Dynamics of Child Health Services in Nigeria: A Review


  • Nnamdi Azikiwe University, Department of Clinical Pharmacy and Pharmacy Management, Faculty of Pharmaceutical Sciences, Awka, Nigeria
  • Enugu State University Teaching Hospital, Pharmacy Department, Enugu, Nigeria


Childcare has been identified as an integral aspect of integrated maternal and child health services and is aimed at child health promotion for childhood psychosocial and physical development. This study assessed the dynamics of child health services in Nigeria. This was in relation to Nigeria’s poor child health indices with the view to encouraging standard practices neglected over the years. It targets preventive health services to stem diseases and disability among children while promoting early diagnosis of diseases and prompt treatment. These services encompass the provision of childhood immunization, probing for and identification of handicapped children for early rehabilitation, child health education, and nutrition, promotion of environmental sanitation, and monitoring of developmental milestone through proper feeding. Other child health services include sickle cell prevention services, education of caregivers on the importance and use of oral rehydration therapy, and use of antimalarial treatment, and rehabilitation of already affected children. This is invaluable, especially in regions with developing countries where more than 50% of children die before their fifth birthday.


Childcare, Childhood, Healthcare, Immunization, Mortality, Nigeria, Nutrition, Policy

Subject Discipline


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Chan M. The contribution of immunization: saving millions of lives, and more. Public Health Rep. 2014; 129(3):7– 8.

Chan M. Beyond expectations: 40 years of EPI. Lancet. 2014; 383(9930):1697–98.

World Health Organization (WHO). United Nations Children’s Fund (UNICEF). Global immunization data. Geneva: WHO. 2016[cited 16 March 2016].Available from: http://www.who.int/immunization/monitoring_surveillance/ global_immunization_data.pdf?ua51.

Duclos P. National Immunization Technical Advisory Groups (NITAGs): guidance for their establishment and strengthening. Vaccine. 2010; 28(1):18–25.

World Health Organization (WHO). The Global Vaccine Action Plan 2011–2020. Geneva: WHO; 2013[cited 26 March 2016].Available from: http://www.who. int/immunization/global_vaccine_action_plan/GVAP_ doc_2011_2020/en/index.html.

Steinglass R. Routine immunization: an essential but wobbly platform.Glob Health SciPract. 2013; 1(3):295–301.

Gilson L. Trust and the development of health care as a social institution. SocSci Med.2003; 56(7):1453–68.

Cairns KL, Perry RT, Ryman TK, Nandy RK, Grais RF. Should outbreak response immunization be recommended for measles outbreaks in middle- and low-income countries? An update. J Infect Dis. 2011; 2041:35–46.

Barbiero VK. It’s not Ebola … it’s the systems. Global Health: Science and Practice. 2014; 2(4):374–5.

Decade of Vaccines (DoV) Collaboration Secretariat. Decade of Vaccines Collaboration [Internet]. Barcelona (Spain): DoV Collaboration; 2014[cited 26 March 2016]. Available from:http://www.dovcollaboration.org.

Bloom DE, Canning D, Weston M. The value of vaccination. World Econ. 2005; 6(3):15–39.

Levin A, Kaddar M. Role of the private sector in the provision of immunization services in low- and middle-income countries. Health Policy Plan. 2011; 26(1):4–12.

Duclos P, Dumolard L, Abeysinghe N, Adjagba A, Janusz CB, Mihigo R, et al. Progress in the establishment and strengthening of national immunization technical advisory groups: analysisfrom the 2013 WHO/UNICEF joint reporting form, data for 2012. Vaccine. 2013; 31(46):5314–20.

Steinglass R, Cherian T, Vandelaer J, Klemm RD, Sequeira J. Development, and use of the Lives Saved Tool (LiST): a model to estimate the impact of scaling up proven interventions on maternal, neonatal and child mortality. Int J Epidemiol. 2011;40(2):519–20.

Ozawa S, Stack ML, Bishai DM, Mirelman A, Friberg IK, Niessen L, et al. During the ‘decade of vaccines,’ the lives of 6.4 million children valued at $231 billion could be saved. Health Aff (Millwood). 2011; 30(6):1010–20.

Fields R. A stakeholder consultation on investment strategies for routine immunization in Africa. Arlington (VA): JSI Research and Training Institute; 2012[cited 02 April 2016]. Available from: http://arise.jsi.com/files/2012/11/ARISE_ StakeholderConsultation_final508.pdf 2011; 40(2):519–20.

UNICEF. Supplies and logistics: vaccine price data [Internet]. New York: United Nations Children’s Fund (UNICEF);2014 Aug 21[cited2016 March 18].Available from: http://www.unicef.org/supply/index_57476.html.

Zaffran M, Vandelaer J, Kristensen D, Melgaard B, Yadav P, Antwi-Agyei KO, et al. The imperative for stronger vaccine supply and logistics systems. Vaccine. 2013; 31(S2):73–80.

Rees CJ, Hossain F. Perspectives on decentralization and local governance in developing and transitional countries. Int J Public Adm. 2010; 33(12,13):581–7.

Hipgrave DB, Alderman KB, Anderson I, Soto EJ. Health sector priority setting at meso-level in lower and middle income countries: lessons learned, available options and suggested steps. SocSci Med. 2014; 102:190–200.

Maluka SO, Hurtig AK, Sebastián MS, Shayo E, Byskov J, Kamuzora P. Decentralization and health care prioritization process in Tanzania: from national rhetoric to local reality. Int J Health Plann Manage. 2011; 26(2):102–20.

McGlynn ES, Halfon N. Overview of issues in improving quality of health care for children. Health Services Research. 1988: 33:977–1000.

Hetch BK, ShielWC. Children’s health. Healthy kids Home Page:Children’s Health Centre [Internet]. 2006. Available from:Medicine Net.com.

Onuzulike NM. Health care delivery systems.2nd ed.Owerri: Megasoft publishers; 2005.

Margolis PA, Steven R, BordleyWC, Stuart J, Harlon C, Keyes EL, Stein L, Wisseh S. From concept to application: the impact of community intervention toimprove the delivery of preventive services to children. 2005.Available from:- Pubmedwww.pubmed

Moy R. Integrated management of childhood illness (IMCI). Journal of Tropical Paediatrics.1998; 44:190–1.

Campbell JO, Sow SO, Levine MM, Kotloff KL. The causes of hospital admission and death among children in Bamako, Mali. Journal of Tropical Paediatrics. 2004.

American Academy of Paediatrics.Periodic survey of fellows 46. EIKGroove Village: American Academy of Paediatrics. 2001.

American Academy of Pediatrics. Scope of health care benefits for newborns, infants, children, and young adults through age 21 years. Pediatrics, 2006; 100(6):1040–1.

Ashworth A, Khanum S. Fighting malnutrition from hospital to home. Child Health Dialogue. 1996; 1(2):6–7.

Baldo MH, Al-Mazrou YY, Aziz KMS, Farag MK, AL-Shehri SN.Coverage and quality of natal and postnatal care: Women’s perceptions, Saudi Arabia. Journal of Tropical Pedicatrics.1995; 41:30–7.

Barnes PM, Singh HD, Stephen AJH. A textbook of paediatrics in the tropics and subtropics.London: Macmillan Publishers; 1990.

Bethel C, Reuland CHP, Halfon N, Schor EL. Measuring the quality of preventive and developmental services for young children; National estimates and pattern of clinician’s performance. Pediatrics.2004; 113(6):1973–83.

Ertem M, CakmakA, Saka G, Ceylan A. Neonatal tetanus in the southeasternregion of Turkey. Changes in prognostic aspects by better health care.Oxford: Oxford University Press.Journal of Tropical Paediatrics. 2004; 50(5):297–300.

Emodi I. Towards reducing mother-to-child transmission of HIV. Nigerian Journal ofPaediatrics.2002; 29(3):55–60. 36. Imershein MK,PughMathis CA,McNeece,editors.Who cares for the children: a case study of policies and practice. New York: General Hall Inc.p. 166–98.

Lucas AO, Gilles HM. Short textbook of public health medicine

for the tropics. 4thEd. London: Book Power; 2003.

Schor EL. Rethinking well-child care. Paediatrics.2004; 114(1):210–6.

Simkiss D. Emergency paediatric care.Journal of Tropical Paediatrics.2005; 51(5):263–4.

Okolo SN, Adeleke OA, Chukwu GA, Egbuaba NH, Hassan A, Onwuanaku O.Immunization, and nutritional status survey of children in selected rural communities of Sokoto State. Nigerian Journal of Paediatrics.30(4);123–7.

Nwaneke LV, Eneh AU. Malaria Parasitemia in neonates in Port Harcourt, Nigeria. Journal of Tropical Paediatrics. 2004; 50(20):114–6.


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