Barriers to accessing health care in Nigeria: implications for child survival
Autor: | Opeyemi Fadeyibi, Sunday A. Adedini, Olusina Bamiwuye, Nicole De Wet, Clifford Odimegwu |
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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 |
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