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Strengthening Routine Health Data and Health Systems for Improving Maternal, Perinatal, and Child Health in Fragile and Conflict Affected Settings

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Women's Health".

Deadline for manuscript submissions: closed (20 September 2021) | Viewed by 3341

Special Issue Editors


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Guest Editor
School of Public Health, The University of Sydney, Sydney 2006, Australia
Interests: perinatal mortality; household air pollution; trials; epidemiology; global health

E-Mail Website
Guest Editor
School of Public Health, The University of Sydney, Sydney 2006, Australia
Interests: perinatal health; global health; maternal health; stillbirth

Special Issue Information

Dear Colleagues,

The health of the most vulnerable populations in some of the most challenging and crisis-affected locations is frequently neglected. Women and children in settings facing protracted humanitarian crises, armed conflict, prolonged disruption to services, and acute or complex emergencies are some of the most vulnerable and are at greatest risk of poor health outcomes. The 2016-2030 Global Strategy on Women’s, Children’s and Adolescent’s Health reported that fragile states and humanitarian settings account for 60% of maternal deaths, 53% of child deaths, and 45% of newborn deaths globally. The evidence on adverse perinatal outcomes including stillbirth in such settings is scarce, with little data documenting the burden. There is a pressing need for research in these settings for improved data collection to inform effective responses and improve outcomes.

This Special Issue of IJERPH focuses on research related to the health of women and children that explores the use of routine health data and strengthening existing systems in fragile and conflict affected settings. We also welcome studies documenting the impact, approaches and methods to improve delivery of services, coverage and quality of care, strengthening health system resilience, and policy responses. We encourage papers documenting the experiences of those working directly on the ground in these environments including the challenges, lessons from the field, and ethical concerns faced in conducting research across the perinatal and child health period. Submissions related to the impact of COVID-19 and responses to the pandemic in these settings are also welcome. We invite authors to submit research from multiple disciplines including the social sciences using a range of study designs and methods including qualitative studies, implementation research, case studies, scoping reviews and systematic reviews and meta-analysis. Interdisciplinary approaches and innovation are encouraged.

Prof. Dr. Camille Raynes-Greenow
Dr. Aliki Christou
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Published Papers (1 paper)

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Research

16 pages, 827 KiB  
Article
Under-5 Mortality and Its Associated Factors in Northern Nigeria: Evidence from 22,455 Singleton Live Births (2013–2018)
by Osita K. Ezeh, Felix A. Ogbo, Anastasia O. Odumegwu, Gladys H. Oforkansi, Uchechukwu D. Abada, Piwuna C. Goson, Tanko Ishaya and Kingsley E. Agho
Int. J. Environ. Res. Public Health 2021, 18(18), 9899; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18189899 - 20 Sep 2021
Cited by 5 | Viewed by 2602
Abstract
The northern geopolitical zones (NGZs) continue to report the highest under-5 mortality rates (U5MRs) among Nigeria’s six geopolitical zones. This study was designed to identify factors related to under-5 mortality (U5M) in the NGZs. The NGZ populations extracted from the 2018 Nigeria Demographic [...] Read more.
The northern geopolitical zones (NGZs) continue to report the highest under-5 mortality rates (U5MRs) among Nigeria’s six geopolitical zones. This study was designed to identify factors related to under-5 mortality (U5M) in the NGZs. The NGZ populations extracted from the 2018 Nigeria Demographic and Health Survey were explored to assess the factors associated with U5M using logistic regression, generalised linear latent, and mixed models. Between 2013 and 2018, the northwest geopolitical zone reported the highest U5MR (179 deaths per 1000 live births; 95% confidence interval [CI]: 163–194). The adjusted model showed that geopolitical zone, poor household, paternal occupation, perceived children’s body size at birth, caesarean delivery, and mothers and fathers’ education were highly associated with increased odds of U5M. Other significant factors that influenced U5M included children of fourth or higher birth order with shorter interval ≤ 2 years (adjusted odds ratio [aOR] = 1.68; CI: 1.42–1.90) and mothers who did not use contraceptives (aOR = 1.41, CI: 1.13–1.70). Interventions are needed and should primarily spotlight children residing in low-socioeconomic households. Educating mothers on the benefits of contraceptive use, child spacing, timely and safe caesarean delivery and adequate care for small-sized babies may also reduce U5M in Nigeria, particularly in the NGZs. Full article
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