scholarly journals Regional Differences in Postnatal Care Service Utilisation and Child Morbidity in Nigeria: Evidence from 2018 Nigeria Demographic and Health Survey (NDHS)

2020 ◽  
Author(s):  
Endurance Uzobo ◽  
Aboluwaji D. Ayinmoro

Abstract Introduction: Modern Postnatal Care Services (PNC) in Nigeria is vital tool for providing quality health for mothers and newborns. Nonetheless, many regions in Nigeria are still struggling to achieve optimum utilisation of modern PNC services due to variation in associated socioeconomic factors of mothers based on their regions. This study aims at assessing regional socioeconomic factors associated with PNC services utilisation and its relationship with child morbidity in Nigeria. Methods Data for this study was extracted from the Nigeria Demographic and Health Survey (NDHS) 2018 birth recoded file dataset, with a sample size of 30713 women (aged 15–49). Data were analysed using descriptive statistics, Chi-Square Test and logistic regression. The main predictor variable was the region, while others included the type of PNC service utilised and various demographic variables of the respondents – age, education, type of residence, religion, ethnicity among others. Results The average age of the respondents was 29.5 ± 6.8. The use of modern PNC services ranged from South-West (20.3%), South-South (10.9%), South-East (23.0%), North-Central (22.0%), North-East (13.0%) to North-West (10.9%). The prevalence of child morbidity ranged from South-West (8.5%), South-South (9.8%), South-East (11.4%), North-Central (15.3%), North-East (26.3%) to North-West (28.7%). Child morbidity is significantly higher in the South-South (OR = 1.46), South-East (OR = 1.50), North-Central (OR = 1.13), North-East (OR = 2.31) and North-West (OR = 1.35) compared to the South-West. Conclusion Majority of women in Nigeria are not using modern PNC services. Regional variations in the use of PNC services and socio-demographic characteristics of mothers influence child morbidity in Nigeria. There is need for regional-specific context sensitisation for mothers in the use of modern PNC services.

2021 ◽  
Vol 4 (1) ◽  
pp. 68-81
Author(s):  
Endurance Uzobo ◽  
Aboluwaji D. Ayinmoro

Modern Postnatal Care (PNC) Services in Nigeria is a vital tool for providing quality health for mothers and newborns. Nonetheless, many Nigeria regions are still struggling to achieve optimum utilisation of Postnatal Care Services due to variations in mothers' associated socio-economic factors based on their specific locations. This study aims at assessing regional socio-economic factors associated with Postnatal Care Services utilisation and its relationship with child morbidity in Nigeria. Data for this study was extracted from the Nigeria Demographic and Health Survey (NDHS) 2018 birth recoded file dataset, with a sample size of 30,713 women (aged 15-49). Data were analysed using descriptive statistics, Chi-Square Test, and logistic regression reporting the result in odds-ratios (OR). The primary predictor variable was the region, while others included the type of Postnatal Care Services utilised and various demographic variables of the respondents – age, education, type of residence, religion, and ethnicity. The average age of the respondents was 29.5±6.8. The use of modern Postnatal Care Services ranged from South-West (20.3%), South-South (10.9%), South-East (23.0%), North-Central (22.0%), North-East (13.0%) to North-West (10.9%). The prevalence of child morbidity ranged from South-West (8.5%), South-South (9.8%), South-East (11.4%), North-Central (15.3%), North-East (26.3%) to North-West (28.7%). Child morbidity is significantly higher in the South-South (OR=1.46, 95% Confidence Interval [CI] = 1.316 – 1.611; p =0.01), South-East (OR=1.50), North-Central (OR=1.13), North-East (OR=2.31) and North-West (OR=1.35) compared to the South-West. The majority of women in Nigeria are not using modern PNC services. Regional variations in the use of PNC services and mothers' socio-demographic characteristics influence child morbidity in Nigeria. There should be region-specific sensitisation of women on the need for the benefit of modern health care for both antenatal care and postnatal care services.


1954 ◽  
Vol 49 ◽  
pp. 267-291
Author(s):  
Elizabeth B. Wace

The Cyclopean Terrace Building lies to the north-west of the Lion Gate on the northern end of the Panagia Ridge and faces almost due west across the valley of the Kephissos and modern main road from Corinth to Argos. It lies just below the 200 m. contour line, and one terrace below the houses excavated in 1950–51 by Dr. Papadimitriou and Mr. Petsas to the east at the same end of the ridge. The area contains a complex of buildings, both successive and contemporary, and in view of the discovery of structures both to the south-west and, by the Greek Archaeological Service, to the north-east it is likely that this whole slope was covered by a portion of the outer town of Mycenae. This report will deal only with the structure to which the name Cyclopean Terrace Building was originally given, the so-called ‘North Megaron’, supported by the heavy main terrace wall.The excavation of this structure was begun in 1923. The main terrace wall was cleared and two L.H. IIIC burials discovered in the top of the fill in the south room. In 1950 it was decided to attempt to clear this building entirely in an endeavour to find out its date and purpose. The clearing was not, however, substantially completed until the close of the 1953 excavation season, and this report presents the available evidence for the date as determined by the pottery found beneath the building; the purpose is still a matter for study, though various tentative conclusions can be put forward.


1965 ◽  
Vol 5 (40) ◽  
pp. 385-397 ◽  
Author(s):  
Daniel B. Krinsley

Abstract A morainal sequence in south-west Yukon Territory, Canada, records at least four major, successively less extensive glaciations from ice fields in the St. Elias Mountains south of the glaciated area. The Nisling Moraine flanks the Klondike Plateau in a belt t km. wide to an altitude of 1,040 m., 12 km. north-east of Snag. The northernmost lobe of this moraine terminates at the junction of the Donjek and White Rivers, 120 km, from the nearest source of ice, Klutlan Glacier. 11 km. north-east of Snag, the prominent front of the Donjek Moraine lies 180 m. below the front of the Nisling Moraine. The northernmost lobe of the Donjek Moraine terminates 106 km. north of Klutlan Glacier and occupies the lower courses of canyons cut into the Nisling Moraine. The front of the Snag Moraine crosses the White River valley 210 m. below the front of the Donjek Moraine and 96 km. north of Klutlan Glacier. The Tchawsahmon Moraine, 38 km. north-west of Klutlan Glacier. consists of a series of concentric ridges, the oldest of which impounded Tchawsahmon Lake. Provisional correlations suggest that the Nisling Moraine is pre-Illinoian; the Donjek, Illinoian; the Snag, pre-classical Wisconsin; and the Tchawsahmon, classical Wisconsin.


1965 ◽  
Vol 5 (40) ◽  
pp. 385-397 ◽  
Author(s):  
Daniel B. Krinsley

AbstractA morainal sequence in south-west Yukon Territory, Canada, records at least four major, successively less extensive glaciations from ice fields in the St. Elias Mountains south of the glaciated area.The Nisling Moraine flanks the Klondike Plateau in a belt t km. wide to an altitude of 1,040 m., 12 km. north-east of Snag. The northernmost lobe of this moraine terminates at the junction of the Donjek and White Rivers, 120 km, from the nearest source of ice, Klutlan Glacier. 11 km. north-east of Snag, the prominent front of the Donjek Moraine lies 180 m. below the front of the Nisling Moraine. The northernmost lobe of the Donjek Moraine terminates 106 km. north of Klutlan Glacier and occupies the lower courses of canyons cut into the Nisling Moraine. The front of the Snag Moraine crosses the White River valley 210 m. below the front of the Donjek Moraine and 96 km. north of Klutlan Glacier. The Tchawsahmon Moraine, 38 km. north-west of Klutlan Glacier. consists of a series of concentric ridges, the oldest of which impounded Tchawsahmon Lake.Provisional correlations suggest that the Nisling Moraine is pre-Illinoian; the Donjek, Illinoian; the Snag, pre-classical Wisconsin; and the Tchawsahmon, classical Wisconsin.


1957 ◽  
Vol 94 (2) ◽  
pp. 89-103 ◽  
Author(s):  
C. B. Crampton

AbstractThe great majority of Moine lineations are mica structures, and together with a parallel preferred orientation of epidote [010]-axes, are directed mainly into the south-east quadrant. This orientation is retained within the crush zone alongside the Moine Thrust. The regional preferred orientation of muscovite [100]-axes and [001]-axes is consistent with north-east and south-west movements except within the crush zone where fabric reorientation suggests movements normal to this direction. The growth of albite textures and fabric is intimately associated with thrust plane movements, the preferred orientation of albite suggesting a south-east and north-west vertical plane of deformation.


1919 ◽  
Vol 6 (2) ◽  
pp. 59-64 ◽  
Author(s):  
J. Wilfrid Jackson ◽  
W. E. Alkins

During a visit to the limestone quarries at Caldon Low last September we had the good fortune to discover an interesting exposure of a quartzose conglomerate containing numerous fossils. The bed was exposed in a strong joint-face running approximately N.N.W. to S.S.E., at the northern extension of the quarry on the north-west flank of the Low, just beyond the mineral line of the North Staffordshire Railway. The altitude is about 900 feet O.D. The conglomerate apparently extended some little distance to the south-west before the opening of the quarry, as we ascertained that some 20 or 30 yards had been removed in gaining access to the limestone behind. It appears to extend for some distance round the flank of the Low towards the north-east.


1898 ◽  
Vol 4 ◽  
pp. 95-100
Author(s):  
Duncan Mackenzie

From the modern town of Kos, on the site of the ancient capital at the north-east extremity of the island, to the village of Kephalos at the southwest end is a ride of eight hours.The village stands on a chalky plateau which beyond the isthmus marks the beginning of the mountain district of south-west Kos. This in turn is a repetition on a smaller scale of the mountain region, at the other end of the island, which forms the lofty termination to the long central tableland. The highest points of the mountain district are towards the south-east where the fall to the sea is very rapid. The highest neighbouring peak, Mount Ziní, is about an hour distant from the village in a south-easterly direction, while all that lies to the north-west of the main range is high pastoral country with many torrent beds.


2021 ◽  
Author(s):  
Opeyemi Oluwatosin Babajide ◽  
Joshua Odunayo Akinyemi ◽  
Olusola Ayeni

Abstract BACKGROUND High Maternal Mortality (MM) in Nigeria is further complicated by the lack of reliable estimates for subnational levels such as states and geopolitical regions. Disaggregating maternal mortality estimates by subnational levels is crucial to ensuring policy decisions and program implementation are adapted to areas with a high burden of mortality. This study involves a novel adaptation of small area estimation techniques to derive plausible estimates of levels and trends in Maternal Mortality rates and ratios for states and geopolitical regions in Nigeria. METHODS. Survivorship history data of 293,769 female siblings were provided by 114,154 women in the Nigeria Demographic and Health Surveys of 2008, 2013 and 2018. MM Rates and Ratios were estimated using the Empirical Bayesian technique for small area demographic estimates. The James-Stein estimator was used to shrink the estimates closer to the population mean values with 95% Confidence Interval (CI). RESULTS Levels of MMRatio were highest in the rural areas, States and regions in Northern Nigeria. MMRatio was consistently lower in the South West (2008=281; 2013=367; 2018=392) and higher among the Northern regions of the country, particularly the North-East (2008=654; 2013=612; 2018=901) for three consecutive surveys. Over the three surveys, mortality trends declined about 18% in the North West and 54.2% in the South East region. However, there was a 4.8% increase in MMRatio for South West between 2008 to 2018. CONCLUSIONS Nigeria has geopolitical and sub-national disparities that pose a burden to the country’s maternal health. Since several states in the Northern geopolitical zone still show high maternal mortality, targeted intervention at state levels should be explored to ensure that mothers who need help get it to ensure the sustainable development goals are met.


Author(s):  
Timothy T. Alabar ◽  
Mtswenem Paul Shima

<div><p><em>The need for this study arose from the worrisome state of unemployment in the country and the obvious neglect of the direct effect of entrepreneurship to entrepreneurs. The study therefore, attempts to ascertain the possible relationship between entrepreneurship and self sustainability in Nigeria. The study adopted a survey design and the six Geo-political zones of the country; south-east, south-south, south-west, north central, north east and north west constituted the population for the study from which a purposive sample of ten (10) entrepreneurs from each zone was taken with particular reference to those that have survived the five (5) years of existence and the total was 60. Data so collected was presented in tabular form and analyzed. The Friedman’s Chi-square was instrumental in the test of the hypothesis formulated and the result showed a significant positive relationship between entrepreneurship and self-sustainability in Nigeria. The study therefore, recommended that considering the pivotal role that entrepreneurship plays in enhancing self-sustainability in the economy, all hands must be on desk to encourage and support entrepreneurial activities in order to curb the high level menace of unemployment rate as well as provide  a supporting ground for economic sustainability of the country.</em></p></div>


PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254475
Author(s):  
Chinedu Chukwu ◽  
Herbert Onuoha ◽  
Kwala Adline Katty Okorafor ◽  
Oluwaseun Ojomo ◽  
Olugbenga A. Mokuolu ◽  
...  

Background The coverage of long lasting insecticidal nets (LLIN) and intermittent preventive treatment of malaria in pregnancy (IPTp) uptake for the prevention of malaria commonly vary by geography. Many sub-Saharan Africa (SSA) countries, including Nigeria are adopting the use of LLIN and IPTp to fight malaria. Albeit, the coverage of these interventions to prevent malaria across geographical divisions have been understudied in many countries. In this study, we aimed to explore the differentials in LLIN and IPTp uptake across Nigerian geopolitical zones. Methods We analyzed data from Nigeria Multiple Indicator Cluster Survey (MICS) 2016–17. The outcome variables were IPTp and LLIN uptake among women of childbearing age (15–49 years). A total sample of 24,344 women who had given birth were examined for IPTp use and 36,176 women for LLIN use. Percentages, Chi-square test and multivariable logit models plots were used to examine the geopolitical zones differentials in IPTp and LLIN utilization. Data was analyzed at 5% level of significance. Results The overall prevalence of IPTp was 76.0% in Nigeria. Moreover, there were differences across geopolitical zones: North Central (71.3%), North East (76.9%), North West (78.2%), South East (76.1%), South South (79.7%) and South West (72.4%) respectively. Furthermore, the prevalence of LLIN was 87.7%% in Nigeria. Also, there were differences across geopolitical zones: North Central (89.1%), North East (91.8%), North West (90.0%), South East (77.3%), South South (81.1%) and South West (69.8%) respectively. Women who have access to media use, married, educated and non-poor were more likely to uptake IPTp. On the other hand, rural dwellers and those with media use were more likely to use LLIN. Conversely, married, educated, non-poor and women aged 25–34 and 35+ were less likely to use LLIN. Conclusion Though the utilization of IPTp and LLIN was relatively high, full coverage are yet to be achieved. There was geopolitical zones differentials in the prevalence of IPTp and LLIN in Nigeria. Promoting the utilization of IPTp and LLINs across the six geopolitical zones through intensive health education and widespread mass media campaigns will help to achieve the full scale IPTp and LLIN utilization.


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