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Recurrent child mortality risks and parity transition in Nigeria
Abiodun Idowu Adanikin1,2, Sabu S Padmadas3, Nuala McGrath3,4
1Department of Social Statistics and Demography and Centre for Global Health, Population, Poverty and Policy, University of Southampton, Southampton, UK. a.i.adanikin@soton.ac.uk.
Reproductive Health
|June 9, 2019
Summary
Repeated child deaths increase the risk of higher parity transitions in Nigeria. Interventions should focus on improving child survival and family planning access simultaneously to reduce fertility rates.
Area of Science:
- Demography
- Public Health
- Reproductive Health
Background:
- Nigeria faces persistently high fertility rates across socioeconomic groups.
- Cultural norms favor large family sizes, but the impact of child mortality on fertility is poorly understood.
Purpose of the Study:
- To investigate the influence of child survival experiences on fertility behavior and parity progression in Nigeria.
- To test the hypothesis that child mortality experiences elevate the risk of progressing to higher parities.
Main Methods:
- Utilized birth history data from the 2013 Nigeria Demographic and Health Survey (NDHS).
- Applied life table techniques and proportional-hazard regression models.
- Analyzed the effect of child survival on parity transitions, adjusting for covariates.
Main Results:
- Child mortality disproportionately affects mothers in deprived rural northern Nigeria, with less education, and from Hausa/Fulani ethnicity and Islamic faith.
- Mothers with recurrent child deaths showed a significantly higher rate of progressing to higher parities (HR: 1.45; 95% CI: 1.31-1.61).
Conclusions:
- Recurrent child deaths are a significant factor exacerbating higher parity transitions in Nigeria.
- Effective fertility reduction strategies must concurrently address child survival and family planning programs.
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