Nigeria

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

Total population (000) 144,720 (2006) Under-five mortality rate Causes of under-five deaths Causes of maternal deaths Coverage along the continuum of care
Deaths per 1000 live births Globally more than one third of child deaths are attributable to Regional estimates for Africa, 1997-2002
Total under-five population (000) 24,503 (2006) undernutrition
Unmet need for family planning (%) 17 (2003)
Births (000) 5,909 (2006) Measles HIV/AIDS Injuries Causes of neonatal Obstructed labor Contraceptive
250 230 6% 5% 2% deaths
Diarrhoea 4% Antenatal visits for woman (4 or more visits, %) 47 (2003) Anaemia 4%
Abortion
prevalence rate 13 Pre-pregnancy
Birth registration (%) 33 (2006) 4%
191 Diarrhoea Other Congenital 7% 4% Antenatal visit
Under-five mortality rate (per 1000 live births) 191 (2006) 200 16% 1% (1 or more) 58 Pregnancy
Other 8% Intermittent preventive treatment for malaria (%) 1 (2003)
Tetanus 8% Hypertensive Skilled attendant
Infant mortality rate (per 1000 live births) 99 (2006) disorders Haemorrhage 35 Birth
150 C-section rate (total, urban, rural; %) 34%
at birth
53 (2000) Infection 22% 9%
Neonatal mortality rate (per 1000 live births) Neonatal (Minimum target is 5% and maximum target is 15%) 2, 4, 1 (2003)
77 26% *Postnatal care Neonatal period
Total under-five deaths (000) 1,129 (2006) 100 Sepsis/Infections,
Preterm 25% Early initiation of breastfeeding (within 1 hr of birth, %) 32 (2003) including AIDS Exclusive
17 Infancy
Maternal mortality ratio (per 100,000 live births) 1,100 (2005) 50 MDG Target Pneumonia breastfeeding
16%
20%
18 (2005) Postnatal visit for baby (within 2 days for home births, %) --- Measles
Lifetime risk of maternal death (1 in N) Other causes
62
0 Malaria Asphyxia 27%
Total maternal deaths 59,000 (2005) 1990 1995 2000 2005 2010 2015 24% 30%
Source: Lawn JE, Cousens SN
0 20 40 60 80 100
Source: UNICEF, 2006 Source: WHO, 2006 for CHERG (Nov 2006) Source: Khan, Khalid S., et al, Lancet 2006:367:1066-74 Source: DHS, MICS, Other NS
*See Annex for indicator definition

Antenatal care Skilled attendant at delivery Neonatal tetanus protection

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDREN Percent women aged 15-49 years attended at least once by a Percent live births attended by skilled health personnel Percent of newborns protected against tetanus

NUTRITION skilled health provider during pregnancy

Stunting prevalence (moderate and severe, %) 43 (2003) Complementary feeding rate (6-9 months, %) 64 (2003) 100 100 100
Wasting prevalence (moderate and severe, %) 11 (2003) Low birthweight incidence (%) 14 (2003) 79
80 80 80
64 58
57
Underweight prevalence Exclusive breastfeeding Vitamin A supplementation 60 60 60

Percent

Percent

Percent
53
Percent children < 5 years underweight for age* Percent infants < 6 months exclusively breastfed Percent children 6-59 months receiving vitamin A doses 42
40 40 35 40
31
At least one dose Two doses
100 100 100 20 20 20
85
79 77 79 73
80 80 80 0 0
60 76 73 1986 1990 1999 2003 1990 1999 2003 1981 1986 1991 1996 2001 2006
60 60 60 DHS DHS DHS DHS DHS DHS DHS
Percent

Percent

Percent
Source: WHO/UNICEF

35 31 27
40 27
40 40
23
20 20 17 17
20 WATER AND SANITATION EQUITY
1 0
0 0
0 0 0
1990 2003 1990 1999 2003 1999 2000 2001 2002 2003 2004 2005 Water Sanitation Coverage gap by wealth quintile
DHS DHS DHS DHS DHS Source: UNICEF
Percent population using improved drinking water sources Percent population using improved sanitation facilities
*Based on 2006 WHO reference population Rural Urban Total Rural Urban Total
100 100 100
CHILD HEALTH 80
80 67 80 80

Immunization Malaria prevention Prevention of mother to child 60 49 48

60 51
53 60

Percent

Percent

Percent
Percent of children immunised against measles
Percent of children immunised with 3 doses DPT
Percent children < 5 years sleeping under ITNs transmission of HIV 33 39 36
44
Percent HIV+ pregnant women receiving ARVs for PMTCT
40 31 40 33 40
Percent of children immunised with 3 doses Hib
20 20 20
100 100 10
0 0 0
80 80 8 1990 2004 1990 2004 Poorest 2nd 3rd 4th Wealthiest
62 Source: WHO/UNICEF JMP, 2006 Source: WHO/UNICEF JMP, 2006
60 60 6 1990 2003
Percent

Percent

Percent

DHS DHS
40 54
40 4 3 POLICIES SYSTEMS
20 20 2
0.6 Coverage gap (%) 65 62
1 0.3 International Code of Marketing of Breastmilk Financial Flows and Human Resources
0 0 0 Substitutes Yes Ratio
1990 1995 2000 2005 2006 2003 2004 2005 2006 Per capita total expenditure on health (US$) 53 (2007) poorest/wealthiest 1.9 2.4
Source: WHO/UNICEF DHS Other NS Other NS Other NS
New ORS formula and zinc for management of Difference
General government expenditure on health as
diarrhoea Yes poorest-wealthiest (%) 35 45
% of total government expenditure (%) 4 (2007)
Diarrhoeal disease treatment Malaria treatment Pneumonia treatment
Percent children < 5 years with diarrhoea receiving oral rehydration Percent febrile children < 5 years using antimalarials Percent children < 5 years with suspected pneumonia taken to Community treatment of pneumonia with antibiotics No Out-of-pocket expenditure as % of total
therapy or increased fluids, with continued feeding appropriate health provider
Percent children < 5 years with suspected pneumonia receiving expenditure on health (%) 63 (2007)
IMCI adapted to cover newborns 0-1 week of age Yes
antibiotics
Density of health workers (per 1000 population) 2.0 (2003)
100 100 100 Costed implementation plan(s) for maternal,
newborn and child health available Yes Official Development Assistance to child health
80 80 80 per child (US$) 2 (2005)
Midwives be authorised to administer a core set of
60 60 60 life saving interventions Yes Official Development Assistance to maternal and
Nigeria
Percent

Percent

Percent

neonatal health per live birth (US$) 3 (2005)

34 37 33 Maternity protection in accordance with ILO
40 40 40
28 23 Convention 183 No National availability of Emergency Obstetric Care
20 20 20 services (% of recommended minimum) ---
Specific notification of maternal deaths No
0 0 0
2003
DHS
2003
DHS
1990
DHS
2003
DHS
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2008 Report