Coverage and determinants of infant postnatal care in Nigeria: A population-based cross-sectional study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-01-22 eCollection Date: 2024-03-01 DOI:10.1002/ped4.12412

Bolaji Emmanuel Egbewale, Olusola Oyedeji, Jesse Bump, Christopher Robert Sudfeld

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引用次数: 0

Abstract

Importance: In 2019, Nigeria had the largest number of under-5 child deaths globally and many of these deaths occurred within the first week of life. The World Health Organization recommends infant postnatal care (PNC) attendance to support newborn survival; however, utilization of PNC is known to be low in many contexts.

Objective: This study examined coverage and individual-level determinants of infant PNC attendance in Nigeria.

Methods: Nigeria Demographic Health Survey (NDHS) 2018 data were used to evaluate infant PNC coverage and determinants. Infant PNC was defined as receipt of care within 2 days of birth. Children delivered up to 2 years before the 2018 NDHS were included. We examined predictors of infant PNC with modified Poisson regression models to estimate relative risks (RRs).

Results: The national coverage of infant PNC was 37.3% (95% confidence interval [CI]: 35.8%-38.7%). Significant heterogeneity in PNC attendance existed at state and regional levels. Facility delivery was strongly associated with the uptake of PNC (RR: 6.07; 95% CI: 5.60-6.58). Greater maternal education, maternal employment, urban residence, female head of household, and greater wealth were also associated with an increased likelihood of PNC visits.

Interpretation: The uptake of infant PNC is low and interventions are urgently needed to promote equity in access and increase demand for PNC in Nigeria.

查看原文本刊更多论文

尼日利亚婴儿产后护理的覆盖面和决定因素：基于人口的横断面研究。

重要性：2019 年，尼日利亚是全球 5 岁以下儿童死亡人数最多的国家，其中许多死亡发生在新生儿出生后的第一周。世界卫生组织建议参加婴儿产后护理（PNC）以提高新生儿存活率；然而，众所周知，在许多情况下，婴儿产后护理的利用率很低：本研究探讨了尼日利亚婴儿产后护理的覆盖率和个人层面的决定因素：尼日利亚人口健康调查（NDHS）2018 年的数据用于评估婴儿 PNC 的覆盖率和决定因素。婴儿 PNC 的定义是在出生后 2 天内接受护理。在 2018 年 NDHS 之前 2 年分娩的婴儿也包括在内。我们用修正的泊松回归模型来估算相对风险系数（RRs），从而研究了婴儿PNC的预测因素：全国婴儿PNC覆盖率为37.3%（95%置信区间[CI]：35.8%-38.7%）。在州和地区层面，参加 PNC 的情况存在显著的异质性。设施接生与接受 PNC 密切相关（RR：6.07；95% CI：5.60-6.58）。孕产妇受教育程度越高、就业率越高、居住在城市、户主为女性以及财富越多，接受 PNC 检查的可能性也就越大：婴儿接受新生儿护理的比例较低，因此迫切需要采取干预措施，以促进尼日利亚新生儿护理的公平性并增加对新生儿护理的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.