ArticleInternational journal of MCH and AIDS2018
Determinants of Infant Mortality in Southeast Nigeria: Results from the Healthy Beginning Initiative, 2013-2014.
Article in International journal of MCH and AIDS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 9 citations in OpenAlex.
- Article
- Article
- Infant mortality and risk factors in Nigeria in 2013-2017: A population-level study.EClinicalMedicine · 2022Article
- Existing barriers to utilization of health services for maternal and newborn care in rural Western Kenya.BMC health services research · 2021Article
- Trends of infant mortality and its determinants in Ethiopia: mixed-effect binary logistic regression and multivariate decomposition analysis.BMC pregnancy and childbirth · 2021Article
- Decision Making Autonomy and Maternal Healthcare Utilization among Nigerian Women.International journal of MCH and AIDS · 2019Article
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7 authors at 3 institutions in 2 countries.
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Abstract
backgroundNeonatal mortality due to preventable factors occurs at high rates throughout sub-Saharan Africa. Community-based interventions increase opportunities for prenatal screening and access to antenatal care services (ANC) services. The Healthy Beginning Initiative (HBI) provided congregation-based prenatal screening and health counseling for 3,047 women in Enugu State. The purpose of this study was to identify determinants for infant mortality among this cohort.
methodsThis was a prospective cohort study of post-delivery outcomes at 40 churches in Enugu State, Nigeria between 2013 and 2014. Risk factors for infant mortality were assessed using chi square, odds ratios, and multiple logistic regression.
resultsThere were 2,436 live births from the 2,379 women who delivered (55 sets of twins and one set of triplets), and 99 cases of neonatal/early postneonatal mortality. The neonatal mortality rate was 40.6 per 1,000 live births. Risk factors associated with neonatal mortality were lack of access to ANC services [OR= 8.81], maternal mortality [OR= 15.28], caesarian section [OR= 2.47], syphilis infection [OR= 6.46], HIV-positive status [OR= 3.87], and preterm birth [OR= 14.14]. CONCLUSIONS AND GLOBAL HEALTH IMPLICATIONS: These results signify that culturally-acceptable community-based interventions targeted to increase access to ANC services, post-delivery services for preterm births, and HIV and syphilis screening for expectant mothers are needed to reduce infant mortality in resource-limited settings.
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