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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Spatial analysis of risk factors for childhood morbidity in Nigeria
American Journal of Tropical Medicine and Hygiene, Volume 77, No. 4, Year 2007
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Description
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). Copyright © 2007 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Kandala, Ngianga Bakwin
United Kingdom, Coventry
Warwick Medical School
United Kingdom, Coventry
University of Warwick
Ji, Chen
United Kingdom, Coventry
Warwick Medical School
Stallard, Nigel
United Kingdom, Coventry
Warwick Medical School
Stranges, S.
United Kingdom, Coventry
Warwick Medical School
Cappuccio, Francesco Paolo
United Kingdom, Coventry
Warwick Medical School
Statistics
Citations: 49
Authors: 5
Affiliations: 2
Identifiers
Doi:
10.4269/ajtmh.2007.77.770
ISSN:
00029637
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Nigeria