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Quality of Antenatal Care Utilization and Neonatal Mortality in Nigeria: An Event History Analysis

Sunday Abatan, Federal University Oye
Lorretta Ntoimo, Federal University Oye-Ekiti

Neonatal mortality remains high in Nigeria. Also, poor quality of antenatal care persists in the country. This study therefore examined the influence of poor quality of antenatal care on NMR in Nigeria. The study utilized data from 2018 Nigeria Demography and Health Survey. The sample size was restricted to 12,568 neonates whose mothers made at least one ANC visit. The analysis was done using Chi-square test and Cox proportional hazard regression model. Findings showed that out of the total sampled population, approximately 2% received all recommended ANC interventions while the neonatal mortality among sample respondents was 93.6/1000 live birth. Only 31.9% of the mothers received high-quality antenatal care, 23.9% received medium and 44.2% received low quality. Risk of neonatal mortality reduced by 78% and 74% among children whose mothers received high and medium quality ANC respectively (HR=0.22, p<0.05);(HR=0.26,p<0.05) compared to those who received low. The study concludes that the unchanging high neonatal mortality rate in Nigeria can significantly be reduced if mothers receive good quality antenatal care.

Keywords: Mortality, Event history analysis, Children and youth, Health and morbidity

See extended abstract.

  Presented in Session P10.