ArticleArchives of public health = Archives belges de sante publique2022
The impact of maternal health insurance coverage and adequate healthcare services utilisation on the risk of under-five mortality in Nigeria: a cross-sectional study.
Article in Archives of public health = Archives belges de sante publique, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed.
- Prevalence and risk factors of home delivery among rural women: evidence from 28 African countries.Reproductive health · 2026Article
- Survival and Predictors of Mortality Among Critically Ill Children Admitted to an Intensive Care Unit in a Resource-Limited Setting in Southeastern Ethiopia: A Prospective Cohort Study.Health science reports · 2026Article
- Prediction of under-five mortality using supervised machine learning algorithms in the 23 sub-Sharan African countries.Scientific reports · 2026Article
- Regional variations in prevalence and factors associated with maternal healthcare services utilisation in Nigeria.BMC women's health · 2025Article
- Hidden by national averages: Unveiling the complex dynamics of ethnic disparities in under-five survival across sub-Saharan Africa.SSM - population health · 2025Review
- Article
- Non-utilisation of postpartum services in northwestern Nigeria: analyses of trend and social determinants from 2003 to 2018.BMJ open · 2025Article
- Prevalence and determinants of skilled birth attendance among young women aged 15-24 years in Northern Nigeria: evidence from multiple indicator cluster survey 2011 to 2021.BMC public health · 2024Article
- Association between maternal health service utilization and under-five mortality rate in China and its provinces, 1990-2017.BMC pregnancy and childbirth · 2024Article
- The effect of health insurance coverage on antenatal care utilization in Cambodia: A secondary analysis of Cambodia Demographic and Health Survey 2021-2022.PLOS global public health · 2024Article
- Financing for equity for women's, children's and adolescents' health in low- and middle-income countries: A scoping review.PLOS global public health · 2024Article
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Abstract
backgroundDespite the progress in reducing under-five mortality (U-5 M) in recent years, these deaths remain considerably high in Nigeria. This could be attributed to poor health policies including inequality of health insurance coverage and access to adequate healthcare services utilisations which has remained inimical to achieving sustainable development goals (SDGs). Therefore, this study examined the impact of maternal health insurance coverage and adequate healthcare services utilisation on the risk of U-5 M in Nigeria.
methodsThe data for the study were derived from the 2018 Nigeria Demographic and Health Survey and comprised a weighted sample of 127,545 birth histories of childbearing women. Descriptive and analytical analyses were carried out, including frequency tables and multivariate using Cox proportional regression. The results were presented as hazard ratios (HR) with 95% confidence intervals (CIs). Data were analyzed using Stata software version 15.1.
resultsThe results showed that 14.3% of the sampled birth histories of the childbearing women were children who died before age 5. The results further showed that 97.7% of the children were of mothers who have health insurance and over one-half (56.5%) were children whose mothers had adequate healthcare services utilisation. The risk of under-five death was significantly lower among the children of mothers who were covered by health insurance (HR: 0.66, CI: 0.42-1.02) and those whose mothers utilised adequate healthcare services (HR: 0.78, CI: 0.68-0.90). A similar result was observed among children whose mothers reported that distance to the health facility was not a problem (HR: 0.81, CI: 0.72-0.86). Some mothers' characteristics including educational attainment, wealth quintile and region of residence significantly influenced the risk of U-5 M.
conclusionsThe study established that maternal health insurance coverage and adequate healthcare services utilisation were found to be protective factors against the risk of U-5 M. Also, the revealed low health insurance coverage of mothers calls for more pragmatic policy and intervention programmes through health insurance to achieve SDGs targets of ending preventable deaths of children under 5 years of age and ensuring quality, as well as universal access to maternal and child healthcare services.
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