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Nigeria
DHS Survey in 2003
Neonatal Mortality
Results for Nigeria 2003• Risk of neonatal mortality compared with 36-47
month birth interval: – Births less than 24 months: 164 % – Births 24-35 months: 86 %– Births 36-47 months: 100 %– Births 48+ months: 177 %– First births: 145 %
• Lowest neonatal mortality at 42-53 month birth intervals
Neonatal Mortality in Nigeria 2003
0.0
0.5
1.0
1.5
2.0
2.5
<18 18 - 23 24 - 29 30 - 35 36 - 41 42 - 47 48 - 53 54 - 59 60 +
Duration of Preceding Birth Interval (months)
Adj
. Rel
ativ
e O
dds
Rat
io
Infant Mortality
Results for Nigeria 2003• Risk of infant mortality compared with 36-47 month
birth interval:
– Births less than 24 months: 180 %
– Births 24-35 months: 120 %
– Births 36-47 months: 100 %
– Births 48+ months: 89 %
– First births: 158 %
• Lowest infant mortality at 42+ month birth intervals
Infant Mortality in Nigeria 2003
0.0
0.5
1.0
1.5
2.0
2.5
< 18 18 - 23 24 - 29 30 - 35 36 - 41 42 - 47 48 - 53 54 - 59 60 +Duration of Preceding Birth Interval (Months)
Adj
. Rel
ativ
e O
dds
Rat
io
Under Five Mortality
Results for Nigeria 2003• Risk of under five mortality compared with 36-47
month birth interval: – Births less than 24 months: 150 %
– Births 24-35 months: 112 %
– Births 36-47 months: 100 %
– Births 48+ months: 97 %
– First births: 111 %
• Lowest under five mortality at 54+ month birth intervals
Under Five Mortality in Nigeria 2003
0.0
0.5
1.0
1.5
2.0
< 18 18 - 23 24 - 29 30 - 35 36 - 41 42 - 47 48 - 53 54 - 59 60 +
Duration of Preceding Birth Interval (months)
Ad
j. R
el.
Od
ds
Rat
io
Nigerian Preferences for Short Birth Intervals, 2003
• In Nigeria many women prefer short birth intervals, only 25% want births with less than 2 years spacing and 60% prefer an interval of less than 3 years
• For Nigeria as a whole, 28 percent of women have intervals shorter than 24 months, about the same percentage that prefer such short intervals.
• 64 percent of Nigerian women have intervals shorter than 36 months, only 4 percent more than those who prefer such intervals.
Percent of Birth Intervals Less than 24 Months, Actual and Preferred, Nigeria 2003
32
30
24
2825
32
21
31
23
29
19
23
0 10 20 30 40
Southeast
Southwest
Northwest
Northeast
Central
NIGERIA
Percent
Actual Preferred
Percent of Birth Intervals Less than 36 Months, Actual and Preferred, Nigeria 2003
68
68
69
58
59
64
70
54
64
54
58
60
0 10 20 30 40 50 60 70 80
Southeast
Southwest
Northwest
Northeast
Central
NIGERIA
Percent
Actual Preferred
Infant Mortality Rates with Existing Birth Intervals and Minimum Intervals of 24 and 36 months, Nigeria 2003
0
10
20
30
40
50
60
70
80
NIGERIA
Dea
ths
per
1000
bir
ths
Existing
Min. 24 mos.
Min. 36 mos.
20% of deaths averted
Additional 4% of deaths averted
Annual Number of Infant Deaths with Existing Birth Intervals and Minimum Intervals of 24 and 36 months, Nigeria 2005
0
50
100
150
200
250
300
350
400
450
NIGERIA
Tho
usan
ds o
f dea
ths
Existing
Min. 24 mos.
Min. 36 mos.
77,100 deaths averted
Additional 17,000 deaths averted
Under Five Mortality Rates with Existing Birth Intervals and Minimum Intervals of 24 and 36 months, Nigeria 2003
0
20
40
60
80
100
120
NIGERIA
Dea
ths
per
1000
bir
ths
Existing
Min. 24 mos.
Min. 36 mos.
12% of deaths avertedAdditional 3% of deaths averted
Annual Number of Under Five Deaths with Existing Birth Intervals and Minimum Intervals of 24 and 36 months
Nigeria 2005
0
100
200
300
400
500
600
700
NIGERIA
Tho
usan
ds o
f dea
ths
Existing Intervals
Min. 24 mos.
Min. 36 mos.
76,100 deaths avertedAdditional 20,200 deaths averted
In Nigeria, if no births occurred before 36 months of a preceding birth:
• Infant Mortality Rate would drop 24%
• Under Five Mortality Rate would drop 15%
• Deaths to children under five years of age would fall by 96,200 annually