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ASSOCIATION BETWEEN PLURAL LEGAL SYSTEMS AND SEXUAL AND REPRODUCTIVE HEALTH OUTCOMES FOR WOMEN AND GIRLS IN NORTHERN NIGERIA A Regional and State-level Ecological Study from 1990-2013 Terry McGovern, JD Harriet and Robert H. Heilbrunn Professor and Chair Population and Family Health Columbia Mailman School of Public Health Valentina Parisi, MS, MPH Rachel Fowler, MPH Candidate 2018

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ASSOCIATION BETWEEN PLURAL LEGAL SYSTEMS AND SEXUAL AND REPRODUCTIVE HEALTH OUTCOMES FOR WOMEN AND GIRLS IN NORTHERN NIGERIA

A Regional and State-level Ecological Study from 1990-2013

Terry McGovern JDHarriet and Robert H Heilbrunn Professor and Chair Population and Family HealthColumbia Mailman School of Public Health

Valentina Parisi MS MPHRachel Fowler MPH Candidate 2018

OVERVIEW

Human Rights amp Plural-legal Systems

Situation in Nigeria

Data Sources

Time-trend analysis

Associations amp Mediators

Conclusions

CONVENTION ON THE ELIMINATION OF ALL FORMS OF DISCRIMINATION AGAINST WOMEN (CEDAW) IMPACT ON SEXUAL amp REPRODUCTIVE HEALTH

In particular Article 10 Access to specific educational information to help ensure the health and

well-being of families including information and advice on family planning Article 12 Ensure appropriate services in connection with pregnancy confinement and

the post-natal period granting free services where necessary Article 14 Ensure the right to have access to adequate health care facilities including

information counselling and services om family planning

Article 16 A womanrsquos right to exercise choice as to whether or not to marry who to marry and when to marry The marriage of a child will have no legal effect

Customs practices and laws that discriminate against women must be abolished

PLURAL LEGAL SYSTEMS

Countries with plural or multiple legal systems allow various sources of law to govern simultaneously Examples include English common law French civil or other law Statutory law Customary law Religious

law Traditionpractice

Customary and religious laws enjoy the status of binding sources of law or practice in the vast majority of countries in the African region and a number of countries in Asia and the Americas

These laws permit cultural and religious customs or practices some of which are discriminatory to persist which have direct implications on adolescent rights and health

CUSTOMARY RELIGIOUS AND TRADITIONAL LAWLEGAL PLURALISM PERMITS RELIGIOUS TRADITIONAL AND CUSTOMARY LAW OR PRACTICE TO TRUMP NATIONAL LEGISLATION THROUGH TWO PRIMARY AVENUES

Reservations to international conventions (ie CEDAW) on grounds based on Islamic law Areas regulating matters of

personal status (marriage etc) Laws of personal status as

determined by various religiousethnic communities

Exceptions to national legal frameworks based on customaryreligioustraditional law Example national legislation sets age

of marriage at 18 but exceptions for religiouscustomary laws exists which have their own rules regarding age of marriage

NIGERIA LEGAL SYSTEM

Nigeria has a tripartite legal system consisting of statutory customary as well as religious law (in the northern states)

These three bodies of law create contradictions and inconsistencies and discriminatory provisions are widespread within each source of law

Nigeria ratified CEDAW without reservation in 1985

Nigerian National Assembly rejected the domestication of the CEDAW and it therefore is not part of Nigeriarsquos national legal framework and is not justiciable or enforceable

NIGERIA LEGAL FRAMEWORK

NIGERIA LAWS AND POLICIES

Family Life and HIVAIDS Education (FLHE) 2002 adopted in 34 of 37 states but poor implementation everywhere

National Gender Policy remains un-implemented

National Policy of Health and Development of Adolescents and Young People (2007) poor implementation availability and accessibility to youth services remains critically low

National Policy on Population for Sustainable Development

CEDAW implementation has stalled

Abuja Declaration Nigeria has not allocated 15 of its annual budget to health

LEGAL SYSTEMS amp GEOGRAPHY

12 Northern States have customary andor religious law exceptionsSince 2000 these states have added criminal law to the jurisdiction of Sharirsquoa courts

Research Question Do states with customary and religious laws and laws that impede access to sexual and reproductive health services have worse SRH outcomes

DATA SOURCES

Nigerian Demographic and Health Survey Reports (1990 1999 2003 2008 2013)

Exposure living in an region or state with customary and religious laws and laws that impede access to sexual and reproductive health services

Regional data for all DHSs

State-level data for 2008 and 2013

Indicators

Fertility total fertility rate median age at firth birth unmet need for family planning total demand for FP percentage demand satisfied

Sexual Health knowledge of contraceptive method current use of contraception heard of family planning on mass media knowledge of HIVAIDS

Maternal and Child Health infant mortality antenatal care provider health facility delivery assistance during delivery

Other education participation in own health decisions median age of marriage

REGIONAL TIME TRENDS (1990-2013)

0

10

20

30

40

50

60

70

80

90

100

1990 1999 2003 2008 2013

Perc

ent

()

Women with any level of education

Northeast

Northwest

Southeast

Southwest

Southsouth

10

12

14

16

18

20

22

24

1990 1999 2003 2008 2013

Age

Median Age at First Marraige (women 25-49)

FERTILITY

3

35

4

45

5

55

6

65

7

75

8

1990 1999 2003 2008 2013

Num

ber

of C

hild

ren

Born

per

Wom

an

Total Fertility Rate

Northeast

Northwest

Southeast

Southwest

Southsouth

15

16

17

18

19

20

21

22

23

24

25

1990 1999 2003 2008 2013

Age

Median Age at First Birth of Women Ages 25-49

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

OVERVIEW

Human Rights amp Plural-legal Systems

Situation in Nigeria

Data Sources

Time-trend analysis

Associations amp Mediators

Conclusions

CONVENTION ON THE ELIMINATION OF ALL FORMS OF DISCRIMINATION AGAINST WOMEN (CEDAW) IMPACT ON SEXUAL amp REPRODUCTIVE HEALTH

In particular Article 10 Access to specific educational information to help ensure the health and

well-being of families including information and advice on family planning Article 12 Ensure appropriate services in connection with pregnancy confinement and

the post-natal period granting free services where necessary Article 14 Ensure the right to have access to adequate health care facilities including

information counselling and services om family planning

Article 16 A womanrsquos right to exercise choice as to whether or not to marry who to marry and when to marry The marriage of a child will have no legal effect

Customs practices and laws that discriminate against women must be abolished

PLURAL LEGAL SYSTEMS

Countries with plural or multiple legal systems allow various sources of law to govern simultaneously Examples include English common law French civil or other law Statutory law Customary law Religious

law Traditionpractice

Customary and religious laws enjoy the status of binding sources of law or practice in the vast majority of countries in the African region and a number of countries in Asia and the Americas

These laws permit cultural and religious customs or practices some of which are discriminatory to persist which have direct implications on adolescent rights and health

CUSTOMARY RELIGIOUS AND TRADITIONAL LAWLEGAL PLURALISM PERMITS RELIGIOUS TRADITIONAL AND CUSTOMARY LAW OR PRACTICE TO TRUMP NATIONAL LEGISLATION THROUGH TWO PRIMARY AVENUES

Reservations to international conventions (ie CEDAW) on grounds based on Islamic law Areas regulating matters of

personal status (marriage etc) Laws of personal status as

determined by various religiousethnic communities

Exceptions to national legal frameworks based on customaryreligioustraditional law Example national legislation sets age

of marriage at 18 but exceptions for religiouscustomary laws exists which have their own rules regarding age of marriage

NIGERIA LEGAL SYSTEM

Nigeria has a tripartite legal system consisting of statutory customary as well as religious law (in the northern states)

These three bodies of law create contradictions and inconsistencies and discriminatory provisions are widespread within each source of law

Nigeria ratified CEDAW without reservation in 1985

Nigerian National Assembly rejected the domestication of the CEDAW and it therefore is not part of Nigeriarsquos national legal framework and is not justiciable or enforceable

NIGERIA LEGAL FRAMEWORK

NIGERIA LAWS AND POLICIES

Family Life and HIVAIDS Education (FLHE) 2002 adopted in 34 of 37 states but poor implementation everywhere

National Gender Policy remains un-implemented

National Policy of Health and Development of Adolescents and Young People (2007) poor implementation availability and accessibility to youth services remains critically low

National Policy on Population for Sustainable Development

CEDAW implementation has stalled

Abuja Declaration Nigeria has not allocated 15 of its annual budget to health

LEGAL SYSTEMS amp GEOGRAPHY

12 Northern States have customary andor religious law exceptionsSince 2000 these states have added criminal law to the jurisdiction of Sharirsquoa courts

Research Question Do states with customary and religious laws and laws that impede access to sexual and reproductive health services have worse SRH outcomes

DATA SOURCES

Nigerian Demographic and Health Survey Reports (1990 1999 2003 2008 2013)

Exposure living in an region or state with customary and religious laws and laws that impede access to sexual and reproductive health services

Regional data for all DHSs

State-level data for 2008 and 2013

Indicators

Fertility total fertility rate median age at firth birth unmet need for family planning total demand for FP percentage demand satisfied

Sexual Health knowledge of contraceptive method current use of contraception heard of family planning on mass media knowledge of HIVAIDS

Maternal and Child Health infant mortality antenatal care provider health facility delivery assistance during delivery

Other education participation in own health decisions median age of marriage

REGIONAL TIME TRENDS (1990-2013)

0

10

20

30

40

50

60

70

80

90

100

1990 1999 2003 2008 2013

Perc

ent

()

Women with any level of education

Northeast

Northwest

Southeast

Southwest

Southsouth

10

12

14

16

18

20

22

24

1990 1999 2003 2008 2013

Age

Median Age at First Marraige (women 25-49)

FERTILITY

3

35

4

45

5

55

6

65

7

75

8

1990 1999 2003 2008 2013

Num

ber

of C

hild

ren

Born

per

Wom

an

Total Fertility Rate

Northeast

Northwest

Southeast

Southwest

Southsouth

15

16

17

18

19

20

21

22

23

24

25

1990 1999 2003 2008 2013

Age

Median Age at First Birth of Women Ages 25-49

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

CONVENTION ON THE ELIMINATION OF ALL FORMS OF DISCRIMINATION AGAINST WOMEN (CEDAW) IMPACT ON SEXUAL amp REPRODUCTIVE HEALTH

In particular Article 10 Access to specific educational information to help ensure the health and

well-being of families including information and advice on family planning Article 12 Ensure appropriate services in connection with pregnancy confinement and

the post-natal period granting free services where necessary Article 14 Ensure the right to have access to adequate health care facilities including

information counselling and services om family planning

Article 16 A womanrsquos right to exercise choice as to whether or not to marry who to marry and when to marry The marriage of a child will have no legal effect

Customs practices and laws that discriminate against women must be abolished

PLURAL LEGAL SYSTEMS

Countries with plural or multiple legal systems allow various sources of law to govern simultaneously Examples include English common law French civil or other law Statutory law Customary law Religious

law Traditionpractice

Customary and religious laws enjoy the status of binding sources of law or practice in the vast majority of countries in the African region and a number of countries in Asia and the Americas

These laws permit cultural and religious customs or practices some of which are discriminatory to persist which have direct implications on adolescent rights and health

CUSTOMARY RELIGIOUS AND TRADITIONAL LAWLEGAL PLURALISM PERMITS RELIGIOUS TRADITIONAL AND CUSTOMARY LAW OR PRACTICE TO TRUMP NATIONAL LEGISLATION THROUGH TWO PRIMARY AVENUES

Reservations to international conventions (ie CEDAW) on grounds based on Islamic law Areas regulating matters of

personal status (marriage etc) Laws of personal status as

determined by various religiousethnic communities

Exceptions to national legal frameworks based on customaryreligioustraditional law Example national legislation sets age

of marriage at 18 but exceptions for religiouscustomary laws exists which have their own rules regarding age of marriage

NIGERIA LEGAL SYSTEM

Nigeria has a tripartite legal system consisting of statutory customary as well as religious law (in the northern states)

These three bodies of law create contradictions and inconsistencies and discriminatory provisions are widespread within each source of law

Nigeria ratified CEDAW without reservation in 1985

Nigerian National Assembly rejected the domestication of the CEDAW and it therefore is not part of Nigeriarsquos national legal framework and is not justiciable or enforceable

NIGERIA LEGAL FRAMEWORK

NIGERIA LAWS AND POLICIES

Family Life and HIVAIDS Education (FLHE) 2002 adopted in 34 of 37 states but poor implementation everywhere

National Gender Policy remains un-implemented

National Policy of Health and Development of Adolescents and Young People (2007) poor implementation availability and accessibility to youth services remains critically low

National Policy on Population for Sustainable Development

CEDAW implementation has stalled

Abuja Declaration Nigeria has not allocated 15 of its annual budget to health

LEGAL SYSTEMS amp GEOGRAPHY

12 Northern States have customary andor religious law exceptionsSince 2000 these states have added criminal law to the jurisdiction of Sharirsquoa courts

Research Question Do states with customary and religious laws and laws that impede access to sexual and reproductive health services have worse SRH outcomes

DATA SOURCES

Nigerian Demographic and Health Survey Reports (1990 1999 2003 2008 2013)

Exposure living in an region or state with customary and religious laws and laws that impede access to sexual and reproductive health services

Regional data for all DHSs

State-level data for 2008 and 2013

Indicators

Fertility total fertility rate median age at firth birth unmet need for family planning total demand for FP percentage demand satisfied

Sexual Health knowledge of contraceptive method current use of contraception heard of family planning on mass media knowledge of HIVAIDS

Maternal and Child Health infant mortality antenatal care provider health facility delivery assistance during delivery

Other education participation in own health decisions median age of marriage

REGIONAL TIME TRENDS (1990-2013)

0

10

20

30

40

50

60

70

80

90

100

1990 1999 2003 2008 2013

Perc

ent

()

Women with any level of education

Northeast

Northwest

Southeast

Southwest

Southsouth

10

12

14

16

18

20

22

24

1990 1999 2003 2008 2013

Age

Median Age at First Marraige (women 25-49)

FERTILITY

3

35

4

45

5

55

6

65

7

75

8

1990 1999 2003 2008 2013

Num

ber

of C

hild

ren

Born

per

Wom

an

Total Fertility Rate

Northeast

Northwest

Southeast

Southwest

Southsouth

15

16

17

18

19

20

21

22

23

24

25

1990 1999 2003 2008 2013

Age

Median Age at First Birth of Women Ages 25-49

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

PLURAL LEGAL SYSTEMS

Countries with plural or multiple legal systems allow various sources of law to govern simultaneously Examples include English common law French civil or other law Statutory law Customary law Religious

law Traditionpractice

Customary and religious laws enjoy the status of binding sources of law or practice in the vast majority of countries in the African region and a number of countries in Asia and the Americas

These laws permit cultural and religious customs or practices some of which are discriminatory to persist which have direct implications on adolescent rights and health

CUSTOMARY RELIGIOUS AND TRADITIONAL LAWLEGAL PLURALISM PERMITS RELIGIOUS TRADITIONAL AND CUSTOMARY LAW OR PRACTICE TO TRUMP NATIONAL LEGISLATION THROUGH TWO PRIMARY AVENUES

Reservations to international conventions (ie CEDAW) on grounds based on Islamic law Areas regulating matters of

personal status (marriage etc) Laws of personal status as

determined by various religiousethnic communities

Exceptions to national legal frameworks based on customaryreligioustraditional law Example national legislation sets age

of marriage at 18 but exceptions for religiouscustomary laws exists which have their own rules regarding age of marriage

NIGERIA LEGAL SYSTEM

Nigeria has a tripartite legal system consisting of statutory customary as well as religious law (in the northern states)

These three bodies of law create contradictions and inconsistencies and discriminatory provisions are widespread within each source of law

Nigeria ratified CEDAW without reservation in 1985

Nigerian National Assembly rejected the domestication of the CEDAW and it therefore is not part of Nigeriarsquos national legal framework and is not justiciable or enforceable

NIGERIA LEGAL FRAMEWORK

NIGERIA LAWS AND POLICIES

Family Life and HIVAIDS Education (FLHE) 2002 adopted in 34 of 37 states but poor implementation everywhere

National Gender Policy remains un-implemented

National Policy of Health and Development of Adolescents and Young People (2007) poor implementation availability and accessibility to youth services remains critically low

National Policy on Population for Sustainable Development

CEDAW implementation has stalled

Abuja Declaration Nigeria has not allocated 15 of its annual budget to health

LEGAL SYSTEMS amp GEOGRAPHY

12 Northern States have customary andor religious law exceptionsSince 2000 these states have added criminal law to the jurisdiction of Sharirsquoa courts

Research Question Do states with customary and religious laws and laws that impede access to sexual and reproductive health services have worse SRH outcomes

DATA SOURCES

Nigerian Demographic and Health Survey Reports (1990 1999 2003 2008 2013)

Exposure living in an region or state with customary and religious laws and laws that impede access to sexual and reproductive health services

Regional data for all DHSs

State-level data for 2008 and 2013

Indicators

Fertility total fertility rate median age at firth birth unmet need for family planning total demand for FP percentage demand satisfied

Sexual Health knowledge of contraceptive method current use of contraception heard of family planning on mass media knowledge of HIVAIDS

Maternal and Child Health infant mortality antenatal care provider health facility delivery assistance during delivery

Other education participation in own health decisions median age of marriage

REGIONAL TIME TRENDS (1990-2013)

0

10

20

30

40

50

60

70

80

90

100

1990 1999 2003 2008 2013

Perc

ent

()

Women with any level of education

Northeast

Northwest

Southeast

Southwest

Southsouth

10

12

14

16

18

20

22

24

1990 1999 2003 2008 2013

Age

Median Age at First Marraige (women 25-49)

FERTILITY

3

35

4

45

5

55

6

65

7

75

8

1990 1999 2003 2008 2013

Num

ber

of C

hild

ren

Born

per

Wom

an

Total Fertility Rate

Northeast

Northwest

Southeast

Southwest

Southsouth

15

16

17

18

19

20

21

22

23

24

25

1990 1999 2003 2008 2013

Age

Median Age at First Birth of Women Ages 25-49

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

CUSTOMARY RELIGIOUS AND TRADITIONAL LAWLEGAL PLURALISM PERMITS RELIGIOUS TRADITIONAL AND CUSTOMARY LAW OR PRACTICE TO TRUMP NATIONAL LEGISLATION THROUGH TWO PRIMARY AVENUES

Reservations to international conventions (ie CEDAW) on grounds based on Islamic law Areas regulating matters of

personal status (marriage etc) Laws of personal status as

determined by various religiousethnic communities

Exceptions to national legal frameworks based on customaryreligioustraditional law Example national legislation sets age

of marriage at 18 but exceptions for religiouscustomary laws exists which have their own rules regarding age of marriage

NIGERIA LEGAL SYSTEM

Nigeria has a tripartite legal system consisting of statutory customary as well as religious law (in the northern states)

These three bodies of law create contradictions and inconsistencies and discriminatory provisions are widespread within each source of law

Nigeria ratified CEDAW without reservation in 1985

Nigerian National Assembly rejected the domestication of the CEDAW and it therefore is not part of Nigeriarsquos national legal framework and is not justiciable or enforceable

NIGERIA LEGAL FRAMEWORK

NIGERIA LAWS AND POLICIES

Family Life and HIVAIDS Education (FLHE) 2002 adopted in 34 of 37 states but poor implementation everywhere

National Gender Policy remains un-implemented

National Policy of Health and Development of Adolescents and Young People (2007) poor implementation availability and accessibility to youth services remains critically low

National Policy on Population for Sustainable Development

CEDAW implementation has stalled

Abuja Declaration Nigeria has not allocated 15 of its annual budget to health

LEGAL SYSTEMS amp GEOGRAPHY

12 Northern States have customary andor religious law exceptionsSince 2000 these states have added criminal law to the jurisdiction of Sharirsquoa courts

Research Question Do states with customary and religious laws and laws that impede access to sexual and reproductive health services have worse SRH outcomes

DATA SOURCES

Nigerian Demographic and Health Survey Reports (1990 1999 2003 2008 2013)

Exposure living in an region or state with customary and religious laws and laws that impede access to sexual and reproductive health services

Regional data for all DHSs

State-level data for 2008 and 2013

Indicators

Fertility total fertility rate median age at firth birth unmet need for family planning total demand for FP percentage demand satisfied

Sexual Health knowledge of contraceptive method current use of contraception heard of family planning on mass media knowledge of HIVAIDS

Maternal and Child Health infant mortality antenatal care provider health facility delivery assistance during delivery

Other education participation in own health decisions median age of marriage

REGIONAL TIME TRENDS (1990-2013)

0

10

20

30

40

50

60

70

80

90

100

1990 1999 2003 2008 2013

Perc

ent

()

Women with any level of education

Northeast

Northwest

Southeast

Southwest

Southsouth

10

12

14

16

18

20

22

24

1990 1999 2003 2008 2013

Age

Median Age at First Marraige (women 25-49)

FERTILITY

3

35

4

45

5

55

6

65

7

75

8

1990 1999 2003 2008 2013

Num

ber

of C

hild

ren

Born

per

Wom

an

Total Fertility Rate

Northeast

Northwest

Southeast

Southwest

Southsouth

15

16

17

18

19

20

21

22

23

24

25

1990 1999 2003 2008 2013

Age

Median Age at First Birth of Women Ages 25-49

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

NIGERIA LEGAL SYSTEM

Nigeria has a tripartite legal system consisting of statutory customary as well as religious law (in the northern states)

These three bodies of law create contradictions and inconsistencies and discriminatory provisions are widespread within each source of law

Nigeria ratified CEDAW without reservation in 1985

Nigerian National Assembly rejected the domestication of the CEDAW and it therefore is not part of Nigeriarsquos national legal framework and is not justiciable or enforceable

NIGERIA LEGAL FRAMEWORK

NIGERIA LAWS AND POLICIES

Family Life and HIVAIDS Education (FLHE) 2002 adopted in 34 of 37 states but poor implementation everywhere

National Gender Policy remains un-implemented

National Policy of Health and Development of Adolescents and Young People (2007) poor implementation availability and accessibility to youth services remains critically low

National Policy on Population for Sustainable Development

CEDAW implementation has stalled

Abuja Declaration Nigeria has not allocated 15 of its annual budget to health

LEGAL SYSTEMS amp GEOGRAPHY

12 Northern States have customary andor religious law exceptionsSince 2000 these states have added criminal law to the jurisdiction of Sharirsquoa courts

Research Question Do states with customary and religious laws and laws that impede access to sexual and reproductive health services have worse SRH outcomes

DATA SOURCES

Nigerian Demographic and Health Survey Reports (1990 1999 2003 2008 2013)

Exposure living in an region or state with customary and religious laws and laws that impede access to sexual and reproductive health services

Regional data for all DHSs

State-level data for 2008 and 2013

Indicators

Fertility total fertility rate median age at firth birth unmet need for family planning total demand for FP percentage demand satisfied

Sexual Health knowledge of contraceptive method current use of contraception heard of family planning on mass media knowledge of HIVAIDS

Maternal and Child Health infant mortality antenatal care provider health facility delivery assistance during delivery

Other education participation in own health decisions median age of marriage

REGIONAL TIME TRENDS (1990-2013)

0

10

20

30

40

50

60

70

80

90

100

1990 1999 2003 2008 2013

Perc

ent

()

Women with any level of education

Northeast

Northwest

Southeast

Southwest

Southsouth

10

12

14

16

18

20

22

24

1990 1999 2003 2008 2013

Age

Median Age at First Marraige (women 25-49)

FERTILITY

3

35

4

45

5

55

6

65

7

75

8

1990 1999 2003 2008 2013

Num

ber

of C

hild

ren

Born

per

Wom

an

Total Fertility Rate

Northeast

Northwest

Southeast

Southwest

Southsouth

15

16

17

18

19

20

21

22

23

24

25

1990 1999 2003 2008 2013

Age

Median Age at First Birth of Women Ages 25-49

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

NIGERIA LEGAL FRAMEWORK

NIGERIA LAWS AND POLICIES

Family Life and HIVAIDS Education (FLHE) 2002 adopted in 34 of 37 states but poor implementation everywhere

National Gender Policy remains un-implemented

National Policy of Health and Development of Adolescents and Young People (2007) poor implementation availability and accessibility to youth services remains critically low

National Policy on Population for Sustainable Development

CEDAW implementation has stalled

Abuja Declaration Nigeria has not allocated 15 of its annual budget to health

LEGAL SYSTEMS amp GEOGRAPHY

12 Northern States have customary andor religious law exceptionsSince 2000 these states have added criminal law to the jurisdiction of Sharirsquoa courts

Research Question Do states with customary and religious laws and laws that impede access to sexual and reproductive health services have worse SRH outcomes

DATA SOURCES

Nigerian Demographic and Health Survey Reports (1990 1999 2003 2008 2013)

Exposure living in an region or state with customary and religious laws and laws that impede access to sexual and reproductive health services

Regional data for all DHSs

State-level data for 2008 and 2013

Indicators

Fertility total fertility rate median age at firth birth unmet need for family planning total demand for FP percentage demand satisfied

Sexual Health knowledge of contraceptive method current use of contraception heard of family planning on mass media knowledge of HIVAIDS

Maternal and Child Health infant mortality antenatal care provider health facility delivery assistance during delivery

Other education participation in own health decisions median age of marriage

REGIONAL TIME TRENDS (1990-2013)

0

10

20

30

40

50

60

70

80

90

100

1990 1999 2003 2008 2013

Perc

ent

()

Women with any level of education

Northeast

Northwest

Southeast

Southwest

Southsouth

10

12

14

16

18

20

22

24

1990 1999 2003 2008 2013

Age

Median Age at First Marraige (women 25-49)

FERTILITY

3

35

4

45

5

55

6

65

7

75

8

1990 1999 2003 2008 2013

Num

ber

of C

hild

ren

Born

per

Wom

an

Total Fertility Rate

Northeast

Northwest

Southeast

Southwest

Southsouth

15

16

17

18

19

20

21

22

23

24

25

1990 1999 2003 2008 2013

Age

Median Age at First Birth of Women Ages 25-49

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

NIGERIA LAWS AND POLICIES

Family Life and HIVAIDS Education (FLHE) 2002 adopted in 34 of 37 states but poor implementation everywhere

National Gender Policy remains un-implemented

National Policy of Health and Development of Adolescents and Young People (2007) poor implementation availability and accessibility to youth services remains critically low

National Policy on Population for Sustainable Development

CEDAW implementation has stalled

Abuja Declaration Nigeria has not allocated 15 of its annual budget to health

LEGAL SYSTEMS amp GEOGRAPHY

12 Northern States have customary andor religious law exceptionsSince 2000 these states have added criminal law to the jurisdiction of Sharirsquoa courts

Research Question Do states with customary and religious laws and laws that impede access to sexual and reproductive health services have worse SRH outcomes

DATA SOURCES

Nigerian Demographic and Health Survey Reports (1990 1999 2003 2008 2013)

Exposure living in an region or state with customary and religious laws and laws that impede access to sexual and reproductive health services

Regional data for all DHSs

State-level data for 2008 and 2013

Indicators

Fertility total fertility rate median age at firth birth unmet need for family planning total demand for FP percentage demand satisfied

Sexual Health knowledge of contraceptive method current use of contraception heard of family planning on mass media knowledge of HIVAIDS

Maternal and Child Health infant mortality antenatal care provider health facility delivery assistance during delivery

Other education participation in own health decisions median age of marriage

REGIONAL TIME TRENDS (1990-2013)

0

10

20

30

40

50

60

70

80

90

100

1990 1999 2003 2008 2013

Perc

ent

()

Women with any level of education

Northeast

Northwest

Southeast

Southwest

Southsouth

10

12

14

16

18

20

22

24

1990 1999 2003 2008 2013

Age

Median Age at First Marraige (women 25-49)

FERTILITY

3

35

4

45

5

55

6

65

7

75

8

1990 1999 2003 2008 2013

Num

ber

of C

hild

ren

Born

per

Wom

an

Total Fertility Rate

Northeast

Northwest

Southeast

Southwest

Southsouth

15

16

17

18

19

20

21

22

23

24

25

1990 1999 2003 2008 2013

Age

Median Age at First Birth of Women Ages 25-49

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

LEGAL SYSTEMS amp GEOGRAPHY

12 Northern States have customary andor religious law exceptionsSince 2000 these states have added criminal law to the jurisdiction of Sharirsquoa courts

Research Question Do states with customary and religious laws and laws that impede access to sexual and reproductive health services have worse SRH outcomes

DATA SOURCES

Nigerian Demographic and Health Survey Reports (1990 1999 2003 2008 2013)

Exposure living in an region or state with customary and religious laws and laws that impede access to sexual and reproductive health services

Regional data for all DHSs

State-level data for 2008 and 2013

Indicators

Fertility total fertility rate median age at firth birth unmet need for family planning total demand for FP percentage demand satisfied

Sexual Health knowledge of contraceptive method current use of contraception heard of family planning on mass media knowledge of HIVAIDS

Maternal and Child Health infant mortality antenatal care provider health facility delivery assistance during delivery

Other education participation in own health decisions median age of marriage

REGIONAL TIME TRENDS (1990-2013)

0

10

20

30

40

50

60

70

80

90

100

1990 1999 2003 2008 2013

Perc

ent

()

Women with any level of education

Northeast

Northwest

Southeast

Southwest

Southsouth

10

12

14

16

18

20

22

24

1990 1999 2003 2008 2013

Age

Median Age at First Marraige (women 25-49)

FERTILITY

3

35

4

45

5

55

6

65

7

75

8

1990 1999 2003 2008 2013

Num

ber

of C

hild

ren

Born

per

Wom

an

Total Fertility Rate

Northeast

Northwest

Southeast

Southwest

Southsouth

15

16

17

18

19

20

21

22

23

24

25

1990 1999 2003 2008 2013

Age

Median Age at First Birth of Women Ages 25-49

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

DATA SOURCES

Nigerian Demographic and Health Survey Reports (1990 1999 2003 2008 2013)

Exposure living in an region or state with customary and religious laws and laws that impede access to sexual and reproductive health services

Regional data for all DHSs

State-level data for 2008 and 2013

Indicators

Fertility total fertility rate median age at firth birth unmet need for family planning total demand for FP percentage demand satisfied

Sexual Health knowledge of contraceptive method current use of contraception heard of family planning on mass media knowledge of HIVAIDS

Maternal and Child Health infant mortality antenatal care provider health facility delivery assistance during delivery

Other education participation in own health decisions median age of marriage

REGIONAL TIME TRENDS (1990-2013)

0

10

20

30

40

50

60

70

80

90

100

1990 1999 2003 2008 2013

Perc

ent

()

Women with any level of education

Northeast

Northwest

Southeast

Southwest

Southsouth

10

12

14

16

18

20

22

24

1990 1999 2003 2008 2013

Age

Median Age at First Marraige (women 25-49)

FERTILITY

3

35

4

45

5

55

6

65

7

75

8

1990 1999 2003 2008 2013

Num

ber

of C

hild

ren

Born

per

Wom

an

Total Fertility Rate

Northeast

Northwest

Southeast

Southwest

Southsouth

15

16

17

18

19

20

21

22

23

24

25

1990 1999 2003 2008 2013

Age

Median Age at First Birth of Women Ages 25-49

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

REGIONAL TIME TRENDS (1990-2013)

0

10

20

30

40

50

60

70

80

90

100

1990 1999 2003 2008 2013

Perc

ent

()

Women with any level of education

Northeast

Northwest

Southeast

Southwest

Southsouth

10

12

14

16

18

20

22

24

1990 1999 2003 2008 2013

Age

Median Age at First Marraige (women 25-49)

FERTILITY

3

35

4

45

5

55

6

65

7

75

8

1990 1999 2003 2008 2013

Num

ber

of C

hild

ren

Born

per

Wom

an

Total Fertility Rate

Northeast

Northwest

Southeast

Southwest

Southsouth

15

16

17

18

19

20

21

22

23

24

25

1990 1999 2003 2008 2013

Age

Median Age at First Birth of Women Ages 25-49

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

FERTILITY

3

35

4

45

5

55

6

65

7

75

8

1990 1999 2003 2008 2013

Num

ber

of C

hild

ren

Born

per

Wom

an

Total Fertility Rate

Northeast

Northwest

Southeast

Southwest

Southsouth

15

16

17

18

19

20

21

22

23

24

25

1990 1999 2003 2008 2013

Age

Median Age at First Birth of Women Ages 25-49

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

FAMILY PLANNING

15

25

35

45

55

65

75

85

95

105

1990 1999 2003 2008 2013

Perc

ent

()

Knowledge of at least one contraceptive method

Northeast

Northwest

Southeast

Southwest

Southsouth

0

5

10

15

20

25

30

35

40

1990 1999 2003 2008 2013

Perc

ent

()

Current use of contraceptive method (married women)

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

MATERNAL HEALTH

0

10

20

30

40

50

60

70

80

90

1990 1999 2003 2008 2013

Perc

ent

()

Facility Delivery

0

10

20

30

40

50

60

70

80

1990 1999 2003 2008 2013

Perc

ent

()

No Antenatal Care Provision

Northeast

Northwest

Southeast

Southwest

Southsouth

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

0

10

20

30

40

50

60

2008 2013

Current Use of Contraception (married women - percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATE-LEVEL TIME TRENDS (2008-2013)

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

STATE-LEVEL TIME TRENDS (2008-2013)

0

10

20

30

40

50

60

70

80

90

100

2008 2013

Facility Delivery (Percentage)

FCT - Abuja Benue Kogi Kwara Nasarawa Plateau Adamawa Taraba

Abia Anambra Ebonyi Enugu Imo Akawa Ibom Bayelsa Cross River

Delta Edo Rivers Ekiti Lagos Ogun Ondo Osun

Oyo Niger Bauchi Borno Gombe Yobe Jigawa Kaduna

Kano Katsina Kebbi Sokoto Zamfara

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

STATUS OF WOMENrsquoS HEALTH 2013

States wo (n=25) States w (n=12) Sig (2-tailed)Determinants of HealthMedian age at first birth women aged 25-49 217 184Education level (none) 208 671 lt00001 who participate in their own health care decisions 611 163 lt00001Fertility Total Fertility Rate 474 671 lt00001 of 15-19 yo who have begun childbearing 122 367 lt00001Family PlanningSRHHeard of any contraception method 939 739 lt00001Current use of any contraception method (married women) 264 37 lt00001Have NOT heard FP message on radio or TV 513 798 lt00001Knoweldge of HIVAIDS 938 891 0102Maternal HealthNo Antenatal Care provider 146 521 lt00001Health facility delivery 621 145 lt00001No assistance during delivery 31 184 lt00001

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

STATUS OF WOMENrsquoS HEALTH 2013

NORTHERN STATES ONLY

States wo (n=8) States w (n=12) Sig (2-tailed)Determinants of Health

Median age at first birth women aged 25-49 208 184Education level (none) 310 671 lt00001 who participate in their own health care decisions 541 163 lt00001Fertility Total Fertility Rate 520 671 0003 of 15-19 yo who have begun childbearing 1738 3673 lt00001

Family PlanningSRHHeard of any contraception method 8734 7388 001Current use of any contraception method (married women) 1726 368 0001Have NOT heard FP message on radio or TV 6414 7982 003Knoweldge of HIVAIDS 8988 8906 043Maternal Health

No Antenatal Care provider 2136 5211 lt00001

Health facility delivery 5104 1447 lt00001

No assistance during delivery 670 1838 002

Sheet1

Percentage of females without any level of education

Northeast19901999200320082013826468655611Northwest1990199920032008201386264599999999999994722675628Southeast19901999200320082013431188178208187Southwest1990199920032008201329722823321517100000000000001Southsouth1990199920032008201320614913Northcentral19901999200320082013414093929999999999999738

Percent of women who did not receive ANC

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206Northcentral1990199920032008201320225326226

Percent of women who delivered in a facility

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501Northcentral1990199920032008201344345441457

Percent of women delivered without assistance

Northeast199019992003200820135612321981860000000000000196999999999999993Northwest19901999200320082013635255305438278Southeast199019992003200820131592299999999999999804315Southwest1990199920032008201315724093213Southsouth19901999200320082013183118Northcentral199019992003200820134099999999999999691019999999999999965

Percentage of women with any level of education

Northeast19901999200320082013183632345389Northwest1990199920032008201313799999999999997354000000000000062779999999999999732537200000000000003Southeast19901999200320082013569812822792813Southwest19901999200320082013703772767785829Southsouth199019992003200820137940000000000000685187

Percentage ()

Total Fertility Rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743

Total Fertiliy Rate

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218

Age

Percent of women who know at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977

Percent ()

Current use of contraceptive method amongst married women

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281

Percent ()

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215

Age

No Antenatal Care Provision

Northeast1990199920032008201354754147151240799999999999997Northwest19901999200320082013524650999999999999945967099999999999994554Southeast199019992003200820131960000000000000177087442Southwest199019992003200820137735229999999999999985757Southsouth19901999200320082013168188206

Percent ()

Total fertility rate

Northeast19901999200320082013653267977263Northwest1990199920032008201366449999999999996645677367Southeast199019992003200820135573000000000000446399999999999997409999999999999964847Southwest199019992003200820135461000000000000345409999999999999964545999999999999996Southsouth19901999200320082013459999999999999964743Northcentral1990199920032008201371449575453

Facility Delivery

Northeast1990199920032008201310411717100000000000001128195Northwest19901999200320082013969999999999999936410484115Southeast199019992003200820134635498417390000000000000678099999999999994Southwest19901999200320082013636672775999999999999947075Southsouth19901999200320082013532481501

Percent()

Neonatal mortality19901999200320082013578251554744Infant mortality1990199920032008201310988261149189Neonatal mortality38637299999999999997345137Infant mortality827743669582

Infant Mortality

Northeast199019992003200820138777940000000000000612510977Northwest1990199920032008201310988261149189Southeast19901999200320082013827743669582Southwest1990199920032008201384669900000000000006695961Southsouth199019992003200820131208458

Percent ()

Median Age at First Birth of Women Ages 25-49

Northeast19901999200320082013188182178182188Northwest199019992003200820131951860000000000000117818317899999999999999Southeast199019992003200820131960000000000000121227236237Southwest19901999200320082013205211221227227Southsouth19901999200320082013198214218Northcentral1990199920032008201319819720206

Percent of women who know about at least 1 contraceptive method

Northeast1990199920032008201324354635586732Northwest199019992003200820133034227509999999999999445181099999999999994Southeast1990199920032008201356681599999999999994871855959Southwest19901999200320082013735999999999999948729795964Southsouth19901999200320082013942899977Northcentral19901999200320082013707740000000000000664378599999999999994

Use of contraceptive method (married women)

Northeast1990199920032008201323142432Northwest199019992003200820131232490000000000000042843Southeast1990199920032008201388000000000000007235225234293Southwest19901999200320082013152623270000000000000331738Southsouth19901999200320082013254262281Northcentral1990199920032008201317813313156

Median Age at First Marraige (women 25-49)

Northeast199019992003200820131521515156163Northwest19901999200320082013154146146152153Southeast19901999200320082013183202218228227Southwest19901999200320082013197202213219218Southsouth19901999200320082013192209215Northcentral199019992003200820131789999999999999917718318899999999999999

Total unmet need for FP

Northeast199019992003200820132091221810000000000000117600000000000001175Northwest1990199920032008201314224411120812Southeast199019992003200820132632091889999999999999918100000000000001125Southwest1990199920032008201323157172197154Southsouth19901999200320082013245259222Northcentral19901999200320082013163218187235

Total demand for FP

Northeast19901999200320082013229153223216207Northwest1990199920032008201315427616100000000000001235163Southeast1990199920032008201335299999999999997444414415418Southwest1990199920032008201338419499513535Southsouth19901999200320082013499522502Northcentral19901999200320082013341351317391

Percentage of FP demand satisfied

Northeast19901999200320082013880000000000000072019187152Northwest1990199920032008201379117308117262Southeast199019992003200820132545354356370Southwest199019992003200820133956256559999999999999461771099999999999994Southsouth19901999200320082013509503559Northcentral1990199920032008201352237941399

Nigeria laws

States 2008

States 2013

States 2013 (2)

State trends

FCT - Abuja2008201328252Benue20082013142165Kogi2008201396999999999999993105Kwara2008201324640200000000000003Nasarawa200820131218100000000000001Plateau20082013111152Adamawa200820132844000000000000004Taraba2008201358Abia20082013239334Anambra2008201334435Ebonyi2008201361157Enugu20082013211314Imo20082013227341Akawa Ibom2008201332700000000000003255Bayelsa20082013101133Cross River2008201320324Delta20082013266287Edo20082013316303Rivers20082013272345Ekiti20082013173345Lagos20082013496483Ogun2008201313926Ondo20082013212311Osun200820133838299999999999997Oyo20082013219374Niger200820134599999999999999666Bauchi200820132722000000000000002Borno200820136518Gombe20082013564Yobe200820131911000000000000001Jigawa200820130209Kaduna2008201396202Kano200820132299999999999999806Katsina200820130813Kebbi200820131913Sokoto200820132111000000000000001Zamfara20082013253

Facility Delivery

FCT - Abuja2008201354269099999999999994Benue20082013509509Kogi2008201377378900000000000006Kwara20082013488767Nasarawa20082013329401Plateau2008201330235799999999999997Adamawa20082013107334Taraba20082013211234Abia2008201374400000000000006728Anambra20082013878846Ebonyi2008201340700000000000003596Enugu20082013536855Imo20082013943909Akawa Ibom20082013369432Bayelsa2008201318399999999999999284Cross River20082013385404Delta20082013572576Edo20082013762747Rivers2008201347949Ekiti20082013752863Lagos2008201376900000000000006772Ogun20082013638747Ondo20082013469562Osun20082013851891Oyo2008201367099999999999994747Niger20082013159253Bauchi200820131316899999999999999Borno2008201311817Gombe20082013172276Yobe200820136176Jigawa200820134567Kaduna2008201318399999999999999324Kano20082013111129Katsina20082013429Kebbi200820134885Sokoto200820134400000000000000447Zamfara20082013655

Percentage receiving no antenatal care

FCT - Abuja200820138959Benue20082013305396Kogi2008201314254Kwara2008201333949000000000000004Nasarawa20082013232305Plateau20082013157339Adamawa2008201337799999999999997134Taraba2008201346337299999999999997Abia200820138300000000000000747Anambra200820130843Ebonyi200820132010000000000000171Enugu2008201310832Imo200820132509Akawa Ibom20082013126225Bayelsa20082013355517Cross River20082013159138Delta200820131917899999999999999Edo2008201354144Rivers2008201326620Ekiti20082013322999999999999998Lagos200820131812Ogun200820135422999999999999998Ondo20082013147146Osun200820130615Oyo20082013105106Niger2008201339200000000000003282Bauchi2008201349133200000000000003Borno20082013648587Gombe20082013405225Yobe2008201362565599999999999994Jigawa20082013787472Kaduna2008201336200000000000003442Kano20082013487354Katsina20082013828658Kebbi20082013847712Sokoto20082013853797Zamfara2008201385573599999999999994

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important
Current use of any contraception method (married women) Health facility delivery rate change contra rate change facility No Antenatal Care provider
State 2008 2013 2008 2013 2008 2013 rate of change
North Central FCT - Abuja 28 252 542 691 -28 149 89 59 -3
North Central Benue 142 165 509 509 23 0 305 396 91
North Central Kogi 97 105 773 789 08 16 142 54 -88
North Central Kwara 246 402 488 767 156 279 339 49 -29
North Central Nasarawa 12 181 329 401 61 72 232 305 73
North Central Plateau 111 152 302 358 41 56 157 339 182
North East Adamawa 28 44 107 334 16 227 378 134 -244
North East Taraba 5 8 211 234 3 23 463 373 -9
South East Abia 239 334 744 728 95 -16 83 47 -36
South East Anambra 344 35 878 846 06 -32 08 43 35
South East Ebonyi 61 157 407 596 96 189 201 71 -13
South East Enugu 211 314 536 855 103 319 108 32 -76
South East Imo 227 341 943 909 114 -34 25 09 -16
South South Akawa Ibom 327 255 369 432 -72 63 126 225 99
South South Bayelsa 101 133 184 284 32 10 355 517 162
South South Cross River 203 24 385 404 37 19 159 138 -21
South South Delta 266 287 572 576 21 04 19 179 -11
South South Edo 316 303 762 747 -13 -15 54 144 9
South South Rivers 272 345 479 49 73 11 266 20 -66
South West Ekiti 173 345 752 863 172 111 3 23 -07
South West Lagos 496 483 769 772 -13 03 18 12 -06
South West Ogun 139 26 638 747 121 109 54 23 -31
South West Ondo 212 311 469 562 99 93 147 146 -01
South West Osun 38 383 851 891 03 4 06 15 09
South West Oyo 219 374 671 747 155 76 5344 7448 average rate change states without 105 106 01
North Central Niger 46 66 159 253 2 94 392 282 -11
North East Bauchi 27 22 13 169 -05 39 491 332 -159
North East Borno 65 18 118 17 -47 52 648 587 -61
North East Gombe 56 4 172 276 -16 104 405 225 -18
North East Yobe 19 11 61 76 -08 15 625 656 31
North West Jigawa 02 09 45 67 07 22 787 472 -315
North West Kaduna 96 202 184 324 106 14 362 442 8
North West Kano 23 06 111 129 -17 18 487 354 -133
North West Katsina 08 13 42 9 05 48 828 658 -17
North West Kebbi 19 13 48 85 -06 37 847 712 -135
North West Sokoto 21 11 44 47 -1 03 853 797 -56
North West Zamfara 25 3 65 5 05 -15 02833333333 46416666667 average rate change states with 855 736 -119
00071049204 01702860614 00077553648
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 236 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 189 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 21 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 221 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 206 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 219 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 191 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 189 264 869 867 8 909 373 234 91 956 568 226 0
North Central Niger 616 6 61 198 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 177 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 204 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 181 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 189 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 177 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 194 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 182 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 173 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 179 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 174 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 176 432 841 809 3 831 736 5 451 969 39 447 1
00000007362 00000392724 00028858881 00005053265 00001462922 00108017923 00039047205 00009920058 00341461283 00007434824 00000263782 00230582487 04294511369 00000429505 04012033851
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 248 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 214 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 229 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 212 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 192 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 21 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 22 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 225 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 231 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 228 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 245 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 216 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 219 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 235 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 214 124 909 889 374 247 106 747 23 846 734 123 0
States wo (n=8) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 208 184
Education level (none) 310 671 lt00001
who participate in their own health care decisions 541 163 lt00001
Fertility
Total Fertility Rate 520 671 0003
of 15-19 yo who have begun childbearing 1738 3673 lt00001
Family PlanningSRH
Heard of any contraception method 8734 7388 001
Current use of any contraception method (married women) 1726 368 0001
Have NOT heard FP message on radio or TV 6414 7982 003
Knoweldge of HIVAIDS 8988 8906 043
Maternal Health
No Antenatal Care provider 2136 5211 lt00001
Health facility delivery 5104 1447 lt00001
No assistance during delivery 670 1838 002
2008 State Education level female (none) Education level female (primary) TFR of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife State wtraditional law
North Central FCT - Abuja 145 95 45 92 927 92 252 387 59 691 4 904 559 18 0
North Central Benue 257 94 52 225 964 96 165 745 396 509 6 997 285 57 0
North Central Kogi 257 118 42 178 775 77 105 606 54 789 04 88 617 187 0
North Central Kwara 266 123 51 59 947 946 402 205 49 767 1 925 803 62 0
North Central Nasarawa 413 94 54 154 844 836 181 79 305 401 129 825 507 454 0
North Central Plateau 356 102 54 131 824 82 152 826 339 358 135 806 637 317 0
North East Adamawa 355 87 58 287 837 837 44 663 134 334 67 897 349 28 0
North East Taraba 432 96 6 264 869 867 8 909 373 234 91 956 568 226 0
South East Abia 172 138 42 66 954 945 334 522 47 728 03 986 593 354 0
South East Anambra 101 122 42 27 971 966 35 716 43 846 0 996 759 211 0
South East Ebonyi 278 128 53 96 891 888 157 488 71 596 5 983 421 227 0
South East Enugu 231 145 48 94 994 992 314 581 32 855 05 995 637 265 0
South East Imo 134 123 48 114 997 989 341 487 09 909 05 989 766 273 0
South South Akawa Ibom 129 156 39 179 982 98 255 459 225 432 06 959 459 265 0
South South Bayelsa 104 139 45 167 996 996 133 42 517 284 01 90 316 251 0
South South Cross River 18 139 54 184 96 958 24 415 138 404 22 965 60 37 0
South South Delta 143 138 41 83 948 944 287 673 179 576 54 924 711 281 0
South South Edo 121 131 44 39 985 985 303 422 144 747 16 961 715 351 0
South South Rivers 10 137 38 139 998 996 345 71 20 49 03 936 779 161 0
South West Ekiti 152 115 43 53 989 989 345 26 23 863 05 994 72 34 0
South West Lagos 9 107 41 48 999 999 483 253 12 772 08 981 788 149 0
South West Ogun 241 212 54 10 991 991 26 354 23 747 02 971 79 234 0
South West Ondo 141 131 52 135 928 913 311 454 146 562 33 881 641 218 0
South West Osun 163 97 41 11 995 995 383 227 15 891 02 997 53 74 0
South West Oyo 249 119 45 124 909 889 374 247 106 747 23 846 734 123 0
North Central Niger 616 6 61 273 555 546 66 844 282 253 58 64 187 196 1
North East bauchi 623 73 81 481 668 666 22 768 332 169 212 872 29 416 1
North East Borno 69 47 47 288 643 575 18 802 587 17 24 804 25 401 1
North East Gombe 616 49 7 364 64 618 4 844 225 276 152 794 56 337 1
North East Yobe 853 12 66 251 805 742 11 873 656 76 02 971 7 345 1
North West Jigawa 713 64 76 517 751 709 09 859 472 67 231 935 133 202 1
North West Kaduna 403 92 41 332 982 937 202 589 442 324 156 958 541 151 1
North West Kano 542 83 68 232 82 798 06 627 354 129 39 997 14 11 1
North West Katsina 677 73 74 533 898 89 13 626 658 9 25 997 337 288 1
North West Kebbi 758 43 67 344 51 47 13 944 712 85 279 759 27 495 1
North West Sokoto 785 31 7 36 753 749 11 971 797 47 01 991 09 332 1
North West Zamfara 773 37 84 432 841 809 3 831 736 5 451 969 39 447 1
0 00000000031 00000001254 00000000003 00000003864 0000000045 00000000536 00000378873 00000000471 0000000004 0000011062 00509577936 00000000007 01036675858
4744 12196 93896 93484 26384 51276 14556 62128 3096 93816 61136 24468
67083333333 36725 738833333333 709083333333 3675 798166666667 521083333333 144666666667 183833333333 890583333333 16275 30175
States wo (n=25) States w (n=12) Sig (2-tailed)
Determinants of Health
Median age at first birth women aged 25-49 217 184
Education level (none) 208 671 lt00001
who participate in their own health care decisions 611 163 lt00001
Fertility
Total Fertility Rate 474 671 lt00001
of 15-19 yo who have begun childbearing 122 367 lt00001
Family PlanningSRH
Heard of any contraception method 939 739 lt00001
Current use of any contraception method (married women) 264 37 lt00001
Have NOT heard FP message on radio or TV 513 798 lt00001
Knoweldge of HIVAIDS 938 891 0102
Maternal Health
No Antenatal Care provider 146 521 lt00001
Health facility delivery 621 145 lt00001
No assistance during delivery 31 184 lt00001
2008 State Education level female (none) Education level female (primary) TFR Median age at first birth women aged 25-49 of 15-19 yo who have begun childbearing Heard of any method Heard of modern method Current use of any contraception method (married women) Have NOT heard FP message on radio or TV Partner knows about contraception use No Antenatal Care provider Health facility delivery No assistance during delivery Knoweldge of AIDS (women) who participate in their own health care decisions men who agree that a husband is justified in hitting his wife men agree that thre is no reason for wife to deny sex men believe they have the right to use force to have sex with wife State wtraditional law
North Central FCT - Abuja 177 10 4 228 66 887 885 28 662 861 89 542 4 883 493 42 18 21 0
North Central Benue 343 123 59 187 227 918 913 142 787 899 305 509 22 978 521 48 17 45 0
North Central Kogi 296 134 42 204 152 813 79 97 682 764 142 773 55 882 767 186 146 38 0
North Central Kwara 443 88 45 202 295 616 576 246 76 855 339 488 269 581 355 92 103 12 0
North Central Nasarawa 304 94 47 20 197 475 469 12 804 752 232 329 89 718 68 712 05 198 0
North Central Plateau 307 158 53 203 148 71 708 111 861 697 157 302 41 818 62 365 05 64 0
North East Adamawa 498 75 68 192 243 611 602 28 724 571 378 107 183 857 428 464 07 117 0
North East Taraba 489 68 59 194 215 794 792 5 899 796 463 211 111 923 344 291 26 8 0
South East Abia 16 138 44 244 134 963 96 239 342 911 83 744 22 989 515 387 18 57 0
South East Anambra 135 128 5 244 62 892 865 344 447 934 08 878 0 995 61 125 11 28 0
South East Ebonyi 345 137 56 21 82 607 599 61 642 849 201 407 144 916 493 642 49 14 0
South East Enugu 308 148 44 23 58 797 788 211 497 806 108 536 12 937 582 692 37 74 0
South East Imo 156 139 48 243 79 929 923 227 262 935 25 943 05 99 661 296 47 14 0
South South Akawa Ibom 122 193 4 22 151 966 947 327 338 826 126 369 06 983 636 288 43 45 0
South South Bayelsa 178 127 58 191 211 89 884 101 492 809 355 184 0 904 509 252 26 43 0
South South Cross River 183 155 54 198 181 779 77 203 506 827 159 385 36 952 679 538 17 54 0
South South Delta 144 171 45 218 82 859 818 266 718 858 19 572 33 896 781 405 0 23 0
South South Edo 159 161 53 218 29 876 872 316 395 792 54 762 23 851 67 321 08 19 0
South South Rivers 14 128 43 217 99 972 959 272 446 885 266 479 57 921 532 259 64 23 0
South West Ekiti 187 114 5 227 79 949 949 173 384 819 3 752 34 957 762 158 42 14 0
South West Lagos 97 111 4 243 53 988 979 496 176 877 18 769 2 98 689 214 76 05 0
South West Ogun 318 179 54 218 12 886 884 139 29 919 54 638 04 852 657 30 27 18 0
South West Ondo 236 112 49 221 77 924 912 212 345 837 147 469 6 842 744 94 5 29 0
South West Osun 33 159 4 224 5 966 961 38 183 873 06 851 18 953 653 325 07 1 0
South West Oyo 224 146 5 216 197 937 933 219 338 857 105 671 62 933 677 31 38 1 0
North Central Niger 683 44 75 193 414 263 259 46 796 -633 392 159 186 414 43 309 35 55 1
North East bauchi 722 66 81 175 51 70 672 27 811 758 491 13 343 891 165 32 18 178 1
North East Borno 798 46 71 179 48 547 54 65 864 837 648 118 8 838 273 623 83 348 1
North East Gombe 546 61 74 184 465 487 484 56 757 672 405 172 133 732 441 401 02 75 1
North East Yobe 77 36 75 177 417 312 285 19 821 699 625 61 173 521 57 546 11 507 1
North West Jigawa 76 73 71 186 45 431 423 02 819 50 787 45 294 968 137 143 104 33 1
North West Kaduna 419 92 63 19 316 839 829 96 747 634 362 184 64 97 481 151 67 33 1
North West Kano 595 104 81 179 422 47 466 23 617 68 487 111 579 942 62 57 13 27 1
North West Katsina 76 51 72 179 65 257 239 08 53 444 828 42 595 839 238 184 68 115 1
North West Kebbi 778 36 6 185 389 18 135 19 773 529 847 48 53 766 133 808 159 68 1
North West Sokoto 835 34 87 179 467 468 445 21 738 556 853 44 252 784 46 448 25 93 1
North West Zamfara 841 18 75 185 47 475 40 25 819 613 855 65 606 696 264 197 225 62 1
0 00000000073 0 00000001142 0 00000000141 0000000012 00000029067 00004726093 00001914403 00000000001 00000000504 00000004739 00046873618 0000000001 03898156073 00307981969 00034416604
Nigeria
Marriage amp Sexual Activity
Law criminalizing child marriage
Legal Age of Marriage 9-18 Depends on state and religion
Age of capacity to consent to sex Puberty-18 Depends on state and religion
Access to SRH services
Age of consent to aceess contraceptives No information available
Is spousal consent required to access any SRH services Not legally but many providers require it
Abortion legal Illegal except to save womans life
Gender-based violence (GBV)
Is there a law on GBV Yes Depends on state
Is marital rape criminalized No
Legal Framework
Is there implementing legislation for international law Yes
UN Conventions Ratified CEDAWCEDAW Optional Protocol
CRCCRC Optional Protocols
Customary amp religious law Yes
1990 1999 2003 2008 2013
Demographics
Taken from 1980 NDSS amp NFS census 1991 census 2006 Population 847 889 1404
Percet urban 23 363
Total fertility rate (per 1000) 63 59 57
Infant Mortality Rate (per 1000) 85 93 100
Life expectancy at birth 48 532 Any education 1990 1999 2003 2008 2013
Education level of female hh (none) Northeast 82 64 68 655 611 Northeast 18 36 32 345 389
Northwest 862 646 722 675 628 Northwest 138 354 278 325 372
Southeast 431 188 178 208 187 Southeast 569 812 822 792 813
Southwest 297 228 233 215 171 Southwest 703 772 767 785 829
Southsouth 206 149 13 Southsouth 794 851 87
Northcentral 41 409 393 38 Northcentral 59 591 607 62
Education level of female hh (primary) Northeast 48 144 171 159 167
Northwest 66 115 136 131 158
Southeast 246 445 251 232 22
Southwest 275 366 199 192 195
Southsouth na na 275 22 224
Northcentral na 315 272 238 233
Female by age amp education (none) 5-9 544 328 459 439 434
10-14 341 20 268 258 259
15-19 336 221 302 241 271
20-24 42 289 339 298 332
25-29 542 319 397 331 376
30-34 711 395 475 373 38
35-39 704 446 498 372 407
40-44 789 562 604 46 427
45-49 847 58 68 549 51
50-54 909 63 763 621 567
55-59 958 728 809 641 644
60-64 963 766 855 695 696
65+ 952 836 887 779 782
Female by Residence amp Education (none) Urban 363 254 319 22 215
Rural 652 433 534 489 535
Fertility
TRF Northeast 6532 679 7 72 63
Northwest 6645 645 67 73 67
Southeast 5573 464 41 48 47
Southwest 5461 45 41 45 46
Southsouth 46 47 43
Northcentral 71 449 57 54 53
TFR Urban 503 45 49 47 47
TFR Rural 633 544 61 63 62
Median age at first birth by region and age 25-49 Northeast 188 182 178 182 188
Northwest 195 186 178 183 179
Southeast 196 21 227 236 237
Southwest 205 211 221 227 227
Southsouth 198 214 218
Northcentral 198 197 20 206
Ages 15-19 started childbearing by 15 131 108 75 63 51
started childbearing by 16 208 94 139 13 134
started childbearing by 17 302 264 311 242 226
started childbearing by 18 393 305 342 357 372
started childbearing by 19 428 343 395 384 413
started childbearing Northeast 502 513 445 393 321
started childbearing Northwest 462 547 452 446 357
started childbearing Southeast 167 83 62 81 82
started childbearing Southwest 108 79 47 88 82
started childbearing Southsouth na na 143 119 123
started childbearing Northcentral na 176 164 222 188
Fertility Regulation
Know modern method Northeast 219 346 608 572 701
Northwest 277 391 718 431 784
Southeast 539 79 845 843 954
Southwest 714 837 965 944 957
Southsouth na na 933 882 975
Northcentral na 677 759 632 78
Know any method Northeast 24 354 635 586 732
Northwest 303 422 751 451 811
Southeast 566 816 871 855 959
Southwest 736 872 97 95 964
Southsouth 942 899 977
Northcentral 70 774 643 786
Current use of any contraception method (married women) Northeast 2 31 42 4 32
Northwest 12 32 49 28 43
Southeast 88 235 225 234 293
Southwest 15 262 327 317 38
Southsouth 254 262 281
Northcentral 178 133 13 156
Have NOT heard FP message on radio or TV Northeast 847 863 766 814 807
Northwest 801 744 604 693 734
Southeast 795 612 414 422 565
Southwest 545 38 301 257 289
Southsouth na na 447 486 552
Northcentral na 66 697 776 69
Both partners approve FP Northeast 39 157 18
Northwest 345 173 174
Southeast 438 43 507
Southwest 496 516 606
Southsouth na na 474
Northcentral na 45 406
Husban disapproves FP Northeast 109 52 114
Northwest 62 26 75
Southeast 124 97 91
Southwest 175 74 115
Southsouth na na 178
Northcentral na 69 11
Proximate determinants of fertility
Married by age 15-19 34 244 309 278 282
20-24 708 576 592 571 613
25-29 815 78 803 788 798
30-34 849 847 867 885 866
35-39 837 849 913 904 894
40-44 777 827 876 885 878
45-49 787 756 847 856 839
Never married by age 15-19 614 725 667 706 704
20-24 217 365 361 384 331
25-29 79 13 122 162 141
30-34 09 51 51 58 67
35-39 12 19 17 26 27
40-44 03 13 07 14 15
45-49 01 11 09 08 07
Median age at first marraige by region and age less than 50 of women in this group had births so could not calculate 20-49 Northeast 152 151 153 156 164
20-49 Northwest 154 147 148 153 154
20-49 Southeast 185
20-49 Southwest
20-49 Southsouth na na
20-49 Northcentral na 182 182 187 191
Northeast 152 15 15 156 163
Northwest 154 146 146 152 153
Southeast 183 202 218 228 227
Southwest 197 202 213 219 218
Southsouth 192 209 215
Northcentral 179 177 183 189
Fertility Preferences married women
Total unmet need for family planning by age 15-19 16 148 146 19 131
20-24 146 227 164 214 166
25-29 161 17 171 204 168
30-34 181 179 191 201 171
35-39 239 181 181 213 176
40-44 297 154 193 214 168
45-49 434 119 114 162 115
Total unmet need for FP by region Northeast 209 122 181 176 175
Northwest 142 244 111 208 12
Southeast 263 209 189 181 125
Southwest 23 157 172 197 154
Southsouth 245 259 222
Northcentral 163 218 187 235
Total demand for FP Northeast 229 153 223 216 207
Northwest 154 276 161 235 163
Southeast 353 444 414 415 418
Southwest 38 419 499 513 535
Southsouth 499 522 502
Northcentral 341 351 317 391
Percentage of demand staisfied Northeast 88 20 19 187 152
Northwest 79 117 308 117 262
Southeast 254 53 543 563 70
Southwest 395 625 656 617 711
Southsouth 509 503 559
Northcentral 522 379 41 399
Infant amp Child Mortality
Northeast Neonatal mortality 392 445 61 53 42
Postneonatal mortality 485 349 65 56 33
Infant mortality 877 794 125 109 77
Child mortality 1392 1041 154 126 90
Under-five mortality 2146 1752 260 222 160
Northwest Neonatal mortality 578 251 55 47 44
Postneonatal mortality 52 575 59 44 46
Infant mortality 1098 826 114 91 89
Child mortality 1512 1151 176 139 105
Under-five mortality 2444 1882 269 217 185
Southeast Neonatal mortality 386 373 34 51 37
Postneonatal mortality 441 371 32 44 45
Infant mortality 827 743 66 95 82
Child mortality 665 656 40 64 54
Under-five mortality 1437 135 103 153 131
Southwest Neonatal mortality 463 426 39 37 39
Postneonatal mortality 383 273 30 22 21
Infant mortality 846 699 69 59 61
Child mortality 903 339 47 32 31
Under-five mortality 1672 1015 113 89 90
Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 68 37 26 Northeast Neonatal mortality 392 445 61 53 42
Infant mortality 120 84 58 Northwest Neonatal mortality 578 251 55 47 44
Child mortality 63 58 35 Southeast Neonatal mortality 386 373 34 51 37
Under-five mortality 176 138 91 Southwest Neonatal mortality 463 426 39 37 39
Northcentral Neonatal mortality 238 53 41 35 Southsouth Neonatal mortality 53 48 32
Postneonatal mortality 269 49 37 31 Northeast Postneonatal mortality 485 349 65 56 33
Infant mortality 507 103 77 66 Northwest Postneonatal mortality 52 575 59 44 46
Child mortality 355 70 62 36 Southwest Postneonatal mortality 383 273 30 22 21
Under-five mortality 844 165 135 100 Southeast Postneonatal mortality 441 371 32 44 45
Maternal amp Child Health Southsouth Postneonatal mortality 68 37 26
No antenatal care provider Northeast 547 541 471 512 408 Northeast Infant mortality 877 794 125 109 77
Northwest 524 651 59 671 554 Northwest Infant mortality 1098 826 114 91 89
Southeast 196 77 08 74 42 Southeast Infant mortality 827 743 66 95 82
Southwest 77 35 23 57 57 Southwest Infant mortality 846 699 69 59 61
Southsouth 168 188 206 Southsouth Infant mortality 120 84 58
Northcentral 202 253 262 26 Northeast Under-five mortality 2146 1752 260 222 160
Health facility delivery Northeast 104 117 171 128 195 Northwest Under-five mortality 2444 1882 269 217 185
Northwest 97 64 104 84 115 Southeast Under-five mortality 1437 135 103 153 131
Southeast 463 549 841 739 781 Southwest Under-five mortality 1672 1015 113 89 90
Southwest 636 672 776 70 75 Southsouth Under-five mortality 176 138 91
Southsouth 532 481 501 Northeast Child mortality 1392 1041 154 126 90
Northcentral 443 454 41 457 Northwest Child mortality 1512 1151 176 139 105
No assistance during delivery Northeast 561 232 198 186 97 Southeast Child mortality 665 656 40 64 54
Northwest 635 255 305 438 278 Southwest Child mortality 903 339 47 32 31
Southeast 159 23 04 3 15 Southsouth Child mortality 63 58 35
Southwest 157 24 09 32 13
Southsouth 18 31 18
Northcentral 41 9 102 65
STDs FGM others na yes yes yes yes

THE ROLE OF EDUCATION

Living in a state with customary and religious laws and laws that impede access to sexual and reproductive health services affect education opportunities for women ndash an example

Child marriage Customary law allows marriage of girls between 12 and

15 years the minimum age of marriage can be as low as nine Under Islamic law age of marriage is defined as ldquoage of pubertyrdquo

Among married girls aged 15 to 19 62 have already given birth

Almost 1 out of 4 gave birth before age 15 Only 2 of 15 to 19-year-old married girls are in school

compared to 69 of unmarried girls

Source ReutersA Akinleye

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important

EDUCATION AS A MEDIATOR

1 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor or current contraception use amongst married women

(Pearson Correlation = -747) (Linear regression R2=56 F(1 35)=4423 plt00001 βSTATE=-2271 t=-665 plt00001)

2 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Pearson Correlation = 901) (Linear regression R2=81 F(1 35)=15083 plt00001 βEDUCATION=4624 t=1228 plt00001)

3 Living in a state with living with customary and religious laws and laws that impede access to sexual and reproductive health services is a significant predictor of education level

(Linear regression R2 = 72 F(2 34) = 4398 plt00001 βSTATE=274 t=43 p=067 βEDUCATION= -55 t=-445 plt00001)

Current contraception

use

Living in a state w

customary laws

Education Level (None)

a b

crsquo

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important

TO CONCLUDE WHY IS THE LAW IMPORTANT

Nigerian states with customary and religious laws and laws that impede access to sexual and reproductive health services have seen fewer if any improvements in womenrsquos health outcomes across the years

Education mediates the relationship between current contraception use amongst married women and living in a state with customary and religious laws

Progress in achieving development goals have been slow and uneven and wide regional differences exist

Customary religious and traditional laws tend to have particular impacts on women and girls and must be addressed

Domestic legal frameworks are largely inadequate in addressing sexual and reproductive health due to loopholes

Social norms and practices are shifting but others continue as part of deep-rooted value systems that subordinate women and girls

Integrated approaches must be developed with the support and knowledge of women and girls and must involve traditional cultural and religious leaders as well as men and boys

  • Association between Plural Legal Systems and Sexual and Reproductive Health Outcomes for Women and Girls in Northern Nigeria
  • Overview
  • Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) impact on Sexual amp reproductive health
  • Plural Legal Systems
  • Customary Religious and Traditional LawLegal pluralism permits religious traditional and customary law or practice to trump national legislation through two primary avenues
  • Nigeria Legal System
  • Nigeria Legal framework
  • NIGeRia Laws and policies
  • Legal systems amp geography
  • Data Sources
  • Regional Time trends (1990-2013)
  • Fertility
  • Family Planning
  • Maternal Health
  • State-level Time trends (2008-2013)
  • State-level Time trends (2008-2013)
  • Slide Number 17
  • Slide Number 18
  • The role of education
  • Education as a mediator
  • To Conclude Why is the law important