Survival In Nigeria Research Articles

Explaining the Correlates of Child Mortality and Under-5 Survival in Nigeria

Explaining the Correlates of Child Mortality and Under-5 Survival in Nigeria

Explaining the Correlates of Child Mortality and Under-5 Survival in Nigeria

Explaining the Correlates of Child Mortality and Under-5 Survival in Nigeria

The Effect of Individual Entrepreneurial Orientation and the Fourth Industrial Revolution 4.0 On Women Business Venturing Survival in Nigeria

The Effect of Individual Entrepreneurial Orientation and the Fourth Industrial Revolution 4.0 On Women Business Venturing Survival in Nigeria

Disentangling the link between social determinants of health and child survival in Nigeria during the Sustainable Development Goals era: a hierarchical path analysis of time-to-event outcome.

While social determinants of health have been perennially linked to child survival in resource-limited countries, the precise and tested pathways to effect are not clearly understood. The objective of this study was therefore to identify the critical pathways as posited a priori in a model through which social factors (at maternal, household, and community levels) determine neonatal, infant, and under-five mortalities in Nigeria. Using a novel analytic approach (hierarchical path modelling for predicting accelerated failure time) to estimate (in)direct and total effects of social determinants of child survival, we analysed 30,960 live births (weighted data for representativeness), obtained from the 2016/2017 Nigeria Multiple Indicator Cluster Survey. There were three outcome variables: time until occurrence of neonatal, infant, and under-five mortalities. The independent variables were layered factors related to child, maternal, household and community. Geographical region, rurality of residence, infrastructural development, maternal education, contraceptive use, marital status, and maternal age at birth were found to operate more indirectly on neonatal, infant, and under-five survival. Child survival is due to direct effects of child's sex (female), gestational type (singleton), birth spacing (children whose mothers delivered at least two years apart), and maternal age at delivery (20-34 years). According to the path coefficients, the indirect effects of geographical regions are the most influential determinants of child survival, accounting for 30% (neonatal), 37.1% (infant) and 39.9% (under-five) of the total effects. This study offers comprehensive set of factors, and linked pathways, at the maternal, household, and community levels that are associated with child survival in Nigeria. To accelerate progress towards Sustainable Development Goal targets for child survival and reduce geographical inequities, stakeholders should implement more impactful policies that promote maternal education, contraceptive use and improve living conditions of women (especially in rural areas of northern Nigeria). Future research should focus on identifying the most effective interventions for addressing these social determinants of child survival in Nigeria.

Influence of households' socio-economic factors on maternal and under-five survival in Nigeria: Implication for the sustainable development goal 3.

The objective of this study was to examine the influence of household socio-economic factors on maternal mortality and under-five survival in Nigeria. Consequently, data from 2005 to 2021 were collected from the World Development Indicators, and fully modified least squares and canonical cointegrating regression were utilised to implement the study. The results showed that for every 100,000 live births, at least 1097 mothers die in Nigeria. GDP per capita showed a positive but insignificant impact on maternal mortality, while adjusted net national income had a significant negative relationship with maternal mortality. Broad money supply reduced under-five survival in Nigeria, while social inclusion causes a reduction in under-5 mortality with 32 deaths per 1,000 live births in Nigeria. Hence, to reduce the high rate of maternal mortality in Nigeria, policy and programmes that will be socially inclusive for women and children should be implemented in the country.

The View of “Born Again” Christians on Politics in Nigeria

From time immemorial, discussions involving politics had sparked spontaneous debate in Nigeria. Many people claim that politics is a dirty game that Christians should avoid like plagues, holding the belief that politics is so bad that it will be extremely difficult for genuine Christians to successfully navigate its terrain without soiling their hands in sin. Very few people have drummed their support for Christians involving in politics. The people who maintain this stance also hinge their claims on various biblical injunctions. The focus of this work, therefore, is to examine these two opposing views with the purpose of establishing a position that can enhance development. In view of the nature of this study, historical method is employed in its analysis. The findings of this study, however, reveal that it is the power of productive politics and good governance not the power of fasting and prayers that are the key requirements for sustainable development. The findings further reveal that politics is one of the strategies for survival in Nigeria. If Christians dissociate themselves from it, they will be sending wrong and dangerous signals to the future generation because the risks involved in maintaining the status quo of hating politics is higher than the risk involved in participating in it. The study concludes that Christians can participate in politics as doing so will help them to eliminate the prevailing societal vices and evils. Keywords: Politics, Christians, power, sustainable development, strategy, participate, risk.

Empowering the LMIC hinterlands with compatible technologies for neonatal care – the resilience of a research group

Background: High neonatal mortality rate (NMR) in low- and middle-income countries (LMIC) might not be resolved until rural healthcare facilities are empowered with sustainable frugal technologies and procedures. Needed technologies may not rely on cutting-edge systems of the high-income countries (HIC), which require much funding and well-established public infrastructure to thrive. Rather, tailored non-conventional designs that are compatible with the deficiencies at low-income settings must take center stage. Study design: A multistage strategy was designed to identify and resolve the technology and knowledge gaps responsible for high NMR and rural community deficiencies militating against neonatal interventions within the primary healthcare settings in Nigeria. Methods: We concluded many scientific investigations and developed interventions over 25 years period to resolve the various factors militating against neonatal survival in Nigeria. Unconventional ideas relying on solar powered systems and easily available local materials were developed, trialed, and commissioned at various times across 31 tertiary hospitals spanning all regions of Nigeria. Stand-alone studies or solutions-creation, amidst discouraging situations, were individually completed, peer-reviewed, and journal-published. The full package of technologies was finally assembled to launch a community empowerment strategy – the Neonatal Rescue Scheme – to generate integrated proof of concept. Finding: The number of early neonatal deaths and overall NMR drastically reduced at participating centers. Conclusions: This Rescue-Scheme strategy could revolutionize neonatal healthcare in low-income countries and drastically reduce Nigeria’s corporate NMR if properly adopted. Clinical evidence: Recent studies of the Scheme and various combinations of its neonatal technologies have demonstrated significant clinical evidence of NMR-reduction, e.g., overall NMR fell from 90/’00 to 4/’00 as published by Amina-center Minna Nigeria 2023; early mortality fell from 81% to 0% - University of Abuja Teaching Hospital Nigeria 2017, etc.

Predictive Model and Risk Factors of Under-five Mortality in Nigeria: A Study Based on 2018 Nigeria Demographic and Health Survey

The death of children under-five years is one of the critical issues in public health and the need for improving child survival continues to be a matter of urgent concern. In this study, we develop a predictive model in order to examine the risk factors of under-five mortality in Nigeria. The study utilized data from 2018 Nigeria Demographic and Health survey. The demographic and mortality data of 127,545 children were extracted and univariate and multivariate logistic regression models were employed. The results revealed that under-five mortality was 143 deaths per 1,000 live births in Nigeria. The likelihood of death was higher among males compared to females children (OR = 1.893, P<0.05). First and second birth order have a lower chances of decreasing odds of under-five children (OR = 0.737, P<0.05) and (OR = 1.888, P<0.05).The under-five mortality was higher among children born to mothers who belong to other religions compared to Christians. Islam (OR = 1.689, P<0.05) and traditionalist (OR = 2.705, P<0.05) respectively. Public servant (OR = 1.881, P<0.05) and unmarried mother (OR = 1.896, P<0.05) were increased the odds of dying chances of under-five mortality in Nigeria. Children of mothers without education experienced more death compared to mothers who attended post-secondary education (OR = 3.372, P<0.05). Sex of child, birth order, religion, marital status, maternal occupation and maternal education were significant factors associated with under-five mortality in Nigeria. Thus, planning and implementing relevant strategies that focus on those identified risks factors of under-five mortality is required for improvement of child survival in Nigeria.

Creativity and Innovation Through Technical and Vocational Education for Sustainable Family Survival in Nigeria

This paper examines importance of Technical and Vocational Education Training (TVET) as a means of sustaining most families especially with the increasing rate of unemployment in Nigeria. The inferiority myth attached TVET was properly analysed as most family in Nigeria believe in the inferiority myth that vocational and training are meant for people of lower aspiration or less academic abilities. The reality has proven otherwise as TVET is the key that transform the economic development of any nation, alleviate poverty and improve quality of life. Therefore, the orientations have to change, and its time for parents and guardians to encourage the children to learn skills and the government to mobilize resources and pay attention to vocational education as a sure way for family sustainability through personal creativity and innovations on the profession.

OPERATIONALIZING THE THEORY OF ENVIRONMENTAL EXTERNALITIES TO ASSESS SOCIO-ECOLOGICAL SUSTAINABILITY AND SURVIVAL OF COASTAL COMMUNITIES IN NIGERIA

This paper operationalizes the theory of environmental externalities to assess socio-ecological sustainability and the survival of coastal communities in Nigeria. It argues that petroleum exploitation activities of Multinational Oil Corporations (MNOCs)in the coastal and marine areas of the Niger Delta in Nigeria produce negative environmental externalities and impose them on the environment at the expense of the survival of the coastal communities as third parties. The paper adopts the library research technique for data collection, while the analyses were conducted in the realm of the theory of environmental externalities. In the end, the paper identifies the theory of environmental externalities as a veritable tool for demystifying the costs and benefits of petroleum exploitation in Nigeria. In the realm of the theory also, the paper was able to underscore the fact that the negative environmental externalities, which are outcomes of the petroleum exploitation activities in the coastal and marine areas of the Niger Delta in Nigeria to a large extent, negatively impact socio-ecological sustainability and the survival of coastal communities in the region. Consequently, the paper concludes that the negative spill-over effects of petroleum exploitation on the coastal and marine environment undermine socio-ecological sustainability and risk the survival of the coastal communities in the Niger Delta of Nigeria. Therefore, it recommends that the MNOCs, and the Federal Government of Nigeria (FGN), which are the benefiting parties of the petroleum industry in the country should be more liable and adequately, compensate the coastal communities for the spill-over effects of the petroleum exploitation activities in the region. In addition, vital ecological regions should be identified and mapped out as protected areas (PAs) to avoid overexploitation on one hand, and on the other hand, to conserve the natural ecosystem resources the coastal communities depend on for survival in Nigeria..

Effect of Interest Rate Spread and Bank Specific Factors on Survival of Tier-One and Tier-Two Deposit Money Banks in Nigeria

In today’s economic setting, there must be a healthy banking sector for banks to survive. Banks survival determine sound financial mediator in achieving economic performance. However, bank spread and unstable policies towards bank specific factors have become threat to bank survival in Nigeria. Secondary data and ex-post facto research design were used within the period of 2011-2020 for both Tier-1 and Tier-2 deposit money banks in Nigeria. The study found that interest rate spread, asset quality, management efficiency, bank size and board size affect bank survival in Nigeria. The study suggests that bank managers should give maximum attention to interest rate spread, and bank specific factor like asset quality, management efficiency, bank size and board size so as to ensure their survival.

Cultural pluralism and democratic survival in Nigeria

ABSTRACT This paper explores the cultural imperatives to determining democratic survival in Nigeria. It observes that the general notion that cultural inequality may systematically obstruct democratic participation by the members of subordinated groups is trite. It argues rather that the current crisis faced by democracy is linked essentially to the lack of a space capable of dealing with both social complexity and cultural pluralism. The paper is a desk study borrowing heavily from secondary sources of data and review of extant literature. While not pretending about the potential for ethno-cultural and religious violence imminent in Nigeria’s attempt at democratic consolidation, findings, however suggest that in a multicultural society like Nigeria, democracy has the potential to flourish if the different cultural groups understand and tolerate one another by enlarging the space for public participation and debates naturally encapsulated in the principle of popular rule. It recommends that a practical engagement with federal democracy, rooted in the principle of federalism, remains an attractive model for the survival of Nigeria.

Background predictors of time to death in infancy: evidence from a survival analysis of the 2018 Nigeria DHS data

BackgroundNigeria’s child health profile is quite concerning with an infant mortality rate of 67 deaths per 1000 live births and a significant slowing down in progress towards improving child health outcomes. Nigeria’s 2018 Demographic and Health Survey (DHS) suggests several bio-demographic risk factors for child death, including mother’s poor education, poverty, sex of child, age of mother, and location (rural vs urban) but studies are yet to explore the predictive power of these variables on infant survival in Nigeria.MethodsThe study extracted data for all births in the last 12 months preceding the 2018 Nigeria DHS and used the Cox proportional hazard model to predict infant survival in Nigeria. Failure in this analysis is death with two possible outcomes – dead/alive – while the survival time variable is age at death. We censored infants who were alive at the time of the study on the day of the interview. Covariates in the analysis were: age of mother, education of mother, wealth quintile, sex of child, location, region, place of delivery, and age of pregnancy.ResultsThe study found that a higher education of a mother compared to no education (β = .429; p-value < 0.05); belonging to a household in the richer wealth quintile (β = .618; p-value < 0.05) or the highest quintile (β = .553; p-value < 0.05), compared to the lowest wealth quintile; and living in North West (β = 1.418; p-value < 0.05) or South East zone (β = 1.711; p-value < 0.05), significantly predict infant survival.ConclusionAddressing Nigeria’s infant survival problem requires interventions that give attention to the key drivers – education, socio-economic status, and socio-cultural contextual issues. We therefore recommend full implementation of the universal basic education policy, and child health education programs targeted at mothers as long- and short-term solutions to the problem of poor child health outcomes in Nigeria. We also argue in favor of better use of evidence in policy and program development in Nigeria.

Effect of innovation on agricultural-based micro, small and medium enterprises survival in Nigeria

Effect of innovation on agricultural-based micro, small and medium enterprises survival in Nigeria

Effect of innovation on agricultural-based micro, small and medium enterprises survival in Nigeria

Effect of innovation on agricultural-based micro, small and medium enterprises survival in Nigeria

Preventable multiple high-risk birth behaviour and infant survival in Nigeria

BackgroundGlobally, infant mortality has declined considerably but has remained unacceptably high in sub-Saharan Africa, especially Nigeria where infant mortality rate is 67/1000 live births. To facilitate infant mortality reduction in Nigeria, an understanding of the synergistic effect of bio-demographic characteristics of mothers known as High Risk Birth Behaviours (HrBBs) is important. We therefore investigated the influence of HrBBs on infant survival in Nigeria.MethodsThis cross-sectional study design utilized data from the 2018 round of Nigerian Demographic Health Survey. The study participants were a representative sample of women of reproductive age (n = 21,350) who had given birth within the 5 years preceding the survey. HrBBs was measured through integration of information on maternal age at child’s birth, parity, and preceding birth interval with respect to the most recent child. The HrBBs was categorized as none, single and multiple. Data were analysed using descriptive statistics, Log-rank test and Cox proportional hazard model (α =0.05).ResultsThe mean age of the women was 29.7 ± 7.2 and 4.1% had experienced infant death. Infant mortality was highest among women with multiple HrBBs (5.1%). Being a male, having small size at birth, failure to receive tetanus injection, non-use of contraceptives and living in the core-north (North West and North East) predisposed children to higher risk of dying before 12 months of age. The hazard ratio of infant mortality was significantly higher among infants of mothers in multiple HrBBs category (aHR = 1.66; CI: 1.33–2.06) compared to their counterparts with no HrBBs.ConclusionMultiple HrBBs increase the chances of dying among infants in Nigeria. Screening women for HrBBs for special health attention during pregnancy, birth and postnatal period will alleviate infant death in Nigeria.

The post-war era in Nigeria and the resilience of Igbo communal system.

The Igbo people survived a civil war that raged between 1967 and 1970 and that devastated their land and reduced their population because of more than three million deaths. They were confronted with the challenges of beginning life afresh from scratch with almost nothing. Since then, they have allegedly been marginalised on a continuous basis by the Nigerian government. This notwithstanding the people with their communal spirit, which saw them through the civil war, have continued to cement their survival resolve in the post-war era. The aim of this article was to study the Igbo communal system as the bedrock of Igbo progress, especially in the past 50 years and recommends it as the basic principle of Igbo survival in Nigeria. It considers Igbo communal spirit as a veritable panacea against the recent agitations for secession by the people as that would guarantee Igbo people an ample space to operate in Nigeria. The methodology used in this article is a qualitative phenomenological method. This was carried out by interviewing some members of Igbo society, observing and interpreting events in Igbo society and as documented in literatures. It was found that Igbo people have really done well for themselves despite the seeming marginalisation by sticking to their resilient spirit. This study concluded that instead of seeking for independence from Nigeria, the Igbo people need to be mindful of their resilient communal spirit and reinforce it in all spheres of life. This would make them more relevant in the country’s affairs than they are currently.

Explaining regional variations in child survival in Nigeria: Evidence from demographic and health survey

Neonatal, infant, and Under-five mortality remain high with a slight improvement over the decades in Nigeria. This paper identifies the effect of maternal and health care practices on under-five survival in Nigeria. This study considers the risk of dying for 0–60 months children with identification of the time period of survival to death across the six geopolitical regions in Nigeria. The study uses data from the Demographic and Health Survey 2018 being the latest in Nigeria to explain the underlying factors associated with under-five mortality. The Kaplan Meier analysis and the Cox proportional regression were used to estimate the time between the period of birth and the event of death. Findings revealed that up to 71% of death in under-five children occurred between 0 and 12 months with a decrease in risk found as age increase after 24 months. All death occurred in children with no intake of any vaccination, 69% in children not delivered at government or private health centres, and 74% in rural communities, Result of the Cox proportional hazard regression indicates that mother’s age 15–30, education, poor nutrition and unchecked breastfeeding practices after birth increases the hazard of child mortality.

The impact of HIV on hepatocellular cancer survival in Nigeria.

Hepatocellular carcinoma (HCC) is an increasing cause of mortality in HIV-infected individuals. We compared host and tumour characteristics between HIV-infected and HIV-uninfected Nigerians with HCC and examined the impact of HIV on survival. This prospective observational study was conducted at Jos University Teaching Hospital in Jos, Nigeria, among adults (>18years) with HCC enrolled between September 2015 and September 2017 and followed until April 2019. Demographics, tumour characteristics and survival were compared between HCC subjects with and without HIV. 101 (10 HIV-infected and 91 HIV-uninfected) subjects were enrolled [male 72%; median age 48 (IQR 35-60)]. 60% HIV-infected subjects were receiving ART; 90% had CD4 counts≥200/mm3 at HCC diagnosis, and 20% had HIV RNA levels<20 copies/mL. 57.4% were infected with chronic HBV (HBsAg+). The duration of symptoms was shorter in HIV-infected vs. HIV-uninfected subjects [93 (IQR 54-132) vs. 155 (93-248] days; p=0.02]. At the end of follow-up, 99 of 101 (98.0%) subjects were confirmed to have died: 9 of 10 (90.0%) HIV-infected and 90 of 91 (98.9%) HIV-uninfected. The probability of survival at three months was 22% and 47% in HIV-infected and HIV-uninfected subjects, respectively (P=0.02). Median time to death was significantly shorter in HIV-infected vs. HIV-uninfected subjects [24days (IQR 16-88) vs. 85days (IQR 34-178), respectively (P=0.03)]. High early mortality was observed in this cohort of Nigerian adults with HCC. HIV infection was associated with a faster clinical presentation and shorter survival. More aggressive HCC surveillance may be warranted in HIV-infected subjects, particularly if they are co-infected with chronic HBV.

Internal Audit and Strategy Implementation: A Must for Business Survival in Nigeria

This research exhibits the role of the internal auditor as a policy (decision) maker in companies; thereby, ascertaining the existing association between internal auditing and strategy implementation practice in business organizations in Nigeria. In sourcing for data, questionnaire and personal interviews were used while data were analyzed using the simple percentage and frequency distribution methods. We found that the internal audit unit (department) of a business organization, keeps proper account, safeguard of assets and control of liabilities positively by checking all cases of payment before they are made; and that, internal audit plays an indispensable role in actualizing business process because the internal audit report provides the required information for strategy implementation which helps organizations to do better. We conclude that, management of business organizations in Nigeria should embrace internal auditing and strategy implementation practice in order to survive in business.