ArticleThe Pan African medical journal2019
Developing equity-focused interventions for maternal and child health in Nigeria: an evidence synthesis for policy, based on equitable impact sensitive tool (EQUIST).
Article in The Pan African medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Integrated maternal, newborn and child-health strategies and interventions for reducing maternal and child mortality in Nigeria: a systematic review.BMC public health · 2026Pooled it
- Are urban residents seeking appropriate care for malaria? evidence from an exploratory qualitative study in two cities in nigeria.BMC health services research · 2024Article
- A 2-arm randomized controlled study to improve the oral health of children living with HIV in Nigeria: Protocol and study design.Contemporary clinical trials · 2024Article
- "We help people change harmful norms": Working with key opinion leaders to influence MNCH+N behaviors in Nigeria.PloS one · 2024Article
- Global health economics: The Equitable Impact Sensitive Tool (EQUIST) - development, validation, implementation and evaluation of impact (2011 to 2022).Journal of global health · 2023Article
- Article
- Maternal mental well-being and recent child illnesses-A cross-sectional survey analysis from Jigawa State, Nigeria.PLOS global public health · 2023Article
- Barriers and facilitators of access to maternal, newborn and child health services during the first wave of COVID-19 pandemic in Nigeria: findings from a qualitative study.BMC health services research · 2022Article
- Addressing child health inequity through case management of under-five malaria in Nigeria: an extended cost-effectiveness analysis.Malaria journal · 2022Article
- Trend and decomposition analysis of risk factors of childbirths with no one present in Nigeria, 1990-2018.BMJ open · 2021Article
- An assessment of nursing mothers' and young people's access to proprietary and patent medicine vendors' services in rural communities of south-eastern Nigeria: implication for review of national drug policy.Journal of pharmaceutical policy and practice · 2021Article
- Sociodemographic Inequalities in Health Insurance Ownership among Women in Selected Francophone Countries in Sub-Saharan Africa.BioMed research international · 2021Article
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4 authors.
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Abstract
introductionAmong the most critical health systems components that requires strengthening to improve maternal, newborn and child health (MNCH) outcomes in Nigeria is the concept of equity. UNICEF has designed the equitable impact sensitive tool (EQUIST) to enable policymakers improve equity in MNCH and reduce disparities between the most marginalized mothers and young children and the better-off.
methodsUsing the latest available DHS data sets, we conducted EQUIST situation and scenario analysis of MNCH outcomes in Nigeria by sub-national categorization, wealth and by residence. We then identified the intervention package, the bottlenecks and strategies to address them and the number of deaths avertible.
resultsEQUIST profile analysis showed that the number of under-five deaths was considerably higher among the poorest and rural population in Nigeria, and was highest in North-West region. Neonatal causes, malaria, pneumonia and diarrhoea were responsible for most of the under-five deaths. Highest maternal mortality was recorded in the North-West Nigeria. Ante-partum, intrapartum and postpartum haemorrhages and hypertensive disorder, were responsible for highest maternal deaths. EQUIST scenario analysis showed that an intervention package of insecticide treated net can avert more than 20,000 under-five deaths and delivery by skilled professionals can avert nearly 17,000 under-five deaths. While as many as 3,370 maternal deaths can be averted by deployment of skilled professionals.
conclusionScaling up integrated packages of essential interventions across the continuum of care, addressing the human resource shortages in rural area and economic/social empowerment of women are policy recommendations that can improve MNCH outcomes in Nigeria.
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