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Impact of conflict on maternal health in Northern Nigeria

Ajayi, Babatunde
(2018)

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ajayi_babatunde_9677-17-00_2018.pdf
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ajayi_babatunde_abstract_9677-17-00_2018.pdf
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ajayi_babatunde_Annex1_9677-17-00_2018.pdf
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Details

Supervisors
Delbiso, Tefera Darge
Faculty
Faculté de santé publique
Degree label
Master [120] en sciences de la santé publique
Abstract
ABSTRACT: Background: This research examines the relationship between violent conflict and childhood wasting in Northeast Nigeria, where residents have been subjected to fighting between the The Nigerian government and Boko Haram – an extremist Islamist movement - since 2009. Methods: Using two of Nigeria’s Demographic and Health Surveys, from before and during the Boko Haram insurgency started (2008 and 2013), we evaluate changes in MCH indicators in the northeastern region of Nigeria. Regression analysis is used to assess the impact of the conflict on maternal health. Our outcome variables were antenatal care (ANC) coverage, caesarian section uptake and place of delivery; whereas the exposure variable was residence in the northeastern region. Results: There was about 37% decline(from 74.7% in 2008 to 37.2% in 2013) in the accessibility of healthcare facilities, evidenced by the reduction in the number of women who sought antenatal care more than 4 times during the pregnancy within the Boko Haram crisis period. The uptake rate of caesarian section also went up in the period, which could be explained by the reduction in the number of people, as a result of displacement during the crisis. Fewer people delivered at home during the period in Northeast Nigeria. Conclusion: Descriptive evidence suggests that poor maternal health outcomes in the conflict areas of Northeast Nigeria may be due to disruptions to health facilities and stability in an already resource-poor area. Although other unidentified factors may contribute to both conflict and maternal health, the findings underscore the importance of appropriate interventions and policies to support mothers and indeed pregnant women in conflict zones.