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Unmet need for family planning: implication for under-five mortality in Nigeria

Sunday Adepoju Adedini1, Clifford Odimegwu2, Eunice Ntwala Imasiku3

  • 1Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa ; Demography and Social Statistics Department, Obafemi Awolowo University, Ile-Ife, Nigeria.

Journal of Health, Population, and Nutrition
|May 22, 2015
PubMed

Insights

Unmet need for family planning in Nigeria significantly increases the risk of under-five mortality. Addressing this need is crucial for reducing child deaths and improving public health outcomes.

Area of Science:

  • Demography
  • Public Health
  • Reproductive Health

Background:

  • Gaps exist in understanding the link between unmet need for family planning and under-five mortality in Nigeria.
  • Family planning services are essential for maternal and child health outcomes.
  • Nigeria faces challenges in achieving Sustainable Development Goals related to child survival.

Purpose of the Study:

  • To examine the association between unmet need for family planning and under-five mortality in Nigeria.
  • To quantify the risk of death for children whose mothers have an unmet need for family planning.
  • To provide evidence for policy interventions aimed at reducing child mortality.

Main Methods:

  • Utilized data from the 2008 Nigeria Demographic and Health Survey.
  • Employed Cox regression analysis on a nationally representative sample.
  • Analyzed data for 28,647 children born to 18,028 women within five years preceding the survey.

Main Results:

  • Children whose mothers had an unmet need for spacing family planning faced a 1.60 times higher risk of under-five death (CI: 1.37-1.86).
  • Children whose mothers had an unmet need for limiting family planning faced a 1.78 times higher risk of under-five death (CI: 1.48-2.15).
  • These elevated risks remained significant after adjusting for confounding factors.

Conclusions:

  • Unmet need for family planning is a significant predictor of under-five mortality in Nigeria.
  • Addressing unmet need for family planning is essential for Nigeria to achieve substantial reductions in under-five mortality.
  • Policy and programmatic efforts should prioritize meeting the family planning needs of Nigerian women.

Keywords:
ContraceptionFamily planningNigeriaUnder-five mortalityUnmet need

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