Coverage and determinants of infant postnatal care in Nigeria: A population-based cross-sectional study.
Pediatr Investig
; 8(1): 27-36, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38516141
ABSTRACT
Importance In 2019, Nigeria had the largest number of under-5 child deaths globally and many of these deaths occurred within the first week of life. The World Health Organization recommends infant postnatal care (PNC) attendance to support newborn survival; however, utilization of PNC is known to be low in many contexts. Objective:
This study examined coverage and individual-level determinants of infant PNC attendance in Nigeria.Methods:
Nigeria Demographic Health Survey (NDHS) 2018 data were used to evaluate infant PNC coverage and determinants. Infant PNC was defined as receipt of care within 2 days of birth. Children delivered up to 2 years before the 2018 NDHS were included. We examined predictors of infant PNC with modified Poisson regression models to estimate relative risks (RRs).Results:
The national coverage of infant PNC was 37.3% (95% confidence interval [CI] 35.8%-38.7%). Significant heterogeneity in PNC attendance existed at state and regional levels. Facility delivery was strongly associated with the uptake of PNC (RR 6.07; 95% CI 5.60-6.58). Greater maternal education, maternal employment, urban residence, female head of household, and greater wealth were also associated with an increased likelihood of PNC visits.Interpretation:
The uptake of infant PNC is low and interventions are urgently needed to promote equity in access and increase demand for PNC in Nigeria.
Texto completo:
1
Temas:
ECOS
/
Equidade_desigualdade
Bases de dados:
MEDLINE
Idioma:
En
Revista:
Pediatr Investig
Ano de publicação:
2024
Tipo de documento:
Article