Dr. Sulaiman Al Habib Medical Journal

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Volume 3, Issue 4, December 2021, Pages 154 - 161

Prevalence and Factors Associated with under-5 Mortality in Nigeria: Evidence from 2018 Nigeria Demographic and Health Survey

Authors
Ashis Talukder1, †, *, Nusrat Jahan Sathi1, †, Md. Akhtarul Islam1, Sheikh Mohammed Shariful Islam2, Iqramul Haq3
1Statistics Discipline, Khulna University, Khulna-9208, Bangladesh
2Institute for Physical Activity and Nutrition, Deakin University, Melbourne, VIC 3125, Australia
3Department of Agricultural Statistics, Sher-e-Bangla Agricultural University, Dhaka 1207, Bangladesh
†

These authors contributed equally.

*Corresponding author. Email: ashistalukder3168@ku.ac.bd
Corresponding Author
Ashis Talukder
Received 13 June 2021, Accepted 18 October 2021, Available Online 8 November 2021.
DOI
10.2991/dsahmj.k.211101.001How to use a DOI?
Keywords
Under-five mortality; Cox PH; Cox frailty model; Nigeria
Abstract

Under-five mortality is a substantial indicator of children’s health, well-being, and consequently, socioeconomic development of a country. The primary focus of this study was to estimate the prevalence and identify the factors associated with under-5 mortality in Nigeria. This research utilized the most recent data from the Nigeria Demographic and Health Survey (NDHS 2018), which is a nationally representative survey. We included all children within 59 months from their birth. Cox proportional hazard (PH) and Cox frailty models were applied to identify the factors associated with under-5 child mortality. A total of 33,924 under-5 children were included. The prevalence of under-5 death was 9.5% [95% Confidence Interval (CI): 9.2–9.8]. In the Cox frailty model at community level, the model reported that multiple births [Hazard Ratio (HR) = 3.0; 95% CI: 2.7–3.4], male children (HR = 1.2; 95% CI: 1.1–1.2), and small-size babies at birth (HR = 1.4; 95% CI: 1.2–1.5) were strongly associated with the high risk of under-5 mortality. Parents with lower education, children from lower wealth quantities, and shorter childbirth intervals similarly had higher hazards of under-5 mortality for both the Cox PH and Cox frailty models. Our results suggest that different health strategies for improving education, nutrition, and family planning might contribute to reduce under-5 mortality in Nigeria. The Nigerian Federal Ministry of Health and other agencies should consider to scale up health interventions to reduce under-5 mortality.

Copyright
© 2021 Dr. Sulaiman Al Habib Medical Group. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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<Previous Article In Issue
Next Article In Issue>
Journal
Dr. Sulaiman Al Habib Medical Journal
Volume-Issue
3 - 4
Pages
154 - 161
Publication Date
2021/11/08
ISSN (Online)
2590-3349
ISSN (Print)
2666-819X
DOI
10.2991/dsahmj.k.211101.001How to use a DOI?
Copyright
© 2021 Dr. Sulaiman Al Habib Medical Group. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Ashis Talukder
AU  - Nusrat Jahan Sathi
AU  - Md. Akhtarul Islam
AU  - Sheikh Mohammed Shariful Islam
AU  - Iqramul Haq
PY  - 2021
DA  - 2021/11/08
TI  - Prevalence and Factors Associated with under-5 Mortality in Nigeria: Evidence from 2018 Nigeria Demographic and Health Survey
JO  - Dr. Sulaiman Al Habib Medical Journal
SP  - 154
EP  - 161
VL  - 3
IS  - 4
SN  - 2590-3349
UR  - https://doi.org/10.2991/dsahmj.k.211101.001
DO  - 10.2991/dsahmj.k.211101.001
ID  - Talukder2021
ER  -