ABSTRACT
BACKGROUND: Nigeria is one of the most terrorised countries due to terrorist attacks and violent clashes. There have been many fatalities resulting from this violence, which started in the late 1960s and has significantly increased recently. Violence in Nigeria has been studied, but not about Nigeria's mortality experience over time. This study described the patterns and trends of deaths related to violence in Nigeria over 16 years. METHODS: Secondary data on lethal violence across Nigeria spanning from 2006 to 2021 were drawn from the Nigeria Watch database, an online database of lethal violence in Nigeria. Univariate analysis of the data was conducted to map the trends, patterns and sources of lethal violence across Nigeria. RESULTS: Nigeria recorded no fewer than 169 033 violent deaths between 2006 and 2021, with 2014 reporting the highest number (22, 873) and Borno State being the most affected, followed by Lagos, Kaduna, Zamfara, Plateau, Delta, Benue, Rivers and Adamawa. The highest number of deaths (51, 425) was attributed to crime, followed by insurgency (50, 252) and road crashes (27, 645). Other significant causes of death were political issues (8, 324) and cattle grazing (5, 501). CONCLUSION: Violence-related mortality is prevalent in Nigeria and significantly contributes to adult mortality. The government must develop strategies to identify, intervene in and end high-risk conflict situations to stop the growing contribution of violence to Nigeria's mortality experience.
Subject(s)
Records , Violence , Humans , Animals , Cattle , Nigeria/epidemiology , Databases, FactualABSTRACT
BACKGROUND: Nigeria has one of the world's highest fertility rates, which is detrimental to its public health and socioeconomic growth. Despite several efforts by the country and other development partners to reduce high fertility by increasing contraceptive use, the contraceptive prevalence rate among childbearing women remains low, particularly in the South-South compared to other Southern regions. This study, therefore, assessed the relationship between knowledge of and actual use of contraception among women in South-South Nigeria. METHODS: The study employed a cross-sectional analysis of a nationally representative weighted sub-sample of 4,553 South-South childbearing women extracted from the 2018 National Demographic and Health Survey dataset. The dataset was weighted and examined for missing values that were excluded during the analyses at univariate, bivariate, and multivariate levels. The analyses involved a baseline descriptive analysis, a chi-square test, and logistic regression models using Stata software. The results of the explanatory variables were presented as odds ratios (OR) and 95% confidence intervals (CI). RESULTS: Eighty-two per cent of the respondents knew at least one form of contraception, while approximately 82% never used any contraceptive method. The likelihood of using any contraceptive method increased among those who knew about contraceptives (aOR: 1.40; CI: 0.93-2.11). Also, contraceptive use was significantly higher among women and their partners who had post-primary education (aOR: 1.34; CI: 1.25-2.43 and aOR: 1.74; CI: 1.25-2.43, respectively). Furthermore, the prevalence of contraceptive use among women significantly increased with an increase in the household wealth index. Similar results were recorded among women who had five or more living children, who were residents of Rivers State, were married or lived with their partners, were aged 35 years or older, and were currently working. CONCLUSIONS: Contraceptive knowledge was high but did not translate into actual practice among childbearing women in South-South Nigeria. The use of any contraception was highly influenced by contraceptive knowledge, education, age, marital status, place of residence, and household wealth index, among others. Therefore, some policy issues relating to contraceptive knowledge and actual adoption must be addressed to improve the low rate of contraceptive use in Nigeria.
