Determinants of Maternal and Child Death in Nigeria

Abstract

Using the Demographic and Health Survey (NDHS) data, the study explores the factors influencing maternal and child mortality rates in Nigeria. This is despite numerous health interventions, suggesting underpinning structural and behavioural issues. We used a cross-sectional analysis, using bivariate and multivariable logistic regressions to identify the key factors. The data reveal socioeconomic status (especially family and community wealth) as a major factor in reducing maternal and child mortality. Improved education, empowerment of women and awareness of health issues also reduced the mortality risks. However, lack of access to medical facilities, living in rural areas and tolerance of domestic violence increased the risk of death. Health care access and behaviour seemed to have a greater effect on child mortality while socioeconomic inequality was more strongly associated with maternal mortality. The authors conclude that multi-faceted approaches that include poverty alleviation, education, gender equality and access to health services are needed to reduce maternal and child mortality in Nigeria