This factsheet examines the way in which child mortality is clustered in northern Nigeria. The World Bank regularly publishes reports showing the disproportionately high child mortality suffered amongst the poorest. However, even within this sub-group, it is common to find clustering or child morbidity and mortality, leaving some families bearing a disproportionate burden of ill-health. In the northern Nigerian context, this can be termed the ‘poor-poor divide’. The Partnership for Reviving Routine Immunization in Northern Nigeria – Maternal Newborn and Child Health programme (PRRINN-MNCH) examined relationship between lack of social support and its impact on health and use of services and designed a number of interventions to address these issues.
Key recommendations from the factsheet include:
- The training of community workers can be modified so that they have the mandate, skills, capacity and confidence to identify and address social exclusion.
- Community resources can be moblised to support the least-supported, even in context where social capital has been eroded.
- It is important to shift from a primary focus on ‘welfare’ to a broader concept of support which encompasses social, emotional and practical support.