Women’s empowerment as a determinant of neonatal mortality in Sub-Saharan Africa: a narrative review focused on Nigeria

Neonatal mortality remains a critical public health issue, with Sub-Saharan Africa (SSA) experiencing disproportionately high rates compared to other global regions. Notably, SSA and South Asia are the regions most lagging behind the Sustainable Development Goal (SDG) 3.2, aiming for <12 neonatal...

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Main Authors: Joel-Medewase Victor Idowu, Wada Zechariah Ojima, Sayomi Bukola Adetutu, Adetoye Mayowa Mary, Ashaolu Joseph Oluwakayode, Olowolafe Tubosun Alex
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Global Health Action
Subjects:
Online Access:http://dx.doi.org/10.1080/16549716.2024.2394256
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author Joel-Medewase Victor Idowu
Wada Zechariah Ojima
Sayomi Bukola Adetutu
Adetoye Mayowa Mary
Ashaolu Joseph Oluwakayode
Olowolafe Tubosun Alex
author_facet Joel-Medewase Victor Idowu
Wada Zechariah Ojima
Sayomi Bukola Adetutu
Adetoye Mayowa Mary
Ashaolu Joseph Oluwakayode
Olowolafe Tubosun Alex
author_sort Joel-Medewase Victor Idowu
collection DOAJ
description Neonatal mortality remains a critical public health issue, with Sub-Saharan Africa (SSA) experiencing disproportionately high rates compared to other global regions. Notably, SSA and South Asia are the regions most lagging behind the Sustainable Development Goal (SDG) 3.2, aiming for <12 neonatal deaths per 1,000 live births by 2030. Within SSA, Nigeria, the most populous country, records the highest number of neonatal deaths annually. Given the structural similarities among SSA nations, this narrative review, focusing on Nigeria, explores effective strategies to reduce the neonatal mortality gap. Information about trends, risk factors, and prevalent lapses was obtained from literature from renowned databases like PubMed, Scopus, and Google Scholar, and grey literature consisting of reports from relevant governmental and non-governmental organizations. Critical risk factors commonly identified include inadequate antenatal care (less than three visits), lack of access to skilled and clean birth practices, limited healthcare accessibility, financial barriers, substandard environmental conditions, and nutritional shortfalls. This review highlights women’s empowerment as an additional critical factor, often overlooked, in the efforts to decrease neonatal mortality rates. Improving women’s empowerment indices, such as the Gender Inequality Index (GII), employment, and literacy, offers a promising avenue to curtail neonatal mortality rates in Nigeria and across SSA sustainably. While this is potentially a long-term solution, short and medium-term recommendations were also proffered. By integrating women’s empowerment within a broader strategy to improve maternal and newborn health, Nigeria can advance towards securing a healthier future for its youngest population.
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spelling doaj-art-eb521facac2d43b58fb368c9efa607362025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23942562394256Women’s empowerment as a determinant of neonatal mortality in Sub-Saharan Africa: a narrative review focused on NigeriaJoel-Medewase Victor Idowu0Wada Zechariah Ojima1Sayomi Bukola Adetutu2Adetoye Mayowa Mary3Ashaolu Joseph Oluwakayode4Olowolafe Tubosun Alex5Ladoke Akintola University of TechnologyHamad Bin Khalifa University, Qatar FoundationLadoke Akintola University of TechnologyLAUTECH Teaching HospitalLAUTECH Teaching HospitalLead City UniversityNeonatal mortality remains a critical public health issue, with Sub-Saharan Africa (SSA) experiencing disproportionately high rates compared to other global regions. Notably, SSA and South Asia are the regions most lagging behind the Sustainable Development Goal (SDG) 3.2, aiming for <12 neonatal deaths per 1,000 live births by 2030. Within SSA, Nigeria, the most populous country, records the highest number of neonatal deaths annually. Given the structural similarities among SSA nations, this narrative review, focusing on Nigeria, explores effective strategies to reduce the neonatal mortality gap. Information about trends, risk factors, and prevalent lapses was obtained from literature from renowned databases like PubMed, Scopus, and Google Scholar, and grey literature consisting of reports from relevant governmental and non-governmental organizations. Critical risk factors commonly identified include inadequate antenatal care (less than three visits), lack of access to skilled and clean birth practices, limited healthcare accessibility, financial barriers, substandard environmental conditions, and nutritional shortfalls. This review highlights women’s empowerment as an additional critical factor, often overlooked, in the efforts to decrease neonatal mortality rates. Improving women’s empowerment indices, such as the Gender Inequality Index (GII), employment, and literacy, offers a promising avenue to curtail neonatal mortality rates in Nigeria and across SSA sustainably. While this is potentially a long-term solution, short and medium-term recommendations were also proffered. By integrating women’s empowerment within a broader strategy to improve maternal and newborn health, Nigeria can advance towards securing a healthier future for its youngest population.http://dx.doi.org/10.1080/16549716.2024.2394256neonatessustainable development goal 3women’s empowermentgender equalitywomen and girls
spellingShingle Joel-Medewase Victor Idowu
Wada Zechariah Ojima
Sayomi Bukola Adetutu
Adetoye Mayowa Mary
Ashaolu Joseph Oluwakayode
Olowolafe Tubosun Alex
Women’s empowerment as a determinant of neonatal mortality in Sub-Saharan Africa: a narrative review focused on Nigeria
Global Health Action
neonates
sustainable development goal 3
women’s empowerment
gender equality
women and girls
title Women’s empowerment as a determinant of neonatal mortality in Sub-Saharan Africa: a narrative review focused on Nigeria
title_full Women’s empowerment as a determinant of neonatal mortality in Sub-Saharan Africa: a narrative review focused on Nigeria
title_fullStr Women’s empowerment as a determinant of neonatal mortality in Sub-Saharan Africa: a narrative review focused on Nigeria
title_full_unstemmed Women’s empowerment as a determinant of neonatal mortality in Sub-Saharan Africa: a narrative review focused on Nigeria
title_short Women’s empowerment as a determinant of neonatal mortality in Sub-Saharan Africa: a narrative review focused on Nigeria
title_sort women s empowerment as a determinant of neonatal mortality in sub saharan africa a narrative review focused on nigeria
topic neonates
sustainable development goal 3
women’s empowerment
gender equality
women and girls
url http://dx.doi.org/10.1080/16549716.2024.2394256
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