ArticleAnnals of global health2022
Trends and Factors Associated with Under-5 Mortality in Northwest Nigeria (2008-2018).
Article in Annals of global health, 2022. 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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Who cites it
6 citing papers in PubMed, 11 citations in OpenAlex.
- Trends, sex and socioeconomic inequalities, and future projections of under-five mortality in Ghana from 1992 to 2035.Scientific reports · 2026Article
- Evaluating the relationship between adherence to antiretroviral therapy and health-related quality of life among people living with HIV/AIDS in Northwestern Nigeria.BMC public health · 2026Article
- Caregivers´ qualitative insights on trust, resilience and vaccination attitudes shaping child health in conflict-affected Northeast Nigeria.Conflict and health · 2026Article
- Rural-urban differentials in women empowerment and experience of under-five mortality among mothers in Nigeria: a Multiple Indicator Survey analysis.BMC public health · 2025Article
- Determinants of Under-five Mortality in Vietnam: Evidence From a Nationwide Survey.Sage open pediatricsArticle
- Trends and Determinants of Neonatal Mortality in Rural Ethiopia.Sage open pediatricsArticle
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Authors and funding
8 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The Nigeria Demographic and Health Survey (NDHS) revealed that the under-five mortality rate (U5MR) in the northwest geopolitical zone (NWGZ), Nigeria, increased by 1.1% from 185 to 187 deaths per 1,000 live births between 2013 and 2018, indicating a setback to the previously reported modest improvement in U5MR. Objectives: This study sought to examine trends and factors related to under-5 mortality (U5M) in NWGZ from 2008 to 2018. Methods: A combined NWGZ dataset extracted from the 2008, 2013 and 2018 NDHSs, with a sample of 32,015 singleton live births, including 3,745 under-5 deaths, was used. The U5MRs for each survey year and potential independent factors were obtained using the STATA "syncrmrates" command, and then the trends were examined. A logistic regression generalised linear latent and mixed model was used to explore the potential factors associated with U5M in NWGZ. Findings: In NWGZ, the U5MR declined by only 8.2% (from 195 to 179 per 1,000 live births between 2008 and 2018, respectively), with a similar trend observed among its seven states. Multivariable analyses indicated that maternal education (no formal or primary education), maternal non-use of contraception, a mother's perception of the baby being small or very small, birth order (second to fourth or higher) with a shorter birth interval (≤2 years), younger or older maternal age (<20 years or ≥40 years old) and rural residence were significantly associated with U5M in NWGZ. Conclusion: Interventional initiatives including educating mothers on the benefits of contraceptive use, child spacing, kangaroo mother care of small-sized babies and promoting regular check-ups for older mothers will substantially reduce U5M in NWGZ.
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