Maternal age at birth and under-5 mortality in Nigeria

East Afr J Public Health. 2009 Apr;6(1):11-4. doi: 10.4314/eajph.v6i1.45735.

Abstract

Objective: The paper examined the impact of maternal age at birth on under-5 death in Nigeria.

Method: Secondary data were generated from the 2003 Nigeria Demographic and Health Surveys in examining the relationship between maternal age at birth and under-5 mortality risk. Relationships between variables were tested through bivariate and logistic analyses.

Results: Out of 7620 sampled women for the study, almost 60% were less than 30 years old, the median age was 26 years- a youthful population. Analyses of the data revealed a high under-5 mortality rate (45.4%), a general high home delivery (62.4%) among Nigerian women, which dictates a low rate at which assistance by health professional is being sought during childbirth . Furthermore, mothers' median age at first birth was less than 19, while under-5 death was significantly pronounced among younger (less than 20 years) mothers and older women (above 35 years) (p<0.05). Maternal education which was significantly low among younger mothers was a predictor of under-5 mortality.

Conclusion: Under -5 mortality is still high especially among younger mothers. Thus resolving this challenge in Nigeria will be inadequate if early childbearing issues are not addressed using a tailored framework alongside with the need to improve maternal education in Nigeria.

MeSH terms

  • Adolescent
  • Adult
  • Child, Preschool
  • Delivery, Obstetric / statistics & numerical data*
  • Educational Status
  • Female
  • Health Surveys
  • Humans
  • Infant
  • Infant Mortality / trends*
  • Infant, Newborn
  • Maternal Age*
  • Maternal Health Services / statistics & numerical data*
  • Maternal Mortality / trends*
  • Middle Aged
  • Nigeria / epidemiology
  • Pregnancy
  • Risk Factors
  • Socioeconomic Factors
  • Young Adult