Women’s participation in household decision-making and Under-five mortality in Nigeria
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Date
2016
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Demographic and Social Statistics, Obafemi Awolowo University
Abstract
The study examined the level and pattern of under-five mortality; the influence of women's participation in household decision-making on under-five mortality; and the extent to which women's participation in household decision-making influence regional variations in under-five mortality in Nigeria. These were with a view to examining women’s participation in household decision-making and under-five mortality in Nigeria.
The study used secondary data sourced from the 2013 Nigerian Demographic and Health Survey (NDHS). The NDHS is a nationally representative data which elicited information from 38,978 women aged 15-49 years across the thirty-six states and the Federal capital Territory (FCT) inclusive. A weighted sample size of 29,836 children delivered by 20,192 women aged 15-49 years within five years preceding the survey was obtained from the data and used for this study. Data were analysed using frequency distribution, Microsoft Excel for Windows, Chi-square and Cox proportional hazard model.
Findings from the study indicated that, women’s participation in household decision-making significantly influences survival of children under age five in Nigeria (UHR= 0.81, p<0.01, Model I; AHR= 0.87, p<0.05, Model III). Also, fitting women’s participation and region in the model (Model II), to examine the influence of women’s participation on regional variation of under-five mortality in Nigeria, a significantly higher risk of under-five mortality was established for; North-east (AHR: 1.59), North-west (AHR: 1.75) and South-east (AHR: 1.44) regions. The study further revealed in line with previous studies that, children of mothers from the poorest and poor household, Hausa/Fulani/Kanuri ethnic group and rural settlement were at higher risk of under-five mortality. Moreso, the result of the study depicted higher risk of under-five mortality for children from mothers who had no formal education, children of Muslim mothers, those whose mothers attended less than 4 antenatal visits and did not have institutional delivery. Male children, children with birth interval of <24months, children with birth order 7+ and children with small size at birth were also reported to have higher risk of under-five mortality (p<0.05).
The study concluded that, women’s participation in household decision-making significantly reduces the risk of under-five mortality in Nigeria.
Description
xiv,109p
Keywords
Mortality, Household, Under-five mortality, Health survey, Demographic, Demography
Citation
Olonitola, M.O. (2016). Women’s participation in household decision-making and under-five mortality in Nigeria. Obafemi Awolowo University