0704-883-0675     |      dataprojectng@gmail.com

PROXIMATE DETERMINANTS: THE PATHWAYS OF INFLUENCE OF UNDERLYING FACTORS ON UNDER-FIVE MORTALITY IN NIGERIA

  • Project Research
  • 1-5 Chapters
  • Abstract : Available
  • Table of Content: Available
  • Reference Style: APA
  • Recommended for : Student Researchers
  • NGN 3000

Abstract

Nigeria is a country with one of the world’s highest rate of under-five mortality. Any innovative research aimed at bringing solutions to this problem should be considered worthwhile. This study examined how socio-economic, demographic and cultural factors (called underlying factors), influence under-five mortality in Nigeria by identifying some other direct factors (called proximate determinants) through which the underlying factors influence under-five mortality. It used data from the Nigeria Demographic and Health Survey (NDHS) of 2013. Mothers of 31,482 children born during the previous five years of the survey were interviewed on survival status of their children and also on their own characteristics and child healthcare practices. The Mosley and Chen framework for child survival was adopted to explore the pathways of influence of the underlying factors on under-five mortality. The underlying factors considered are mother’s age, marital status, education, occupation, geographical region of residence, urban/rural residence, wealth status and religious affiliation. The proximate determinants examined are, child’s birth order, number of births mother had within the previous five years of the survey, whether or not the child was ever breastfed, the household source of drinking water, type of toilet facility, type of cooking fuel and the place where the child was delivered. Statistical analyses used were the univariate, bivariate and the multivariate analyses. Due to the binary nature of the dependent variable (Dead or Alive), the multivariate analysis technique adopted was the “binary logistic regression”. The level of significance was set at 5 percent. Findings showed that all the nine underlying factors had a significant indirect bivariate relationship with under-five mortality. At the multivariate analysis level, all the underlying factors except religion and occupation maintained their significant indirect effects on under-five mortality. Further, the children who were never breastfed were twenty times more likely to die before five years of age than children who were ever breastfed (P < 0.001). The Log Likelihood Ratio (LR) test used to examine the overall level of importance of the proximate determinants as pathways of influence of the underlying factors on under-five mortality found them to be highly significant (Chisquare = 3222.423 on 12 degrees of freedom, P < 0.001). However, several of the underlying factors still maintained their significant relationships with under-five mortality after adjustments for the seven proximate variables. The result implies that, in addition to the seven proximate determinants used, there must be other proximate variables not included in the study through which the underlying factors are also influencing under-five mortality. Given that proximate determinants (e.g., child spacing), have direct effects on mortality, policies and programmes targeted to influence them will be more effective and in reducing under-five mortality than those targeted to influence underlying factors (e.g., providing higher education for women). The study conclude by recommending programmes such as those that create awareness of mothers about practices that prevent childhood mortality including extensive and prolonged xx breastfeeding and use of contraceptives which help to prevent frequent or multiple births within short intervals, thereby reducing the high under-five mortality in Nigeria.





Related Project Materials

THE IMPACT OF PHONE-IN PROGRAMMES

EXCERPT FROM THE STUDY

Mass media is a channel, medium, utility, device, or instrument used in the mass communication pr...

Read more
EFFICIENCY OF ACCOUNTING SOFTWARES IN THE PREPARATION OF FINANCIAL STATEMENTS

ABSTRACT

The study focuses on assessing the impact of the use of Accounting software in the preparing financial statemen...

Read more
THE IMPACT OF STOCK EXCHANGE MARKET ON THE GENERATION OF CAPITAL FOR COMMERCIAL BANKS

ABSTRACT

The stock exchange in Nigeria has been enmeshed in a series of  controversies in recent t...

Read more
THE ROLE OF ACCOUNTING FOR PRIVATE DEBT FUNDS AND CREDIT STRATEGIES

Abstract: THE ROLE OF ACCOUNTING FOR PRIVATE DEBT FUNDS AND CREDIT STRATEGIES

This study aims to: (1) investigate the accounting requirem...

Read more
THE IMPACT OF STAFFS DEVELOPMENT IN EFFECTIVE MANAGEMENT OF GOVERNMENT PARASTATALS OF NEPA DISTRICT

ABSTRACT

The broad objective of the study  objective of this study is to the impact of sta...

Read more
Assessment of the Use of Projected-Media for Learning Basic Science and Technology in Upper-Basic Schools in Ilorin, Nigeria

Abstract

Projected-Media are those materials that are projected (enlarged) for better visualization of the class during teaching and mult...

Read more
COMPUTER BASED SECURITY AND MONITORING SYSTEM FOR FORENSIC EXPERTS

BACKGROUND OF THE STUDY

The world is becoming a smaller place in which to live and work. A technological revolution in communications and...

Read more
EMPLOYERS’ ASSESSMENT OF ADEQUACY OF OFFICE TECHNOLOGY AND MANAGEMENT CURRICULUM FOR GRADUATES' EMPLOYABILITY SKILLS ACQUISITION IN NORTH-WEST NIGERIA

Abstract

The study on employers‟ assessment of adequacy of office technology and management curriculum for graduates‟ employability skill...

Read more
PROBLEMS OF DEVELOPMENT POLICY-MAKING AND IMPLEMENTATION

ABSTRACT

This study is aimed at identifying the problems of development-policy making in Obudu local government area of...

Read more
AN ANALYTICAL STUDY OF INTERNATIONAL TRADE AND POVERTY REDUCTION IN NIGERIA  

Abstract

Many developing countries are competing to attract foreign direct investment with a belief that it can be a tool for poverty red...

Read more
Share this page with your friends




whatsapp