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All Journal Journal of Maternal and Child Health Medical and Health Science Journal Ahmar Metastasis Health Journal (AMHJ) Applied Quantitative Analysis (AQA)
Oyekale, Abayomi Samuel
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Decision Sciences, Operations Research & Management Dentistry Health Professions Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences

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Explaining the Correlates of Child Mortality and Under-5 Survival in Nigeria Molelekoa, Thonaeng Charity; Oyekale, Abayomi Samuel
Jurnal Ilmu Kesehatan dan Kesehatan Vol 8 No 02 (2024): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v8i02.5757

Abstract

Background: Survival of children under-5 is among the foremost public health concerns that has been pursued in the Sustainable Development Goals (SDGs). A proper understanding of the correlates of child survival is of paramount relevance to health policy formulation and development of interventions to promote child's health outcomes. This study therefore analysed the determinants of the number of recorded child mortality and survival in Nigeria. Subject and Methods: The data were the Malaria Indicator Survey (MIS) that were collected in Nigeria in 2021. The samples were drawn with multi-stage sampling method following the 2023 Population and Housing Census sampling frame. A total of 14185 housing units were randomly selected of which 13887 were occupied and 13727 were successfully interviewed. In each household, all women belonging to the reproductive ages of 15-49 years were interviewed. A total of 14647 women were eligible, of which 14476 were successfully interviewed (Demographic and Health Survey (DHS), 2021). The data were analyzed using the Negative Binomial regression and logistic regression models. Results: The logs of the number of dead children were significantly higher (p<0.05) for mothers from North West and North East Nigeria, while children from these regions also had a significantly lower probability of surviving. The mothers from urban areas had significantly lower log of dead children while urban children had significantly higher probability of surviving. Mothers with secondary and tertiary education had significantly lower log of dead children, while birth in the past five years and total children born reduced child’s survival. Twin children also had a significantly lower probability of surviving while mother’s maturity promoted child’s survival. Conclusion: Promotion of child survival in Nigeria requires a concerted effort that disaggregates interventions across Nigerian zones with preferences for those in the north and rural dwellers. In addition, there is the need to promote interventions to assist women with multiple births, promote girl child education and discourage teenage pregnancies.
Exponential Mean Modeling of Coping Strategies and Dietary Diversity During the COVID-19 Pandemic in Mozambique Oyekale, Abayomi Samuel
Applied Quantitative Analysis Vol. 4 No. 2 (2024): July - December 2024
Publisher : Research Synergy Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31098/quant.2661

Abstract

The COVID-19 pandemic has brought significant socioeconomic problems to many developing countries. In Mozambique, the impacts of the pandemic were felt in different spheres of households’ livelihoods. This study contributes to the existing body of knowledge by analyzing the effects of coping strategies and other factors on households’ dietary diversity scores (HDDS). The data were collected in two non-longitudinal waves in 2021 and 2022 from 3975 households by the Food and Agriculture Organization (FAO). The instrumental Poisson regression model was used for data analysis. The results showed that across the two periods, cereals were mostly consumed (96.93%), while meats (15.75%), milk and dairy (13.99%), and eggs (9.16%) were the least consumed. There was an increment in the proportion of households that consumed between zero and four food groups. Furthermore, there were declines in the utilization of coping strategies, while depletion of savings (50.62%) and credit (45.21%) were mostly used. The instrumental variable Poisson regression results revealed that expected HDDS decreased significantly (p<0.05) with sold animals, eating elsewhere, consumption of seed stock, decreased agricultural input expenditures, and emergency begging, whereas illegal activities increased it. In addition, household incomes, crop farming, and being younger than 35 years significantly increased (p<0.05) the expected HDDS, while all regions except Gaza had significantly higher expected HDDS than Cabo Delgado. It was concluded that adopted coping mechanisms could not offset households’ food problems during the pandemic, although some regional differences existed. Therefore, initiatives to promote human nutrition in Mozambique should enhance households’ resilience to income shocks through region-specific income-promoting activities.
RETRACTION NOTICE TO ‘‘Determinants of Health Insurance Subscription Among Women of Reproductive Age in Mozambique” [Ahmar Metastasis Health Journal, 2025;4(4): 188-199] Molelekoa, Thonaeng Charity; Oyekale, Abayomi Samuel
Ahmar Metastasis Health Journal Vol. 4 No. 4 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i4.357

Abstract

This article has been retracted at the request of the Editor in Chief of the Ahmar Metastasis Health Journal, volume 4, number 4, of 2025, pages 188-199, with DOI: 10.53770/amhj.v4i4.357 because it has been published in the Medical and Health Science Journal, volume 9, number 1, year 2025, pages 1-11, with DOI: 10.33086/mhsj.v9i1.6887 and the Universal Journal of Public Health, volume 13, number 2, year 2025, pages 433-443, with DOI: 10.13189/ujph.2025.130215. Papers submitted to AMHJ should neither published previously nor be under consideration for publication another journal. Therefore, the author should make a statement upon submitting. Reusing data in any form must follow good citation principles, therefore this paper has ethical violations in the scientific publishing system.
Food Intakes and Determinants of Under-5 Health Outcomes in South Africa Molelekoa, Thonaeng Charity; Oyekale, Abayomi Samuel
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.09

Abstract

Background: Inadequate food intake has been implicated as the major cause of poor nutritional and health outcomes among children under the age of 5. However, little empirical evidence exists on the role of different food classes in promoting good health outcomes among under-5 children. Therefore, this study analysed the effect of food intakes on the occurrence of wasting, stunting and underweight among under-5 children in South Africa. Subjects and Method: The data were the Demographic and Health Survey (DHS) collected in 2016 with two stage stratified sampling. The z-scores for wasting, stunting and underweight were the indicators of child’s health outcomes, which were analysed with logistic regression model. Results: The logistic regression results revealed that the probability of stunting decreased with being discharged same time with the mother (0.90), residing in wealthy homes (0.90), and being a boy (0.82), but increased with sharing toilet (0.43), and number of children (0.90). In addition, wasting reduced with milk consumption (0.23), high birth weight (1.00) and number of children (1.50). In comparison with Western Cape, a child has 4.92, 7.29, 11.65 and 8.33 higher chances of being underweight when they reside in Kwazulu-Natal, North West, Gauteng and Limpopo province, respectively, while consumption of fruit and vegetables increased underweight. Conclusion: It can be concluded that there is still a nutritional problem on children under 5 in South Africa. It is recommended that government, especially the health department should advise mothers with child health related matters at clinics and encourage them to breastfeed their children and have recommended diet for them.Keywords: health outcomes, underweight, stunting, wasting, child. Correspondence:Thonaeng Charity Molelekoa, Department of Agricultural Economics and Extension, North-West University Mafikeng Campus, Mmabatho 2735 South Africa. Email: Thona.Maselwa@nwu.ac.za.
Exponential Mean Treatment Effect Model of the Impact of Maternal Education on Intensity and Timeliness of Antenatal Care Utilization in Nigeria Molelekoa, Thona; Oyekale, Abayomi Samuel
Applied Quantitative Analysis Vol. 5 No. 1 (2025): Applied Quantitative Analysis
Publisher : Research Synergy Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31098/quant.2765

Abstract

Inadequate access to antenatal care (ANC) services is a public health problem that is promoting maternal and child mortality in many developing countries. In Niger, utilization of ANC services is a fundamental requirement for achieving some targets in the Sustainable Development Goals (SDGs). The study analyzed the impact of maternal education on the intensity and timeliness of ANC utilization. The data were from the 2021 Malaria Indicator Survey (MIS) and were analyzed with exponential mean treatment effects model. The results showed that 68.66% of the women attended ANC three or four times, while 48.58% did not visit health centres for up to four times. Only 27.09% attended ANC during the first trimester of their pregnancies. The exponential mean model showed that the expected mean of ANC visits significantly increased with women’s age, education levels, urban residence, listening to radio, wealth index and use of Fasidar medication. Moreover, the expected mean of pregnancy month before seeking ANC declined with women’s age, education levels, and wealth index. The average treatment effects (ATE) and average treatment effects on the treated (ATET) were positive for ANC utilization intensity and negative for utilization timeliness. It was recommended that efforts to promote ANC utilization in Niger should promote maternal education through media programmes, manage malaria and create awareness on the minimum required ANC visits for optimum management of maternal and child’s health.
Co-Authors Molelekoa, Thona Molelekoa, Thonaeng Charity