Jill P. Pell ◽  
Daniel F. Mackay ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Antihypertensive Medication ◽  
In Utero ◽  
In Utero Exposure ◽  
Child Health Outcomes ◽  
And Child Health

Liberalising Health-seeking Behaviour of the Johanne Marange Apostolic Sect in Manicaland, Zimbabwe

2021 ◽  
pp. 097206342110652
Author(s):  
Steven Masvaure
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Conventional Medicine ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Child Health Outcomes ◽  
Women And Children ◽  
Religious Sects ◽  
And Child Health ◽  
Apostolic Church

Religious rights as enshrined in the Zimbabwean constitution are sacrosanct, however, when church doctrine bars followers from seeking modern medical care, they start infringing on health rights especially of the ‘lesser beings’ the women and children who are members of these religious sects. The ‘lesser beings’ are bearing the brunt of high maternal and neonatal mortality as they depend on unsafe traditional birth attendants and unconventional medicine. This study is ethnographic and presents lessons learnt from a programme aiming to improve maternal, newborn and child health outcomes among the Apostolic Church of Johanne Marange members in Manicaland province, Zimbabwe. The findings show that despite the stringent doctrine and barriers placed on apostolic members who want to access conventional medicine, the women and children are using clandestine approaches to circumvent the doctrine and barriers. This article argues that a barrage of unconventional and conventional approaches can lead to changes in health-seeking behaviour of the apostolic church and ultimately maternal and child health outcomes. The article argues that the intransigence of the apostolic can only be overcome by covert approaches to providing health services and save lives.

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