Gender in niGeria report 2012 - Economic Commission for Africa

42 Gender in Nigeria Report 2012: Improving the Lives of Girls and Women in Nigeria
Table 20. Key reproductive health challenges facing women and
adolescent girls in Nigeria.
Before pregnancy During pregnancy During childbirth After
childbirth
Less than 50% of
girls attend secondary
school.
A quarter of girls
marry before the age
of 15 (up from 15% in
2003); 71% of 15-19
year olds have been
pregnant or had a
child.
Few 15-19 year
old girls use
contraception (11%).
The overall fertility rate
is among the highest
in Africa (5.7 births
per woman, up to 6.3
in rural areas). Only
4% of 15-19 year
olds have had an HIV
test.
Over 20% of married
women have unmet
family planning
needs.82.2% of
married 15-24 year
olds have never used
contra-ception. Only
35.5% of unmarried
15-24 year olds use
condoms.
71% of women have
a primary health care
(PHC) facility within 5
kms of their home.
Only 62% of girls
receive at least
one antenatal
care visit from
a skilled care
provider.
Only 5% of
pregnant
women receive
two doses of
intermittent
preventive
treatment for
malaria, a major
killer of pregnant
women.
HIV counselling
and testing
reaches only
13% of pregnant
women.
Only 39% of
births occur in
the presence of
a skilled birth
attendant.
Traditional birth
attendants are
present in 22% of
childbirths.
In the North-West
and North-East
a high proportion
of births occur at
home (90% and
87% respectively).
Poor quality of
care is made
worse by lack of
facilities. Only 4%
of public health
facilities meet
EmOC standards.
Less than2% of
women deliver by
C-section.
10% of midwives
are trained in neonatal
resuscitation.
WHO recommends
5 EmOC facilities
for every 500,000
people. Only
Lagos meets this
standard.
Only one third
of mothers
receive postnatal
care
within two days
of giving birth.
The proportion
of infants
(12-23 months)
who are fully
immunised
by year 1 has
only increased
slightly (from
13% in 2003 to
19% in 2008).
High infant
mortality.
250,000 babies
die annually.
Much of
Nigeria’s
post-natal
care provision
reaches only
60% of those
who need it.
Sources: FMH (2011);
Population Council (2010).