Understanding whose births get registered: a cross sectional study in Bauchi and Cross River states, Nigeria.
Understanding whose births get registered: a cross sectional study in Bauchi and Cross River states, Nigeria.
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DOI：
10.1186/s13104-015-1026-y
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发表时间：
2015-03-13
影响因子：
1.8
通讯作者：
Andersson N
中科院分区：
文献类型：
--
作者：
Adi AE;Abdu T;Khan A;Rashid MH;Ebri UE;Cockcroft A;Andersson N
获得姓名和国籍是公认的儿童权利，出生登记可能是获得服务所必需的，但尼日利亚的出生登记水平很低。一项关于儿童疾病管理的家庭调查提供了一个机会，以审查尼日利亚包奇州和克罗斯河州儿童出生登记的可采取行动的决定因素。经过培训的实地小组访问了每个州90个查点区分层随机整群抽样的家庭。他们向14至49岁的妇女发放了一份调查表，其中包括关于0至47个月大的子女的出生登记问题，以及与出生登记可能有关的社会经济因素和其他因素，包括父母的教育程度、贫穷（粮食充足）、母亲的婚姻状况、产妇产前护理和最后一次怀孕的分娩地点。双变量然后多变量分析检查与出生登记的关联。主持人随后在每个州相同的90个社区分别进行了男性和女性焦点小组讨论，讨论了关于出生登记水平调查结果的原因。克罗斯河州8602名儿童中有近一半（45%）和包奇州9837名儿童中只有五分之一（19%）有出生证明（看到或看不到）。在这两个州，母亲接受产前护理并在最后一次怀孕时在政府卫生机构分娩的儿童更有可能获得出生证明，父母受教育程度较高、贫困程度较低的家庭和城市社区的儿童也更有可能获得出生证明。焦点小组讨论显示，许多人不知道出生证或在哪里得到出生证，由于涉及非官方付款，父母不愿得到出生证。包奇州和克罗斯河州的出生登记率很低，特别是在弱势家庭中。由于这项研究，这两个州都计划采取干预措施，增加出生登记，包括国家人口委员会和州卫生服务部门之间更密切的合作。
It is a recognized child right to acquire a name and a nationality, and birth registration may be necessary to allow access to services, but the level of birth registration is low in Nigeria. A household survey about management of childhood illnesses provided an opportunity to examine actionable determinants of birth registration of children in Bauchi and Cross River states of Nigeria. Trained field teams visited households in a stratified random cluster sample of 90 enumeration areas in each state. They administered a questionnaire to women 14–49 years old which included questions about birth registration of their children 0–47 months old and about socio-economic and other factors potentially related to birth registration, including education of the parents, poverty (food sufficiency), marital status of the mother, maternal antenatal care and place of delivery of the last pregnancy. Bivariate then multivariate analysis examined associations with birth registration. Facilitators later conducted separate male and female focus group discussions in the same 90 communities in each state, discussing the reasons for the findings about levels of birth registration. Nearly half (45%) of 8602 children in Cross River State and only a fifth (19%) of 9837 in Bauchi State had birth certificates (seen or unseen). In both states, children whose mothers attended antenatal care and who delivered in a government health facility in their last pregnancy were more likely to have a birth certificate, as were children of more educated parents, from less poor households, and from urban communities. Focus group discussions revealed that many people did not know about birth certificates or where to get them, and parents were discouraged from getting birth certificates because of the unofficial payments involved. There are low levels of birth registration in Bauchi and Cross River states, particularly among disadvantaged households. As a result of this study, both states have planned interventions to increase birth registration, including closer collaboration between the National Population Commissions and state health services.