Browsing by Author "Abdulrahman, Azeez Aroke"

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    Estimation and determinant of adolescent maternal mortality
    (Department of Demography and Social Statistics, Obafemi Awolowo University., 2024) Abdulrahman, Azeez Aroke
    This study assessed trends in adolescent maternal mortality from 2008 to 2018 in Nigeria, utilizing survival siblings and household-reported deaths to estimate mortality rates. It also examines community-level factors and socio-cultural determinants influencing adolescent maternal mortality, aiming to provide reliable insights into these trends, levels, and underlying factors. Employing a cross-sectional design, this study incorporates qualitative and quantitative methodologies. Qualitative data is gathered through 24 Key Information Interviews (KII) conducted among Nurses, Midwives, community elders, and adolescent pregnant women in Kebbi and Osun States, representing the Northern and Southern regions, respectively. These states were chosen due to their high maternal mortality rates. Quantitative data were extracted from the 2008, 2013, and 2018 Nigeria Demographic and Health Survey datasets, focusing on women's records including age groups, sister deaths, household deaths, and adolescent maternal deaths during pregnancy, delivery, or postpartum. Thematic content analysis was applied to qualitative data, while descriptive statistics, Binary Logistic Regression, Sibling Survival Method, and Direct Method were used to analyze quantitative data. Age-Specific Maternal Death Rates (ASMDR) analysis among adolescents revealed significant fluctuations over the study period. In 2008, the ASMDR was 822 deaths per 1000 individuals, increasing sharply to 1630 deaths per 1000 individuals in 2013, before decreasing to 886 deaths per 1000 individuals in 2018. Similarly, age-specific pregnancy-related death ratios (ASPRDR) among adolescents aged 15-19 exhibit notable variations, with a peak of 988 deaths per 100,000 live births in 2013, declining to 253 deaths per 100,000 live births by 2018. Community-level factors such as region, place of residence, religion, education, wealth, birth order, and age significantly influence adolescent maternal mortality(p<0.00). Furthermore, socio-cultural barriers impede adolescent access to healthcare during pregnancy and childbirth. The study concluded that Nigeria continues to experience a high rate of adolescent maternal mortality, attributed to financial constraints, early marriage, limited education access, gender inequality, and traditional beliefs hindering healthcare accessibility. Timely healthcare-seeking behavior is crucial, as delays could lead to life-threatening outcomes. Addressing these multifaceted challenges requires targeted interventions tailored to the socio-context and community-specific needs.