ArticlePloS one2017
The influence of the social and cultural environment on maternal mortality in Nigeria: Evidence from the 2013 demographic and health survey.
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 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of individual and ecological determinants of maternal mortality in the world based on the income level of countries.BMC public health · 2022Pooled it
- Determinants and causes of maternal mortality in Iran based on ICD-MM: a systematic review.Reproductive health · 2019Pooled it
- Machine Learning Analysis of Maternal Mortality Determinants in Nigeria: An Exploratory Study.The International journal of health planning and management · 2026Article
- Nexus between sociocultural practices and maternal mortality in Pakistan: a geospatial analysis using Spatial Durbin model and multiscale geographically weighted regression.BMC public health · 2026Article
- "Is she pregnant with Jesus?" exploring sociocultural obstacles to following medical advice in the context of stillbirth prevention in Nigeria.BMC pregnancy and childbirth · 2025Article
- Should fathers witness childbirth? A survey of attitudes of expectant mothers attending a tertiary hospital in Kano, northern Nigeria.Journal of global health reports · 2024Article
- Article
- Texting for life: a mobile phone application to connect pregnant women with emergency transport and obstetric care in rural Nigeria.BMC pregnancy and childbirth · 2023Article
- Maternal mortality study in the Eastern Democratic Republic of the Congo.BMC pregnancy and childbirth · 2022Article
- Ratios and determinants of maternal mortality: a comparison of geographic differences in the northern and southern regions of Cameroon.BMC pregnancy and childbirth · 2020Article
- A Comparison of the Characteristics of Maternal Near-Misses and Maternal Deaths in Enugu, Southeast Nigeria: A 3-Year Prospective Study.International journal of women's health · 2020Article
- Levels and determinants of maternal mortality in northern and southern Nigeria.BMC pregnancy and childbirth · 2019Article
- Effect of Integrated Supportive Supervision on the Quality of Health-Care Service Delivery in Katsina State, Northwest Nigeria.Health services research and managerial epidemiologyArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
introductionReducing maternal mortality remains a priority for global health. One in five maternal deaths, globally, are from Nigeria.
objectiveThis study aimed to assess the sociocultural correlates of maternal mortality in Nigeria.
methodsWe conducted a retrospective analysis of nationally representative data from the 2013 Nigeria Demographic and Health Survey. The analysis was based on responses from the core women's questionnaire. Maternal mortality was categorized as 'yes' for any death while pregnant, during delivery or two months after delivery (as reported by the sibling), and 'no' for deaths of other or unknown causes. Multilevel logistic regression analysis was conducted to test for association between maternal mortality and predictor variables of sociocultural status (educational attainment, community women's education, region, type of residence, religion, and women's empowerment).
resultsRegion, Religion, and the level of community women's education were independently associated with maternal mortality. Women in the North West were more than twice as likely to report maternal mortality (OR: 2.14; 95% CI: 1.42-3.23) compared to those in the North Central region. Muslim women were 52% more likely to report maternal deaths (OR: 1.52; 95% CI: 1.10-2.11) compared to Christian women. Respondents living in communities where a significant proportion of women have at least secondary schooling were 33% less likely to report that their sisters died of pregnancy-related causes (OR: 0.67; 95% CI: 0.48-0.95).
conclusionEfforts to reduce maternal mortality should implement tailored programs that address barriers to health-seeking behavior influenced by cultural beliefs and attitudes, and low educational attainment. Strategies to improve women's agency should be at the core of these programs; they are essential for reducing maternal mortality and achieving sustainable development goals towards gender equality. Future studies should develop empirically evaluated measures which assess, and further investigate the association between women's empowerment and maternal health status and outcomes.
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