28/12/2025
Maternal, neonatal, and child mortality remain major public health challenges in Nigeria, contributing significantly to preventable deaths and poor health outcomes. Maternal mortality refers to deaths related to pregnancy and childbirth, while neonatal mortality involves deaths within the first 28 days of life, and child mortality includes deaths under five years of age. Nigeria is among the countries with the highest burden globally.
The major causes of maternal mortality include postpartum haemorrhage, hypertensive disorders (eclampsia), sepsis, obstructed labour, and unsafe abortion. Neonatal mortality is mainly caused by birth asphyxia, prematurity, neonatal infections, and low birth weight. Child mortality is largely due to preventable diseases such as malaria, pneumonia, diarrhoea, measles, and malnutrition.
Key factors driving these deaths include poor access to skilled health care, weak health systems, inadequate emergency obstetric and newborn care, poverty, low female education, early marriage, poor nutrition, and weak referral and health information systems. Rural communities and northern Nigeria are disproportionately affected.
The consequences are severe, including loss of productive lives, orphaned children, increased poverty, and slow national development. However, most of these deaths are preventable through cost-effective interventions.
Strategies to reduce maternal, neonatal, and child mortality in Nigeria include strengthening primary health care, improving skilled birth attendance, expanding emergency obstetric and newborn care, promoting antenatal, postnatal, and child health services, improving immunization coverage, enhancing nutrition, and strengthening health information systems such as NHMIS.
In conclusion, reducing maternal, neonatal, and child mortality in Nigeria requires strong political commitment, community involvement, and sustained investment in the health system. Improving survival across these groups is essential for achieving