ArticlePloS one2017
Beyond causes of death: The social determinants of mortality among children aged 1-59 months in Nigeria from 2009 to 2013.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Place of death, care-seeking and care pathway progression in the final illnesses of children under five years of age in sub-Saharan Africa: a systematic review.Journal of global health · 2019Pooled it
- Factors influencing parents' healthcare-seeking behaviour for their ill children: a cross-sectional study based on China family panel studies.Frontiers in public health · 2026Article
- The pathway to child survival in the Birhan Cohort, Ethiopia, 2018-22.Journal of global health · 2025Article
- Assessing the Link between Maternal Transport Modes and Childhood Mortality in Nigeria.Maternal and child health journal · 2024Article
- Assessing Africa's child survival gains and prospects for attaining SDG target on child mortality.PLOS global public health · 2024Article
- Countrywide Mortality Surveillance for Action in Mozambique: Results from a National Sample-Based Vital Statistics System for Mortality and Cause of Death.The American journal of tropical medicine and hygiene · 2023Article
- Article
- Determinants of Under-Five Mortality in an Armed Conflict Setting: Empirical Findings from the Demographic and Health Surveys.International journal of environmental research and public health · 2022Article
- Determinants of care-seeking behaviour for fever, acute respiratory infection and diarrhoea among children under five in Nigeria.PloS one · 2022Article
- Socio-demographic and environmental risk factors associated with multiple under-five child loss among mothers in Bangladesh.BMC pediatrics · 2021Article
- Refining circumstances of mortality categories (COMCAT): a verbal autopsy model connecting circumstances of deaths with outcomes for public health decision-making.Global health action · 2021Article
- Effect of Delays in Maternal Access to Healthcare on Neonatal Mortality in Sierra Leone: A Social Autopsy Case-Control Study at a Child Health and Mortality Prevention Surveillance (CHAMPS) Site.Maternal and child health journal · 2021Article
- Care-seeking during fatal childhood illness in rural South Africa: a qualitative study.BMJ open · 2021Article
- Verbal/social autopsy analysis of causes and determinants of under-5 mortality in Tanzania from 2010 to 2016.Journal of global health · 2020Article
- How fast did newborns die in Nigeria from 2009-2013: a time-to-death analysis using Verbal /Social Autopsy data.Journal of global health · 2019Article
- Engaging communities in collecting and using results from verbal autopsies for child deaths: an example from urban slums in Freetown, Sierra Leone.Journal of global health · 2019Article
- Household relationships and healthcare seeking behaviour for common childhood illnesses in sub-Saharan Africa: a cross-national mixed effects analysis.BMC health services research · 2019Article
- Care pathways during a child's final illness in rural South Africa: Findings from a social autopsy study.PloS one · 2019Article
- Social autopsy for identifying causes of adult mortality.PloS one · 2018Article
- Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMillions of children worldwide suffer and die from conditions for which effective interventions exist. While there is ample evidence regarding these diseases, there is a dearth of information on the social factors associated with child mortality.
methodsThe 2014 Verbal and Social Autopsy Study was conducted based on a nationally representative sample of 3,254 deaths that occurred in children under the age of five and were reported on the birth history component of the 2013 Nigerian Demographic and Health Survey. We conducted a descriptive analysis of the preventive and curative care sought and obtained for the 2,057 children aged 1-59 months who died in Nigeria and performed regional (North vs. South) comparisons.
resultsA total of 1,616 children died in the northern region, while 441 children died in the South. The majority (72.5%) of deceased children in the northern region were born to mothers who had no education, married at a young age, and lived in the poorest two quintiles of households. When caregivers first noticed that their child was ill, a median of 2 days passed before they sought or attempted to seek healthcare for their children. The proportion of children who reached and departed from their first formal healthcare provider alive was greater in the North (30.6%) than in the South (17.9%) (p<0.001). A total of 548 children were moderately or severely sick at discharge from the first healthcare provider, yet only 3.9%-18.1% were referred to a second healthcare provider. Cost, lack of transportation, and distance from healthcare facilities were the most commonly reported barriers to formal care-seeking behavior.
conclusionsMaternal, household, and healthcare system factors contributed to child mortality in Nigeria. Information regarding modifiable social factors may be useful in planning intervention programs to promote child survival in Nigeria and other low-income countries in sub-Saharan Africa.
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