scholarly journals An Empirical Analysis of the Socioeconomic and Demographic characteristics influencing Birth Certification in Nigeria

2020 ◽  
Author(s):  
Uchechi Shirley Anaduaka
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Birth Certificate ◽  
Demographic Factors ◽  
Ordinary Least Squares ◽  
Skilled Attendant ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated ◽  
Socioeconomic And Demographic Factors

Abstract Background: Promoting birth certification is instrumental to achieving target 16.9 of the Sustainable Development Goals: legal identity for all by 2030. However, limited research has investigated the determinants of birth certification of children in the sub-Saharan African context. This study analyzes the socioeconomic and demographic factors associated with the birth certification of children under-five years in Nigeria. Methods: The study employed three rounds of the Nigerian Demographic and Health Survey involving 79487 children (0-4 years) in Nigeria. Birth certification was defined as whether a parent/caregiver had a child’s birth certificate at the time of the interview. Ordinary least squares and multilevel logistic regression models established the relationships between the socioeconomic and demographic factors and birth certification. Results: Children under-five years who had a skilled attendant at birth, at least one vaccination, and maternal access to prenatal visits had about 25.6%, 60.5% and 35.0% higher odds of having their births certified. Children born to more educated mothers and fathers had 1.023 and 1.012 times the odds of birth certification. Children from average and rich households also had 13.2% and 34.2% higher odds of birth certification, respectively. Conversely, child age, higher birth order, longer birth intervals, polygyny, having at least two dead siblings, father being employed in a low skilled job, living far from a registration center and in a poor community are risk factors for birth certification. Maternal age at birth and paternal has non-linear, albeit weak effects on birth certification. Being large at birth, bank account ownership were also significant predictors of birth certification. Mixed effects were noted for religion, ethnicity and region. Finally, no significant effects were noted for gender, maternal occupation and rural residence. Conclusions: The findings identify several socioeconomic and demographic factors associated with birth certification suggesting possible risks with improving birth certification in Nigeria. Access to health care and higher socioeconomic backgrounds are significant protectors of and distance to registration centers as obstacles to birth certification for children in Nigeria. Public policy strategies should encourage the use of health care services and also increase the number of registration centers in Nigeria.

scholarly journals An Empirical Analysis of the Socioeconomic and Demographic characteristics influencing Birth Certification in Nigeria

2020 ◽  
Author(s):  
Uchechi Shirley Anaduaka
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Birth Certificate ◽  
Demographic Factors ◽  
Ordinary Least Squares ◽  
Skilled Attendant ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated ◽  
Socioeconomic And Demographic Factors

Abstract Background: Promoting birth certification is instrumental to achieving target 16.9 of the Sustainable Development Goals: legal identity for all by 2030. However, limited research has investigated the determinants of birth certification of children in the sub-Saharan African context. This study analyzes the socioeconomic and demographic factors associated with the birth certification of children under-five years in Nigeria. Methods: The study employed three rounds of the Nigerian Demographic and Health Survey involving 79487 children (0-4 years) in Nigeria. Birth certification was defined as whether a parent/caregiver had a child’s birth certificate at the time of the interview. Ordinary least squares and multilevel logistic regression models established the relationships between the socioeconomic and demographic factors and birth certification. Results: Children under-five years who had a skilled attendant at birth, at least one vaccination, and maternal access to prenatal visits had about 25.6%, 60.5% and 35.0% higher odds of having their births certified. Children born to more educated mothers and fathers had 1.023 and 1.012 times the odds of birth certification. Children from average and rich households also had 13.2% and 34.2% higher odds of birth certification, respectively. Conversely, child age, higher birth order, longer birth intervals, polygyny, having at least two dead siblings, father being employed in a low skilled job, living far from a registration center and in a poor community are risk factors for birth certification. Maternal age at birth and paternal has non-linear, albeit weak effects on birth certification. Being large at birth, bank account ownership were also significant predictors of birth certification. Mixed effects were noted for religion, ethnicity and region. Finally, no significant effects were noted for gender, maternal occupation and rural residence. Conclusions: The findings identify several socioeconomic and demographic factors associated with birth certification suggesting possible risks with improving birth certification in Nigeria. Access to health care and higher socioeconomic backgrounds are significant protectors of and distance to registration centers as obstacles to birth certification for children in Nigeria. Public policy strategies should encourage the use of health care services and also increase the number of registration centers in Nigeria.

scholarly journals An Empirical Analysis of the Socioeconomic and Demographic characteristics influencing Birth Certification in Nigeria

2020 ◽  
Author(s):  
Uchechi Shirley Anaduaka
Keyword(s):  
Health Services ◽  
Parental Education ◽  
Household Wealth ◽  
Ordinary Least Squares ◽  
Conditional Cash Transfer ◽  
Access To Health Services ◽  
Children Under Five ◽  
Under Five ◽  
Access To Health ◽  
Socioeconomic And Demographic Factors

Abstract Background: Promoting birth certification is instrumental to achieving target 16.9 of the Sustainable Development Goals: legal identity for all by 2030. Currently, the birth certification rates are very low: on average, only 16.6% of children under-five years have their births certified. Methods: Using the nationally representative Nigerian Demographic and Health Survey, this paper analyzes the socioeconomic and demographic factors associated with the birth certification of children under-five years. The relationship with these factors and birth certification were analyzed using robust econometric techniques – ordinary least squares and multilevel regression approaches.Results: The study finds that access to health services, parental education and household ‌‌wealth strongly influence birth certification. Conversely, distance to registration center, higher birth orders, longer birth intervals and father’s working status are significant obstacles to birth certification. Finally, child age, maternal age at birth and father age have non-linear effects on birth certification among children under-five years in Nigeria. I find no significant effects of gender on birth certification. Conclusions: Improving access to health services and anchoring birth certification on child-targeted conditional cash transfer programs could be significant policy instruments for increasing birth certification in Nigeria.

scholarly journals Socioeconomic and demographic factors determining the underweight prevalence among children under-five in Punjab

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Rizwan Farooq ◽  
Hina Khan ◽  
Masood Amjad Khan ◽  
Muhammad Aslam
Keyword(s):  
Demographic Factors ◽  
Wealth Index ◽  
Additive Models ◽  
Place Of Residence ◽  
Children Under Five ◽  
Under Five ◽  
Number Of Children ◽  
Family Wealth ◽  
Nutritional Studies ◽  
Socioeconomic And Demographic Factors

Abstract Background Underweight prevalence continues to be major public health challenge worldwide, particularly in developing countries like Pakistan. This study is focused on socio-economic and demographic aspects of underweight prevalence among children under-five in Punjab. Methods In this study, several socioeconomic and demographic factors are considered using MICS-4 data-set. Only those variables which are usually described in the nutritional studies of children were picked. Covariates include: the age of children, sex of the children, age of mother, total number of children born to women, family wealth index quintile, source of drinking water, type of sanitation, place of residence, parents’ education and occupation. All Categorical variables are effect coded. The child’s age and the mother’s age are assumed to be nonlinear, geographical region is spatial effect, while other variables are parametric in nature. Since, the response is binary, covariate comprises linear terms, nonlinear effects of continues covariates and geographic effects, so we have use Geo-additive models (based on Fully Bayesian approach) with binomial family under logit link. Statistical analysis is performed on Statistical package R using Bayes X and R2 Bayes X Libraries. Results Underweight status of children was found to be positively associated with number of under-five children in household, total number of children ever born to women and age of mother when the child was born. Whereas, it negatively associated with place of residence, parent’s education and family wealth index quintile. On the regional effect, the Southern Punjab has higher prevalence of underweight compared to Central and Northern Punjab. Conclusion Similarity of our results with several other studies demonstrate that the Geo-additive models are an ideal substitute of other statistical models to analyze the underweight prevalence among children. Moreover, our findings suggest the Punjab Government, to introduce target-oriented programs such as poverty reduction and enhancement of education and health facilities for poor population and disadvantaged regions, especially Southern Punjab.

Socioeconomic and Demographic Factors Associated With Health Care Choices in Taiwan

2009 ◽  
Vol 22 (1) ◽  
pp. 51-62 ◽  
Author(s):  
Chieh-Yu Liu ◽  
Jih-Shin Liu
Keyword(s):  
Health Care ◽  
Older Women ◽  
Demographic Factors ◽  
Hierarchical Cluster ◽  
Care Seeking ◽  
Multiple Sources ◽  
Middle Income ◽  
Factors Associated ◽  
Health Care Choices ◽  
Socioeconomic And Demographic Factors

By using the data from the 2001 National Health Interview Survey and the National Heath Insurance database in Taiwan, this study aims at investigating the socioeconomic and demographic factors associated with different health care choices. This study incorporated hierarchical cluster analysis into multiple correspondent analysis to determine 5 attribute clusters of socioeconomic and demographic factors associated with different health care choices. This study found that older women with higher education levels were more likely to choose multiple sources of health care and that low- to middle-income people were more likely to use over-the-counter medications in pharmacies. In addition, people’s self-reported health care choices were inconsistent with their observed health care seeking behavior. The health policy authority may need to provide more health promotion education programs, especially for older women with higher educational levels, and funding incentives for quality of care provided rather than relying solely on reimbursements for episodic care.

scholarly journals Socio-demographic and environmental factors associated with diarrhoeal disease among children under five in India

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Pintu Paul
Keyword(s):  
Health Care ◽  
Environmental Factors ◽  
Rural Areas ◽  
Public Health Problem ◽  
Diarrhoeal Disease ◽  
Major Public Health Problem ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated ◽  
The Past

Abstract Background Globally, diarrhoea is the second leading cause of death in children under five and a major public health problem. Despite several health care initiatives taken by the government, a large proportion of children still experience diarrhoeal diseases which cause high childhood death in India. This study aims to examine the socio-demographic and environmental factors associated with diarrhoea in children under five in India. Methods A cross-sectional study was designed using secondary data from the recent round of the National Family Health Survey (NFHS-4), conducted in 2015–16. A total of 247,743 living children below 5 years of age were included in the analysis. Bivariate and multivariate logistic regression models were carried out to assess the factors associated with childhood diarrhoeal disease. Results In India, about 9% of under-five children experience diarrhoeal disease in the past 2 weeks preceding the survey. Children living in rural areas (Adjusted odds ratio [aOR]: 1.05; 95% CI: 1.01, 1.09), children belonged to scheduled tribe (aOR: 0.83; 95% CI: 0.79, 0.89) and other castes (aOR: 0.92; 95% CI: 0.88, 0.97), Muslim children (aOR: 1.18; 95% CI: 1.13, 1.24), and children resided in the central (aOR: 1.61; 95% CI: 1.52, 1.70) and west (aOR: 1.08; 95% CI: 1.01, 1.15) regions were significantly associated with higher likelihood of diarrhoea in the past 2 weeks. Concerning environmental factors, child stool disposal (aOR: 1.06; 95% CI: 0.98, 1.09), floor materials (aOR: 1.08; 95% CI: 1.03, 1.12) and roof materials (aOR: 1.08; 95% CI: 1.04, 1.13) of the household were found to be significant predictors of childhood diarrhoea occurrence. Conclusions Diarrhoeal disease is common among children who lived in rural areas, scheduled castes, Muslims, and children from poor families. Regarding environmental factors, stool disposal practices in the household, dirt floor, and thatch roof materials of the household unit are risk factors for diarrhoeal disease. Targeted approach should be initiated to mitigate the problem of the poor health status of children by providing adequate health care. The policy-makers and stakeholders should address adverse environmental conditions by the provision of latrine and improved housing facilities.

scholarly journals Socio-demographic and environmental factors associated with diarrhoeal disease among children under five in India

2020 ◽  
Author(s):  
Pintu Paul
Keyword(s):  
Health Care ◽  
Environmental Factors ◽  
Rural Areas ◽  
Public Health Problem ◽  
Diarrhoeal Disease ◽  
Major Public Health Problem ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated ◽  
The Past

Abstract Background: Globally, diarrhoea is the second leading cause of death in children under five and a major public health problem. Despite several health care initiatives taken by the government, a large proportion of children still experience diarrhoeal diseases which cause high childhood death in India. This study aims to examine the socio-demographic and environmental factors associated with diarrhoea in children under five in India.Methods: A cross-sectional study was designed using the recent round of the National Family Health Survey (NFHS-4), conducted in 2015–16. A total of 247,743 living children below five years of age were included in the analysis. Bivariate and multivariate logistic regression models were carried out to assess the factors associated with childhood diarrhoeal disease.Results: In India, about 9% of under-five children experience diarrhoeal disease in the past two weeks preceding the survey. Children living in rural areas (Adjusted odds ratio [aOR]: 1.05; 95% CI: 1.01, 1.09), belonged to scheduled tribe (aOR: 0.83; 95% CI: 0.79, 0.89) and other castes (aOR: 0.92; 95% CI: 0.88, 0.97), Muslim children (aOR: 1.18; 95% CI: 1.13, 1.24), and children resided in the central (aOR: 1.61; 95% CI: 1.52, 1.70) and west (aOR: 1.08; 95% CI: 1.01, 1.15) regions were significantly associated with higher likelihood of diarrhoea in the past two weeks. Concerning environmental factors, child stool disposal (aOR: 1.06; 95% CI: 0.98, 1.09), floor materials (aOR: 1.08; 95% CI: 1.03, 1.12) and roof materials (aOR: 1.08; 95% CI: 1.04, 1.13) of the household were found to be significant factors of childhood diarrhoea occurrence.Conclusions: Diarrhoeal disease is common among children who lived in rural areas, scheduled castes, Muslims, and children from poor families. Regarding environmental factors, stool disposal practices in the household, dirt floor, and thatch roof materials of the household unit are risk factors for diarrhoeal disease. Targeted approach should be initiated to mitigate the problem of the poor health status of children by providing adequate health care. The policy-makers and stakeholders should address adverse environmental conditions by the provision of latrine and improved housing facilities.

Factors Associated with Nutritional Status in Children Under Five in Urban Surabaya, East Java

2019 ◽  
Author(s):  
Triana Ulfa Nur Aziza ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Eti Poncorini Pamungkasari ◽  
◽  
...  
Keyword(s):  
Nutritional Status ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated

scholarly journals The prevalence and root causes of delay in seeking healthcare among mothers of under five children with pneumonia in hospitals of Bahir Dar city, North West Ethiopia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Getasew Mulat Bantie ◽  
Zemene Meseret ◽  
Melkamu Bedimo ◽  
Abebayehu Bitew
Keyword(s):  
Health Care ◽  
Traditional Medicine ◽  
P Value ◽  
Rural Residence ◽  
Bahir Dar ◽  
Self Medication ◽  
Healthcare Seeking ◽  
Under Five ◽  
Factors Associated ◽  
Under Five Children

Abstract Background Globally pneumonia is the leading cause of under-five child mortality. Several risk factors for pneumonia mortality have been identified, including delay in seeking health care. For successful reduction of delay in seeking healthcare, further evidence is crucial on its magnitude and factors associated with it in the country particularly in the study area. Therefore, this study aimed to determine the prevalence and root causes of delay in seeking health care among mothers of under-five children with pneumonia in hospitals of the Bahir Dar city, 2019. Methods A hospital-based cross-sectional study was conducted from March 15 to May 15, 2019 among 356 mothers of under-five children with pneumonia in hospitals of the Bahir Dar city. The study participants were selected by using a stratified sampling technique and data was collected through face to face interview. Binary logistic regression was used to identify the associated factors of delay in seeking healthcare. The P - value < 0.05 was considered statistically significant. Associations between outcome and exposure variables were expressed by the adjusted odds ratio with a 95% confidence interval (CI). Results A total of 356 mothers participated in the study yielded a response of 89.4%. The proportion of delay in seeking health care was 48.6%. Rural residence (AOR = 2. 3, 95% CI: 1.1, 4.9, seek healthcare in a governmental hospital (AOR = 3. 3, 95% CI: 1.8, 6.1), health care decision by mothers (AOR = 2. 9, 95% CI: 1.6, 5.4), poorest household (AOR = 2. 8, 95% CI: 1.1, 7.2), using self-medication (AOR = 7. 5, 95% CI: 3.8, 14.7), using traditional medicine before healthcare-seeking (AOR = 2. 7, 95% CI: 1.4, 5.1), and no information about early healthcare-seeking for childhood pneumonia treatment (AOR = 5. 1, 95% CI: 2.8, 9.1) were the identified determinants significantly associated with delay in seeking healthcare among mothers of under-five children with pneumonia. Conclusion This study showed that nearly half of the mothers delayed in seeking healthcare. Rural residence, healthcare seeking at government hospitals, healthcare decision by mothers, poorest household, using self-medication, using traditional medicine before health care seeking, and lack of information about early healthcare-seeking were factors associated with a delay in seeking healthcare for under-five children with pneumonia. Hence, the government and other concerned stakeholders should give due emphasis to tackle on the identified causes of delay in seeking health care for the under five children with pneumonia.

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