When do I register my child? * Within sixty (60) days of birth

Transcription

1 Why do I need to register my child? * To secure my child s identity, nationality and name * For easy access to health care and good education * To help in national planning * To obtain a job in the public sector 2. When do I register my child? * Within sixty (60) days of birth 3. What is late registration? * Registration should be done within sixty days of birth Late registration attracts a fine. For now, there is a waiver for children aged 0-18 years. This waiver will expire in July 2009 Where do I register my child, death and stillbirth? * National Population Commission Registration centres. * National Population Commission s Offices at the Local Government Headquarters. * National Population Commission s Desks in Hospital/Health Centres * Other designated places DE S REGI ST ATH RA TI & ON ND FAITH PEACE AND PROGRE PROGRAMM E YA UNIT SS NA TI ON AL N TIO NA 4. NAL BIR TH S 1. O SI IS POP MM ULATION CO NATIONAL POPULATION COMMISSION

2 REPORT OF LIVEBIRTHS, DEATHS & STILLBIRTHS IN NIGERIA ( ) NATIONAL POPULATION COMMISSION, ABUJA NOVEMBER, 2008.

3 2 P age Table of Content

4 3 P age

5 ACKNOWLEDGEMENT This publication is an important landmark in our responsibility of making available on a regular basis, vital statistics to meet the needs of end-users for planning purposes, research and development. The National Population Commission over the years found it difficult to process and publish on a regular basis vital statistics of the country. The constraints are attributable to exigencies of the census, inadequate budgetary allocations and logistics for timely capture and processing of the registered events. Our indebtedness goes to the Chairman and the 37 Federal Commissioners for the bold policy initiative and support that enabled the accomplishment of this task. The policy directives and guidelines gave the necessary impetus for proper coordination and execution of this project. We also acknowledge with thanks the support from the United Nations Children s Fund (UNICEF) that enabled the complete processing of the backlog of vital registration forms from 1994 to It is the expectation of the Commission that other stakeholders will make proper use of the data in their activities. It is our ardent hope too that such a publication would be made on a continuous and timely basis. Mr J D Zubema Director Vital Registration Department. 4 P age

6 FORWARD The publication of this report marks an important milestone in the history of vital registration in Nigeria. It is for the first time a more comprehensive vital statistics report is published for the country. Although the registration of live births, deaths, and stillbirths in Nigeria dates back to 1893, the establishment of a universal and compulsory registration system nationwide has a recent beginning. The promulgation of Decree (now Act) No. 39 0f 1979 empowered the National Population Commission to establish a nationwide machinery for the continuous registration of births, deaths etc for the country. Decree (now Act) No. 69 of 1992 made it compulsory and more elaborate the registration principles and requirements as well as modalities for implementation. Indeed, the systematic delineation of registration centres was programmed into phases and actual registration of vital events began as part of experimental phase 1 in The gradual expansion to ensure easy registration of events as they occur in all nooks and crannies of the country met a lot of challenges over the years. There was, in addition to the budgetary constraints, the serious preoccupation with the conduct of the national census in 1991 and These invariably affected the expansion strategies and also the ability to process and publish the field data already collected. This resulted in the accumulation of a huge backlog of unprocessed forms and also the non-publication of statistical report over the years. This report therefore is a cumulative statistical data for the years In fact, the support from the United Nations Children s Fund (UNICEF) ensured the clearance of the backlog of the unprocessed data and thus paving way for the timely processing and publication of data in future. It may be observed from the report that data collected for the year 1994 is so scanty. This was a teething period when necessary infrastructure was beginning to be developed, field functionaries trained for the task and logistics arrangement put in place. This was also the period when the vital registration exercise expanded its operations to at least a centre in all the local government areas of the federation. Also of special note has been the poor public response at reporting the occurrence of deaths and stillbirths. This general apathy towards registering those events is indicative of the poor data collected. There has however been steady improvement since 2007 with sustained publicity and advocacy beginning with the launch of a National Birth Registration Campaign (NBRC) by His Excellency, Vice President Goodluck Jonathan, on behalf of the President in July, This was replicated in all the 36 states and the Federal Capital Territory (FCT) Abuja by the respective state Governors. It is expected that public response will significantly improve in 2008 and beyond. 5 P age

7 It is also hoped that the task of vital registration will be seen as a collaborative undertaking by all stakeholders who will participate actively in generating the required vital statistics for planning purposes. Chief Samui la Danko Makama, CON (Ubandoman Pyem) Chairman National Population Commission 6 P age

8 MESSAGE FROM UNICEF Birth registration is the official recording of the birth of a child by a state administrative process. It is the permanent and official record of a child s existence and is fundamental to the realization of children s rights and practical needs. Securing children s rights to a nationality will allow them to get a passport, open a bank account, vote and find employment. It helps ensure access to basic services, including immunization, health care and school enrolment at the right age. At present it is estimated that millions of Nigerian children are not being registered at birth, meaning that these children are being denied the right to a name and nationality, a situation that may also lead to barriers in accessing other rights including health care and education. International and regional standards and national legislation are already in place to ensure governments commitments to the birth registration of all children and to invest in the care, education and protection of the child from harm and exploitation. These includes the United Nations Convention on the Rights of the Child, the 2002 General Assembly Resolution on A World Fit For Children the Millennium Development Goals; the African Union Charter on the Rights and Welfare of the Child and the Child s Rights Act In achieving the goals and the provisions set in these standards and resolutions, it is necessary for government to have accurate and comprehensive data on birth registration. Birth registration therefore is not only a fundamental right itself, but also the key to ensuring the fulfillment of additional rights for children. The value of birth registration as a fundamental human right is often overlooked due to the continuing lack of awareness that registration is a critical measure to secure the recognition of any person before the law; to safeguard his or her rights does not go unnoticed. UNICEF Nigeria, is therefore committed to sustaining the collaborative initiatives that have resulted in this publication and will continue in the promotion of effective mobilization of all role players, with a view to scale up a collective response to birth registration and improve the current coverage, until all children born in Nigeria have their births registered. UNICEF is further set to ensure that birth registration is integrated into national policies and development plans. Dr. Robert Limlim Deputy Representative UNICEF, Nigeria 7 P age

9 1.1 INTRODUCTION The first attempt at collecting data on births in Nigeria started in 1863 with the promulgation of the Ordinance No. 21 at the Lagos Colony though actual registration of these events started in The success spurred the government to expand the programme to villages bordering the colony including Warri in 1903 and Calabar in A more comprehensive legislation on the registration of vital events throughout the country was introduced in The Births, Deaths and Burial Ordinance of 1948 consolidated the provisions of the 1917 Ordinance even though application was restricted mainly to the townships. Thus, in various parts of the country one form of registration or another of births and deaths had been going on throughout the colonial period and beyond. There was no uniformity of operations nor complete coverage and objectives of registration was narrowed to the colonial needs for tax assessment and security imperatives. The first conscious effort to have a universal system of registration of births and deaths in Nigeria was in This was when the Federal Government, in search of an alternative source of demographic data, promulgated the Births and Deaths Compulsory Registration Decree (Now Act) 39 of The decree came into effect on the 1 st of September 1979 and provided for the establishment of a uniform system of vital registration nationwide. This was followed by the Births, Deaths, ETC (Compulsory) Registration Decree (Now Act) No. 69 of 1992 which came into effect from 1st December The law gave the sole authority to register these events nationwide to the National Population Commission. The provisions were further reinforced by section 24 of the Third schedule of the 1999 Constitution of the Federal Republic. 8 P age

10 1.2 HIERARCHICAL STRUCTURE OF THE NATIONAL REGISTRATION SYSTEM The Act No. 69 of 1992 provides at the apex of the registration hierarchy, the office of the Registrar-General who shall exercise the powers and perform the duties conferred on him pursuant to the Act. The Registrar General may issue such general directions regarding registration of births and deaths as may be necessary for the efficient implementation of the Act and shall take steps to co-ordinate and unify the activities of all registration officials involved in the implementation of the Act. There shall also be a Chief Registrar in every state and the FCT who shall be subject to the Registrar-General and be responsible for overseeing the activities relating to the registration of births and deaths within the State or the Federal Capital Territory, Abuja to which he is appointed. There shall also be appointed for each Local Government Area within a State or each Area Council in the Federal Capital Territory Abuja, a Deputy Chief Registrar. The Deputy Chief Registrar shall be subject to the general direction of the Registrar-General and the Chief Registrar and be responsible for the implementation of the Act within the Local Government Area or Area Council to which he is appointed. The law also provides for the appointment of registrars as the NPC may consider necessary for the enforcement of the provisions of the Act. In summary, the Act establishing the Vital Registration Programme makes provision for the posts of Registrar-General (Chairman, NPC ), Chief Registrars (State Directors), Deputy Chief Registrar (Comptrollers of LGA) and Registrars.. 9 P age

11 The organogram below shows the current disposition of the registration Hierarchy as contained in the enabling Act: REGISTRAR GENERAL CHAIRMAN CHIEF REGISTRARS 37 STATE DIRECTOR ABIA STATE DIRECTOR ADAMAWA STATE DIRECTOR BAYELSA STATE DIRECTOR FCT DEPUTY CHIEF REGISTRARS LGA REGISTRARS 2773 REGISTRATION CENTRE P age

12 1.3 BIRTH REGISTRATION COVERAGE. A QWICK survey conducted by National Bureau of Statistics (NBS) puts the registration coverage at 30.2% in This hitherto has been the only assessment of the national birth registration in the country. The 30.2% coverage in the survey refers to all births registered by any agency of government, hospitals (government or private), religious organization, etc. The NPC has taken steps to increase birth registration coverage in Nigeria with the development of a strategy document that covers the period The document has set coverage targets of 60% by the year 2010 and 100% by Included in the work-plan are steps to gradually reduce the population size of catchment areas from 60,000 to 40,000 by 2008 and to 30,000 by This will increase the number of functional registration centres from 3560 in 2008 to 4665 in There is also a plan for a concerted and sustained programme of advocacy, public education and enlightenment on vital registration. This is expected to be a collaborative undertaking involving all critical stakeholders such as the media, traditional and religious leaders, NGOs, CBOs, line Ministries and the general public. The collaborative undertaking with stakeholders will be extended to other critical areas such as capacity building of field functionaries, logistics and ICT support with the active support of UNICEF, our most dependable development partner in birth registration. As a result of increased level of awareness generated from the symbolic launching of the national birth registration exercise on the 24 th July 2007, states have continued to show commitment and support. These efforts would be effectively coordinated to ensure the attainment of the objectives stipulated in the work-plan. It could be inferred from this exercise that, given the yearly projected births in the country and using the 1991 census figures for the projection, birth registration coverage was 35% as at However, this presupposes that all the births registered were for children below age 1 (at birth). Indeed, this hardly true as waivers were granted for late registration and the response is high. Be that as it may, the processed data gives the following birth registration coverage. 11 P age

13 Table 1.3 Estimated birth registration coverage by year: S/N YEAR EXPECTED BIRTH REGISTERED BIRTH CHILDREN NOT REGISTERED %COVERAGE %NOT COVERED ,436, ,590 3,500, ,532, ,222 3,553, ,629, ,694, ,729, ,043 3,747, ,831, ,929 4,144, ,935, ,137 4,256, ,049, ,472 4,122, ,166,388 1,807,025 3,359, Figure 1 12 P age

14 1.4 REGISTRATION METHODOLOGY THE REGISTRATION INSTRUMENTS The Birth Registration form (B1) all information about births is captured using this form. It covers information on the characteristics of the child, the mother, the father and the informant. Either of the parents of the child or any person with the necessary information {informant} could give information about the birth to the registrar. The Death Registration Form (D1) all information about deaths is recorded on this form. These information include, age at death, cause of death, place of death and place of usual residence. Information about the informant is also recorded. The Stillbirth Registration Form (SB1) Information about the still birth is recorded in this form. This covers information about the deceased and the mother. The Birth Certificate (B2) This is the certificate issued after the registration of birth. It contains the name of the child, date and place of birth, name of the mother and that of father amongst other information. The Death Certificate D (2) This is the certificate issued after the registration of the deaths. It contains information on the personal characteristics of the deceased, cause and place of death and information about the informant amongst other things. Birth, Death and Stillbirth Registers (B3, D3 and SB2) These are permanent records kept by the registrar of events registered. Each event (births, deaths and stillbirths) have separate registers and kept primarily for future references. 13 P age

15 1.4.2 DATA COLLECTION AND PROCESSING Data for vital statistics is collected through the registration instruments mentioned above. Registration of these events is carried out by a registrar attached to a registration centre which is usually located at Hospitals/Health centres, Local Government Secretariats and National Population Commission offices. The registrars are expected to carry out the registration using both the active and passive methods. They are given motorcycles and encouraged to liaise with community and religious leaders to ensure good coverage. At the moment there are 2773 functional registration centres with a minimum of three in each of the 774 Local Government Areas of the federation. All completed forms at the various registration centres are to be retrieved by the Deputy Chief Registrar (DCR) at the end of every month for onward transmission to the state office. All field returns for the states are part processed at the state offices before sending them to the Headquarters. The present publication was centrally processed at the Headquarters but arrangements have been put in place to process all vital registration records at the NPC Data Processing Centres (DPC) located in 7 different locations of the country beginning with data from the 208 registration exercise. The processing of the field returns began with manual collation, coding and editing. The data entry was carried out by selected data entry operators using vital Rek Software specifically designed for capturing vital registration records. The final tabulations saw the generated relevant statistical tables at national, state and geo-political zonal levels which could be useful for development planning. 1.5 DATA TABULATION AND ANALYSIS The number of live births, deaths and stillbirths registered is low given the projections and expected number of events to be registered during the period. The exigencies of census taking, resource constraints, and inadequate number of registration centres, inadequate publicity and cultural impediments could largely account for the poor response. However, the registration exercise has shown interesting potential outcomes which will assist in making informed decisions by Governments at all levels, researchers and end-users of population data. 14 P age

16 In summary, the result shows that for the period , 9,936,221 births, 177,667 deaths and 4,838 stillbirths were registered by the National Population Commission. Detailed analysis for each event is given below: TOTAL REGISTERED LIVEBIRTHS The registered live births by year of registration: Table 1 of appendix 1 shows the distribution of the live births registered during the period by state while Table below shows the percentage distribution of the live births registered for each state during the period. The general trend shows lower levels of registration recorded in all states at the beginning and steadily rising until 2004 when it showed a decline due to the Enumeration Area Demarcation (EAD) exercises preparatory to the 2006 Population and Housing census. There has been a marked increase in 2007 following the renewed vigour with which NPC is focused on vital registration program. Thus, birth registration increased from low level of 0.01% in 1994 to 23.93% in Table and figure 2 gives a vivid picture of the level of registration by state. Table Percent distribution of the registered live births by year, and states in Nigeria: S/ N STATE YEAR OF REGISTRATION Total 1 ABIA ABUJA- FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA BENUE BORNO P age

17 S/ N STATE YEAR OF REGISTRATION Total 10 CROSS RIVERS DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAW A NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total P age

18 Figure 2 Table percent distribution of the registered live birth per state in respect of the year of registration S/N STATE YEAR OF REGISTRATION ABIA ABUJA-FCT ADAMAWA AKWA IBOM 5 ANAMBRA BAUCHI BAYELSA BENUE BORNO CROSS RIVERS 11 DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA P age

19 S/N STATE YEAR OF REGISTRATION 19 KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAW A 27 NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA TOTAL SOUTH EAST GEO POLITICAL ZONE: Figure 3 18 P age

20 Figure 4 Figure 5 19 P age

21 Figure 6 Figure 7 20 P age

22 SOUTH SOUTH GEO POLITICAL ZONE Figure 8 Figure 9 21 P age

23 Figure 10 Figure P age

24 Figure 12 Figure P age

25 NORTH EAST GEO POLITICAL ZONE: Figure 14 Figure P age

26 Figure 16 Figure P age

27 Figure 18 Figure P age

28 NORTH CENTRAL GEO POLITICAL ZONE Figure 20 Figure P age

29 Figure 22 Figure P age

30 Figure 24 Figure P age

31 Figure 26 SOUTH WEST GEO POLITICAL ZONE Figure P age

32 Figure 28 Figure P age

33 Figure 30 Figure P age

34 Figure 32 NORTH WEST GEO POLITICAL ZONE: Figure P age

35 Figure 34 Figure P age

36 Figure 36 Figure P age

37 Figure 38 Figure P age

38 1.5.3 The registered live births by age group of mother Table 2 of appendix (1) gives the total distribution of the registered live births by age group of mother in Nigeria. Table below shows the percentage of the registered live births per state in accordance with the age group of mother. The highest of 32.91% live births was recorded for mothers at the age group of and the lowest percentage of 0.13 was recorded for mothers age group This is expected as more births occur to mothers in the age group where marriages are delayed and least in the 50+ category. This trend is the same for most of the states except for the ones in the northern part of the country (Bauchi, Benue, Borno, Gombe, Jigawa, Kaduna, Kano, Katsina, Kebbi and Sokoto) where live births recorded for mothers at the age group of show higher percentages of over 30%. These states have are known for teenage marriage of their daughters. Table Percent distribution of the registered live births by age group of mother and states in Nigeria: S/N STATE AGE GROUP OF MOTHER Total BELOW ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA BENUE BORNO CROSS RIVERS DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA P age

39 S/N STATE AGE GROUP OF MOTHER Total BELOW LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total Figure 3 38 P age

40 1.5.4 The registered livebirths by birth order Table 3 in appendix 1 gives the distribution of the registered livebirths by birth order by states. However, Table below shows the toperceny disdibution of llive births registered by birth order of the mother and by state. At the national level, the highest percentage of 30.1 live births was recorded for birth order 1 (first birth). The percentage decreases as the birth order increases, reaching the lowest percentage of 0.48% for birth order 10+. The same trend is observed in respect to all the states. Table Percent distribution of the registered live births by birth order S/N STATE LIVEBIRTH ORDER Total ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA BENUE BORNO CROSS RIVERS DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total P age

41 Figure The registered livebirths by level of education of father Table 7 of appendix 1, gives the absolute distribution of the registered livebirths by level of education of father, by state and national levels while table below shows the percentage distribution of national and state aggregates of the registered livebirths by the level of education of father. The national aggregate shows that the highest percentage of 34.51% of live births registered were for fathers in the secondary/teacher training category with the least record of 1.40% in the category of middle/modern school. This pattern is the same in respect of all the states except Jigawa, Kano, Katsina, Kebbi, Sokoto,Yobe and Zamfara States where fathers under the category of Quranic education have higher percentages. Table Percent distribution of the registered livebirths by level of Education of father and states in Nigeria ( ) S/ N STATE NO EDUCATION QURANIC PRIMARY MIDDLE/ MODERN LEVEL OF EDUCATION OF FATHER SEC./TEACHER TRAINING HIGHER SCH./ ADV. G.C.E POLYTECH/ NCE UNIVERSITY Total 1 ABIA ABUJA-FCT ADAMAWA P age

42 S/ N STATE NO EDUCATION QURANIC PRIMARY MIDDLE/ MODERN LEVEL OF EDUCATION OF FATHER SEC./TEACHER TRAINING HIGHER SCH./ ADV. G.C.E POLYTECH/ NCE UNIVERSITY Total 4 AKWA IBOM ANAMBRA BAUCHI BAYELSA BENUE BORNO CROSS RIVERS DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA TOTAL P age

43 Figure The registered livebirths by level of education of mother Table 8 of appendix 1 gives the absolute distribution of the total number of livebirths registered over the period by level of education of the mother, by state and national level while ttable below shows the percentage distribution of registered livebirths by level of education of the mother over the same period. The national aggregates show that the highest percentage of of livebirths registered were for mothers in the secondary/teacher training education category and the lowest (1.39%) for mothers with higher school/advance/ GCE category. The trend is not dissimilar in the various states except in states such as Taraba, Niger, Yobe, Nassarawa, Kwara, Ebonyi, Borno, Benue and Adamawa where livebirths registered to mothers in the category of No education recorded over 20%. Table Percent distribution of the registered livebirths by level of education of mother and states in Nigeria ( ) S/ N STATE NO EDUCATION QURANIC PRIMARY MIDDLE/ MODERN LEVEL OF EDUCATION OF MOTHER SEC./TEACH ER TRAINING HIGHER SCH./ ADV. G.C.E POLYTECH/ NCE UNIVERSITY TOTAL 1 ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI P age

44 S/ N STATE NO EDUCATION QURANIC PRIMARY MIDDLE/ MODERN LEVEL OF EDUCATION OF MOTHER SEC./TEACH ER TRAINING HIGHER SCH./ ADV. G.C.E POLYTECH/ NCE UNIVERSITY TOTAL 7 BAYELSA BENUE BORNO CROSS RIVERS DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total P age

45 Figure The registered live births by sector Table 4, appendix 1, gives the total distribution of number of live births registered by sector, states and national levels between the period while table shows the percentage distribution of live births by sector (urban/rural).the National total shows that for more than two-thirds of live births, registration took place in the urban sector(70.04 %) while 29.96% of the births were registered in the rural sector. The same trend obtains in all the states. This might be due to the concentration of health facilities and registration offices in the urban sector amplified by low level of awareness on the part of the rural populace. Table Percent distribution of the registered live birth by sector and state (Urban/Rural) in Nigeria: STATE SECTOR TOTAL URBAN RURAL ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA Figure 7 44 P age

46 STATE SECTOR TOTAL URBAN RURAL BENUE BORNO CROSS RIVERS DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total The registered live births by sex Table 5, appendix 1, gives the distribution of the total number of live births registered for the period by sex, states and national level while table shows national and statewide percentage distribution of live births registered by sex. Of the total live births registered during the period, 53.67% were males and 46.33% were females. The proportion in the states is about the same. 45 P age

47 Table Percent distribution of the registered live birth by sex and state in Nigeria ( ) SN STATE SEX Total FEMALE MALE 1. ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA BENUE BORNO CROSS RIVERS DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total Figure P age

48 1.5.9 The Registered live births by place of occurrence Table 6, appendix 1, gives the total number of live births registered during the period while table below shows the percentage distribution by place of occurrence. At the national level, 63.34% of the births took place in hospital/maternity homes while as low as 1.51% of the live births registered took place in the traditional doctor s place. However, in states like Jigawa, Kano, Katsina, Kebbi, Sokoto and Zamfara, over 70% of the live births took place at home. This is an indication of the absence of health facilities or lack of access to health facilities by pregnant mothers. Table Percent distribution of the registered live births by place of occurrence ( ) S/N STATE LIVEBIRTH PLACE OF OCCURENCE Total HOSPITAL/ MATERNITY HOME AT HOME TRADITIONAL DOCTS PLACE OTHERS 1 ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA BENUE BORNO CROSS RIVERS DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO P age

49 S/N STATE LIVEBIRTH PLACE OF OCCURENCE Total HOSPITAL/ MATERNITY HOME AT HOME TRADITIONAL DOCTS PLACE OTHERS 32 PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total Figure P age

50 Table 9, appendix 1 gives the absolute figures registered from indicating each state contribution as regards to number of children registered and at what age they were registered, while table shows the percent contribution of the 36 states and FCT.The cumulative contribution in relation to the four age group distributions, below 1year 37.58% children were registered which is the highest and 10+ group the least registered births of 14.45% Table Percent distribution of the registered live births by age at registration ( ) S/N STATE AGE AT REGISTRATION Total Below ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA BENUE BORNO CROSS RIVERS DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total P age

51 Figure TOTAL DEATHS REGISTERED Table 1, appendix 3, gives the distribution of total deaths registered for the period by states and national levels. While table below shows the percentage distribution for the deaths registered during the period Generally, deaths registration is very low perhaps due to public apathy towards the reporting of this event and the low level awareness of importance of registering the event. Thus, registration was as low as 0.01% in 1994 only rising to 13.49% in the year With the present focus creating awareness on the importance of reporting such events through advocacy and intense and sustained media campaign, the level of coverage of vital registration may improve significantly. in the succeeding years. Table Percent distribution of the registered death by year and state in Nigeria: S/N STATE YEAR OF REGISTRATION OF DEATH TOTAL ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA BENUE BORNO CROSS RIVERS P age

52 S/N STATE YEAR OF REGISTRATION OF DEATH TOTAL DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total Figure P age

53 1.6.2 The Registered infant deaths Table 1, appendix 3, gives the distribution of the registered infant deaths by state and national levels for the period while the table below shows the percentage distribution of registered infant mortality during the same period. Of the total number of infant deaths registered, 62% were infants aged 29 days to 12months from birth. Out of this percent were females and percent were males. Generally, the high percentage mortality at this age bracket is the same for all the states. Table Percent distribution of the registered infant death by age and state in Nigeria ( ) S/N STATE WITHIN 7DAYS 7-28 DAYS 29 DAYS - 12MONTHS FEMALE MALE FEMALE MALE FEMALE MALE TOTAL 1 ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA BENUE BORNO CROSS RIVERS DELTA EBONYI EDO ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA h KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS P age

54 S/N STATE WITHIN 7DAYS 7-28 DAYS 29 DAYS - 12MONTHS FEMALE MALE FEMALE MALE FEMALE MALE TOTAL 33 SOKOTO TARABA YOBE ZAMFARA Grand Total Figure The registered death by age at death Table 2, appendix 3 is the total distribution of registered deaths by age at death nationally and for the states. Table below shows national and state by state percent distribution of all deaths registered by age. The national aggregates shows that deaths registered for age group accounted for the highest percentage of and deaths for age group less than one accounted for 1.36%. Table Percent distribution of the registered death by age at death ( ) S/N STATE AGE GROUP AT REGISTRATION OF DEATH TOTAL LESS THAN 1yr ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA P age

55 S/N STATE AGE GROUP AT REGISTRATION OF DEATH TOTAL LESS THAN 1yr BENUE BORNO CROSS RIVERS DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total P age

56 Figure The registered death by place of occurrence Table 4, appendix 3 gives the distribution of the total registered death by place of occurrence. Table below shows national and state by state percent distribution of registered deaths by place of occurrence for the period National aggregates show that deaths that occurred in the hospital and maternity home accounted for percent and deaths at traditional Doctor s place accounted for 0.88 percent traditional doctors place. Table Percent distribution of the registered deaths by place of occurrence ( ) PLACE OF OCCURRENCE OF DEATH S/N STATE TOTAL HOSPITAL/ MATERNITY HOME AT HOME TRADITIONAL DOCTORS PLACE OTHERS 1 ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA BENUE P age

57 PLACE OF OCCURRENCE OF DEATH S/N STATE TOTAL HOSPITAL/ MATERNITY HOME AT HOME TRADITIONAL DOCTORS PLACE OTHERS 9 BORNO CROSS RIVERS DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total P age

58 Figure The registered deaths by sector-urban & rural Table 5, appendix 3 gives the total registered deaths by sector. Table the data shows the percentage distribution of total deaths registered by sector. The high percentage of deaths registered was in the urban while 30.2 deaths were registered in the rural sector. This demographic trend is the same in all the states. Table Percent distribution of the registered death by sector (Urban & rural) and state in Nigeria ( ) S/N STATE SECTOR TOTAL URBAN RURAL 1 ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI BAYELSA BENUE BORNO CROSS RIVERS DELTA Figure P age

59 S/N STATE SECTOR TOTAL URBAN RURAL 12 EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total The registered death by sex Table 6 appendixes 3 gives the state and national aggregate distribution of the total registered deaths by sex.table shows percentage distribution of deaths registered by sex. National totals show a high percentage of for male and 36.66% for females. This national demographic trend is not dissimilar with that of the states which might be due to high vulnerability of males to high risk situations then females. Table Percent distribution of the registered death by sex ( ) S/N STATE SEX TOTAL FEMALE MALE 1 ABIA ABUJA-FCT ADAMAWA AKWA IBOM ANAMBRA BAUCHI P age

60 S/N STATE SEX TOTAL FEMALE MALE 7 BAYELSA BENUE BORNO CROSS RIVERS DELTA EBONYI EDO EKITI ENUGU GOMBE IMO JIGAWA KADUNA KANO KATSINA KEBBI KOGI KWARA LAGOS NASARAWA NIGER OGUN ONDO OSUN OYO PLATEAU RIVERS SOKOTO TARABA YOBE ZAMFARA Total Figure The registered death by cause of death ( ) Table 8 appendix 2 on page 65 gives the distribution of the total registered deaths by cause of death nationally and according to states. Table shows percentage totals for deaths registered by cause of deaths. This shows highest percentage of 25 recorded for fever and the least percentage of 0.62 recorded for disorders of the urinary track. 59 P age