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

作　　者：Bolaji Emmanuel Egbewale Olusola Oyedeji Jesse Bump Christopher Robert Sudfeld 

机构地区：[1]Department of Global Health and Population,Takemi Program in International Health,Harvard T.H.Chan School of Public Health,Boston,Massachusetts,USA [2]Department of Community Medicine,College of Health Sciences,Ladoke Akintola University of Technology,Ogbomoso,Nigeria [3]Department of Pediatrics and Child Health,College of Health Sciences,Ladoke Akintola University of Technology,Ogbomoso,Nigeria

出　　处：《Pediatric Investigation》2024年第1期27-36,共10页儿科学研究（英文）

摘　　要：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.

关 键 词：Infant postnatal care EPIDEMIOLOGY COVERAGE Determinants NIGERIA 

分 类 号：R473.71[医药卫生—护理学]