Exploring the Hierarchies: Multilevel Correlates of Child Mortality in Nigeria and Implications for Interventions

This study examined the multilevel correlates of childhood mortality among women (aged 15–49 years) in Nigeria using pooled data from 2003, 2008 and 2018 Demographic Health Surveys. considered 25,685 who stated that they never lived outside their communities. Descriptive regression analyses were performed. About 38% reported losing at least a child. The individual-level age, age first birth, years education, marital status ethnicity. Household variables such as number male children ever born (aIRR = 1.031; 95% CI 1.026–1.036; p 0.001), no bed net 1.052; 1.011–1.094; 0.012) biomass/charcoal 1.223; 1.013–1.475; 0.036) positively associated with while wealth index was negatively correlated mortality. At community level, lower observed South region 0.853; 0.767–0.949; 0.003), but it higher North East 1.143; 1.050–1.244; 0.002), West 1.440; 1.318–1.574; 0.001) 1.156; 1.028–1.300; 0.016) respectively. Higher poverty (medium: aIRR 1.107; 1.013–1.210; 0.024), low ownership piped water 1.128; 1.047–1.215; 0.002) problematic distance to health facility 1.046; 1.006–1.088; 0.025). There is need for more interventions tackle drivers child Nigeria.