Osita Kingsley Ezeh|Kingsley Agho|Michael J. Dibley|John Hall|Andrew Page
The Impact of Water and Sanitation on Childhood Mortality in Nigeria: Evidence from Demographic and Health Surveys, 2003–2013
Western Sydney University|Western Sydney University|University of Sydney|University of Newcastle Australia|Western Sydney University
nigeria approximately 109 million 66 million people lack access sanitation facilities water respectively study aimed determine whether children 5 years old without access improved water sanitation facilities higher risk death nigeria pooled 2003 2008 2013 nigeria demographic health survey data used examine impact water sanitation deaths children aged 028 days 111 months 1259 months using cox regression analysis survival information 63844 children obtained included 6285 deaths children 5 years old 2254 cases neonatal mortality 028 days 1859 cases postneonatal mortality 111 months 2172 cases child mortality 14 years old 10year period odds neonatal postneonatal child deaths significantly reduced 31 41 47 respectively risk mortality unimproved water sanitation significantly higher 38 adjusted hazard ratios hr 138 95 confidence interval ci 114166 postneonatal mortality 24 hr 124 95 ci 104148 child mortality risk neonatal mortality increased 6 hr 106 95 ci 085123 showed significant effect nigerian government needs invest water sanitation reduce preventable child deaths