Kandala, Ngianga-Bakwin, Ji, Chen, Stallard, Nigel, Stranges, Saverio and Cappuccio, Francesco P.. (2007) Spatial analysis of risk factors for childhood morbidity in Nigeria. American Journal of Tropical Medicine and Hygiene, Vol.77 (No.4). pp. 770-779. ISSN 0002-9637

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Abstract

Recent Demographic and Health Surveys (DHS) from Sub-Saharan Africa (SSA) indicate a decline in childhood vaccination coverage but a high prevalence of childhood diarrhea, cough, and fever. We used Nigerian DHS data to investigate the impact of geographical factors and other important risk factors on diarrhea, cough, and fever using geoadditive Bayesian semiparametric models. A higher prevalence of childhood diarrhea, cough, and fever is observed in the northern and eastern states, while lower disease prevalence is observed in the western and southern states. In addition, children from mothers with higher levels of education and those from poor households had a significantly lower association with diarrhea; children delivered in hospitals, living in urban areas, or from mothers having received prenatal visits had a significantly lower association with fever. Our maps are a novel and relevant tool to help local governments to improve health-care interventions and achieve Millennium Development Goals (MDG4).

Item Type:	Journal Article
Subjects:	R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions:	Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Children -- Death -- Nigeria
Journal or Publication Title:	American Journal of Tropical Medicine and Hygiene
Publisher:	American Society of Tropical Medicine and Hygiene
ISSN:	0002-9637
Date:	2007
Volume:	Vol.77
Number:	No.4
Page Range:	pp. 770-779
Status:	Peer Reviewed
Access rights to Published version:	Open Access
Description:	Final version (published as open access).
Funder:	Economic and Social Research Council (Great Britain) (ESRC)
Grant number:	RES-000-22-1221
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URI:	http://wrap.warwick.ac.uk/id/eprint/159

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