Evidence map›Paper›PMID 41642852›Full record

ArticlePloS one2026

The association of maternal education with access to maternal care and child mortality in Nigeria: A secondary data regression-based analysis.

Chekwube Madichie, James Lomas, Luigi Siciliani

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Chekwube MadichieDepartment of Economics and Related Studies, University of York, York, United Kingdom.ORCID https://orcid.org/0000-0001-9405-6264
James LomasDepartment of Economics and Related Studies, University of York, York, United Kingdom.
Luigi SicilianiDepartment of Economics and Related Studies, University of York, York, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReducing under-five mortality and ensuring universal access to maternal healthcare are central goals of the Sustainable Development Goals (SDGs). Despite global progress, Nigeria continues to report one of the highest under-five mortality rates and the lowest access to maternal healthcare worldwide.

objectivesThis study examines whether maternal education is associated with under-five mortality and access to maternal care in Nigeria. It also investigates whether these associations differ between rural and urban areas and whether they are explained by socioeconomic, ethnic, and religious factors. In addition, we assess whether literacy exerts an independent influence alongside formal education. METHODOLOGY: Using the 2021 Nigeria Malaria Indicator Survey (MIS) and a sample of 10,820 women of reproductive age, we employ a bivariate probit framework supplemented by propensity score matching (PSM) to examine the robustness of the findings.

resultsHigher levels of maternal education, particularly secondary schooling, were significantly associated with a 2.08 ppt reduction in under-five mortality and a 6.74 ppt increase in access to maternal care. Economic status modestly attenuated the size of the education association with under-five mortality but strengthened it for maternal care, while ethnicity and religion partly explained the observed associations. Literacy displayed similar patterns to formal education when examined separately but did not retain an independent association with either outcome in fully adjusted models or when included alongside education. These findings are robust across alternative specifications. RECOMMENDATION: Economically and culturally tailored policies that improve female educational attainment remain critical for enhancing access to maternal healthcare and reducing child mortality in Nigeria.

Indexed as

Child MortalityEducational StatusHealth Services AccessibilityMaternal Health ServicesAdolescentAdultChild, PreschoolFemaleHumansInfantNigeriaRegression AnalysisRural PopulationSecondary Data AnalysisSocioeconomic FactorsYoung Adult

Identifiers

PMID41642852
PMCPMC12875495

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.