ArticleAnnals of global health2018
Maternal Employment and Child Survival During the Era of Sustainable Development Goals: Insights from Proportional Hazards Modelling of Nigeria Birth History Data.
Article in Annals of global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed.
- Spatial patterns and determinants of under-five mortality in Sub-Saharan Africa: a spatial and multilevel analysis.Archives of public health = Archives belges de sante publique · 2025Article
- The effects of household water, sanitation, and hygiene on early childhood education enrollment: evidence from the 2022 Bangladesh demographic and health survey.BMC public health · 2025Article
- A Linear Regression Analysis of Factors Affecting Social Determinants of Health Indicators.Acta medica Philippina · 2025Article
- Determinants of under-five mortality in informal settlements in Nairobi, Kenya from 2002 to 2018.BMC public health · 2024Article
- Trend, and multivariate decomposition of perinatal mortality in Ethiopia using further analysis of EDHS 2005-2016.BMC pediatrics · 2024Article
- Regional perinatal mortality differences in Indonesia: Evidence from Indonesian demographic health survey.Public health in practice (Oxford, England) · 2024Article
- Factors associated with under-five mortality in Rwanda: An analysis of the Rwanda Demographic and Health Survey 2020.PLOS global public health · 2024Article
- Determinants of early neonatal mortality: secondary analysis of the 2012 and 2017 Indonesia Demographic and Health Survey.Frontiers in pediatrics · 2024Article
- Analysis of regional heterogeneity and determinants of perinatal mortality in Ethiopia: review.Annals of medicine and surgery (2012) · 2023Article
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- Under age five children survival times in Nigeria: a Bayesian spatial modeling approach.BMC public health · 2022Article
- Risk factors of under-five mortality in Ethiopia using count data regression models, 2021.Annals of medicine and surgery (2012) · 2022Review
- Risk factors of mortality among children under age five in Awi Zone, northwest Ethiopia.PloS one · 2022Article
- Cherish your children: socio-economic and demographic characteristics associated with child mortality.BMC public health · 2021Article
- Household air pollution and under-five mortality in sub-Saharan Africa: an analysis of 14 demographic and health surveys.Environmental health and preventive medicine · 2020Article
- Factors Affecting Under-Five Mortality in Ethiopia: A Multilevel Negative Binomial Model.Pediatric health, medicine and therapeutics · 2020Article
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3 authors.
Funding
Abstract
backgroundOne of the targets for the third and fifth Sustainable Development Goals (SDGs) borders on children survival and women economic empowerment, respectively. A robust investigation of the relationship between maternal employment and childhood mortality will provide information useful for programs aimed at ensuring the complementarity of SDG 3 (healthy life for all) and SDG 5 (gender equality, girls and women empowerment).
objectiveWe addressed the following questions: (1) What is the independent relationship between maternal employment and infant (0-11 months) and child (12-59 months) mortality in Nigeria? (2) How does father's occupation, type of residence, and geopolitical region modify the relationship?
methodsWe retrospectively analysed cross-sectional data on weighted sample of 31,828 under-five children extracted from the birth history in the 2013 round of Nigeria Demographic and Health Survey, using Cox proportional hazards models. The outcomes of interest were infant (0-11 months) and child (12-59 months) mortality, and the main explanatory variables include maternal employment, involvement in decision making on work earnings, and father's occupation. Other confounding variables were also controlled.
findingsResults showed that about two-third (68.7%) of under-five children had mothers who were working, with the majority engaged in self-employed occupations such as sales or small businesses, agriculture, and other manual labour. Infant mortality rate amongst children of employed mothers (65 per 1000 live births) was slightly less than the unemployed (70 per 1000 live births). A similar pattern was observed for child mortality. Hazards regression models revealed that the risk of both infant and child mortality was higher amongst unemployed women. Sales and agriculture/manual occupation constituted a higher risk for infant and child mortality. Analysis of interaction effects also revealed variations by father's occupation, type of residence, and geopolitical region.
conclusionThe role of maternal employment in child survival is dynamic and depends on the type of occupation, family, and residential and regional context.
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