Barriers to accessing health care in Nigeria: implications for child survival

Autor: Opeyemi Fadeyibi, Sunday A. Adedini, Olusina Bamiwuye, Nicole De Wet, Clifford Odimegwu
Rok vydání: 2013
Předmět:
Program evaluation
Male
Health Services Accessibility
under-five mortality
0302 clinical medicine
access
Risk Factors
Health care
Medicine
030212 general & internal medicine
media_common
education.field_of_study
lcsh:Public aspects of medicine
030503 health policy & services
Health Policy
1. No poverty
cultural barriers
Middle Aged
health care
3. Good health
Child
Preschool

Child Mortality
Female
Original Article
0305 other medical science
Adult
Adolescent
media_common.quotation_subject
Population
Developing country
Nigeria
Fertility
03 medical and health sciences
Young Adult
Environmental health
Survivorship curve
Population Health
Public Helath
Humans
education
Socioeconomic status
Proportional Hazards Models
business.industry
Public Health
Environmental and Occupational Health

Infant
Newborn

Infant
lcsh:RA1-1270
Survival Analysis
Child mortality
physical barriers
Cross-Sectional Studies
Health Care Surveys
business
Zdroj: Global Health Action
Global Health Action; Vol 7 (2014): incl Supplements
Scopus-Elsevier
Global Health Action, Vol 7, Iss 0, Pp 1-10 (2014)
ISSN: 1654-9880
1654-9716
Popis: Background : Existing studies indicate that about one in every six children dies before age five in Nigeria. While evidence suggests that improved access to adequate health care holds great potential for improved child survival, previous studies indicate that there are substantial barriers to accessing health care in Nigeria. There has not been a systematic attempt to examine the effects of barriers to health care on under-five mortality in Nigeria. This study is designed to address this knowledge gap. Data and method : Data came from a nationally representative sample of 18,028 women (aged 15–49) who had a total of 28,647 live births within the 5 years preceding the 2008 Nigeria Demographic and Health Survey. The risk of death in children below age five was estimated using Cox proportional hazard models and results are presented as hazards ratios (HR) with 95% confidence intervals (CI). Results : Results indicate higher under-five mortality risks for children whose mothers had cultural barriers and children whose mothers had resource-related barriers to health care (HR: 1.44, CI: 1.32–1.57, p
Databáze: OpenAIRE