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Nigeria
DHS Survey in 2003
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Neonatal Mortality
Results for Nigeria 2003• Risk of neonatal mortality compared with 36-47
month birth interval: – Births less than 24 months: 164 % – Births 24-35 months: 86 %– Births 36-47 months: 100 %– Births 48+ months: 177 %– First births: 145 %
• Lowest neonatal mortality at 42-53 month birth intervals
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Neonatal Mortality in Nigeria 2003
0.0
0.5
1.0
1.5
2.0
2.5
<18 18 - 23 24 - 29 30 - 35 36 - 41 42 - 47 48 - 53 54 - 59 60 +
Duration of Preceding Birth Interval (months)
Adj
. Rel
ativ
e O
dds
Rat
io
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Infant Mortality
Results for Nigeria 2003• Risk of infant mortality compared with 36-47 month
birth interval:
– Births less than 24 months: 180 %
– Births 24-35 months: 120 %
– Births 36-47 months: 100 %
– Births 48+ months: 89 %
– First births: 158 %
• Lowest infant mortality at 42+ month birth intervals
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Infant Mortality in Nigeria 2003
0.0
0.5
1.0
1.5
2.0
2.5
< 18 18 - 23 24 - 29 30 - 35 36 - 41 42 - 47 48 - 53 54 - 59 60 +Duration of Preceding Birth Interval (Months)
Adj
. Rel
ativ
e O
dds
Rat
io
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Under Five Mortality
Results for Nigeria 2003• Risk of under five mortality compared with 36-47
month birth interval: – Births less than 24 months: 150 %
– Births 24-35 months: 112 %
– Births 36-47 months: 100 %
– Births 48+ months: 97 %
– First births: 111 %
• Lowest under five mortality at 54+ month birth intervals
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Under Five Mortality in Nigeria 2003
0.0
0.5
1.0
1.5
2.0
< 18 18 - 23 24 - 29 30 - 35 36 - 41 42 - 47 48 - 53 54 - 59 60 +
Duration of Preceding Birth Interval (months)
Ad
j. R
el.
Od
ds
Rat
io
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Nigerian Preferences for Short Birth Intervals, 2003
• In Nigeria many women prefer short birth intervals, only 25% want births with less than 2 years spacing and 60% prefer an interval of less than 3 years
• For Nigeria as a whole, 28 percent of women have intervals shorter than 24 months, about the same percentage that prefer such short intervals.
• 64 percent of Nigerian women have intervals shorter than 36 months, only 4 percent more than those who prefer such intervals.
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Percent of Birth Intervals Less than 24 Months, Actual and Preferred, Nigeria 2003
32
30
24
2825
32
21
31
23
29
19
23
0 10 20 30 40
Southeast
Southwest
Northwest
Northeast
Central
NIGERIA
Percent
Actual Preferred
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Percent of Birth Intervals Less than 36 Months, Actual and Preferred, Nigeria 2003
68
68
69
58
59
64
70
54
64
54
58
60
0 10 20 30 40 50 60 70 80
Southeast
Southwest
Northwest
Northeast
Central
NIGERIA
Percent
Actual Preferred
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Infant Mortality Rates with Existing Birth Intervals and Minimum Intervals of 24 and 36 months, Nigeria 2003
0
10
20
30
40
50
60
70
80
NIGERIA
Dea
ths
per
1000
bir
ths
Existing
Min. 24 mos.
Min. 36 mos.
20% of deaths averted
Additional 4% of deaths averted
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Annual Number of Infant Deaths with Existing Birth Intervals and Minimum Intervals of 24 and 36 months, Nigeria 2005
0
50
100
150
200
250
300
350
400
450
NIGERIA
Tho
usan
ds o
f dea
ths
Existing
Min. 24 mos.
Min. 36 mos.
77,100 deaths averted
Additional 17,000 deaths averted
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Under Five Mortality Rates with Existing Birth Intervals and Minimum Intervals of 24 and 36 months, Nigeria 2003
0
20
40
60
80
100
120
NIGERIA
Dea
ths
per
1000
bir
ths
Existing
Min. 24 mos.
Min. 36 mos.
12% of deaths avertedAdditional 3% of deaths averted
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Annual Number of Under Five Deaths with Existing Birth Intervals and Minimum Intervals of 24 and 36 months
Nigeria 2005
0
100
200
300
400
500
600
700
NIGERIA
Tho
usan
ds o
f dea
ths
Existing Intervals
Min. 24 mos.
Min. 36 mos.
76,100 deaths avertedAdditional 20,200 deaths averted
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In Nigeria, if no births occurred before 36 months of a preceding birth:
• Infant Mortality Rate would drop 24%
• Under Five Mortality Rate would drop 15%
• Deaths to children under five years of age would fall by 96,200 annually