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dc.contributor.authorAngell, Blake
dc.contributor.authorSanuade, Olutobi
dc.contributor.authorAdetifa, Ifedayo MO
dc.contributor.authorOkeke, Iruka N
dc.contributor.authorAdamu, Aishatu Lawal
dc.contributor.authorAliyu, Muktar H
dc.contributor.authorAmeh, Emmanuel A
dc.contributor.authorKyari, Fatima
dc.contributor.authorGadanya, Muktar A
dc.contributor.authorMabayoje, Diana A
dc.contributor.authorYinka-Ogunleye, Adesola
dc.contributor.authorOni, Tolu
dc.contributor.authorJalo, Rabiu Ibrahim
dc.contributor.authorTsiga-Ahmed, Fatimah I
dc.contributor.authorDalglish, Sarah L
dc.contributor.authorAbimbola, Seye
dc.contributor.authorColbourn, Tim
dc.contributor.authorOnwujekwe, Obinna
dc.contributor.authorOwoaje, Eme Theodora
dc.contributor.authorAliyu, Gambo
dc.contributor.authorAliyu, Sani H
dc.contributor.authorArchibong, Belinda
dc.contributor.authorEzeh, Alex
dc.contributor.authorIhekweazu, Chikwe
dc.contributor.authorIliyasu, Zubairu
dc.contributor.authorObaro, Stephen
dc.contributor.authorObadare, Ebenezer Babatunde
dc.contributor.authorOkonofua, Friday
dc.contributor.authorPate, Muhammed
dc.contributor.authorSalako, Babatunde L
dc.contributor.authorZanna, Fatima H
dc.contributor.authorGlenn, Scott
dc.contributor.authorWalker, Ally
dc.contributor.authorEzalarab, Maha
dc.contributor.authorNaghavi, Mohsen
dc.contributor.authorAbubakar, Ibrahim
dc.date.accessioned2022-03-26T00:30:32Z
dc.date.available2022-03-26T00:30:32Z
dc.date.issued2022-03-19
dc.identifier.issn0140-6736
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/335353
dc.description.abstractBACKGROUND: Population-level health and mortality data are crucial for evidence-informed policy but scarce in Nigeria. To fill this gap, we undertook a comprehensive assessment of the burden of disease in Nigeria and compared outcomes to other west African countries. METHODS: In this systematic analysis, using data and results of the Global Burden of Diseases, Injuries, and Risk Factors Study 2019, we analysed patterns of mortality, years of life lost (YLLs), years lived with disability (YLDs), life expectancy, healthy life expectancy (HALE), and health system coverage for Nigeria and 15 other west African countries by gender in 1998 and 2019. Estimates of all-age and age-standardised disability-adjusted life-years for 369 diseases and injuries and 87 risk factors are presented for Nigeria. Health expenditure per person and gross domestic product were extracted from the World Bank repository. FINDINGS: Between 1998 and 2019, life expectancy and HALE increased in Nigeria by 18% to 64·3 years (95% uncertainty interval [UI] 62·2-66·6), mortality reduced for all age groups for both male and female individuals, and health expenditure per person increased from the 11th to third highest in west Africa by 2018 (US$18·6 in 2001 to $83·75 in 2018). Nonetheless, relative outcomes remained poor; Nigeria ranked sixth in west Africa for age-standardised mortality, seventh for HALE, tenth for YLLs, 12th for health system coverage, and 14th for YLDs in 2019. Malaria (5176·3 YLLs per 100 000 people, 95% UI 2464·0-9591·1) and neonatal disorders (4818·8 YLLs per 100 000, 3865·9-6064·2) were the leading causes of YLLs in Nigeria in 2019. Nigeria had the fourth-highest under-five mortality rate for male individuals (2491·8 deaths per 100 000, 95% UI 1986·1-3140·1) and female individuals (2117·7 deaths per 100 000, 1756·7-2569·1), but among the lowest mortality for men older than 55 years. There was evidence of a growing non-communicable disease burden facing older Nigerians. INTERPRETATION: Health outcomes remain poor in Nigeria despite higher expenditure since 2001. Better outcomes in countries with equivalent or lower health expenditure suggest health system strengthening and targeted intervention to address unsafe water sources, poor sanitation, malnutrition, and exposure to air pollution could substantially improve population health. FUNDING: The Bill & Melinda Gates Foundation.
dc.publisherElsevier BV
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.titlePopulation health outcomes in Nigeria compared with other west African countries, 1998-2019: a systematic analysis for the Global Burden of Disease Study.
dc.typeArticle
dc.publisher.departmentMrc Epidemiology Unit
dc.date.updated2022-03-25T10:30:18Z
prism.endingPage1129
prism.issueIdentifier10330
prism.publicationDate2022
prism.publicationNameLancet
prism.startingPage1117
prism.volume399
dc.identifier.doi10.17863/CAM.82785
dcterms.dateAccepted2021-11-23
rioxxterms.versionofrecord10.1016/S0140-6736(21)02722-7
rioxxterms.versionVoR
dc.contributor.orcidOni, Tolu [0000-0003-4499-1910]
dc.identifier.eissn1474-547X
rioxxterms.typeJournal Article/Review
cam.depositDate2022-03-25
pubs.licence-identifierapollo-deposit-licence-2-1
pubs.licence-display-nameApollo Repository Deposit Licence Agreement


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International