Manuelkreate/maternal-health-pipeline

A production-grade data pipeline analysing maternal and neonatal health outcomes across Nigeria's 37 states — built to answer five research questions using DHS survey data, ACLED conflict records, and World Bank health expenditure indicators. # Nigeria Maternal & Newborn Health Pipeline A production-grade data pipeline analysing maternal and neonatal health outcomes across Nigeria's 37 states — built to answer five research questions using DHS survey data, ACLED conflict records, and World Bank health expenditure indicators. --- ## Why This Project Exists Nigeria has the third highest maternal mortality rate in the world. Health policy is implemented at the state level, but the data infrastructure to support state-level decision-making has largely not existed in an accessible, analysable form. This project builds that infrastructure — from raw data ingestion to an analytical dashboard — and uses it to surface findings that complicate some common assumptions about what actually drives neonatal mortality. --- ## Dashboard *Page 1: National overview — neonatal mortality rate, facility delivery coverage, and ANC attendance across Nigeria's 37 states.* *Page 2: ANC attendance vs. place of delivery — predicting neonatal survival.* *Page 3: Wealth as a lens on neonatal mortality across geopolitical zones.* *Page 4: Conflict intensity, birth order, and ANC attendance trends.* *Page 5: The gap between ANC attendance and skilled delivery by state and zone.* --- ## What It Found - **ANC attendance predicts neonatal survival more strongly than place of delivery.** Facility NMR exceeds home delivery NMR across all ANC categories — consistent with emergency referral bias, not facility failure. - **Wealth improves outcomes within every region, but geography sets the ceiling.** A wealthy woman in the North-West faces worse odds than a poor woman in the South-East. - **Conflict does not straightforwardly suppress ANC attendance.** Borno and Yobe — the highest-conflict states — both improved ANC attendance between 2018 and 2024. - **Most states show a gap between ANC attendance and skilled delivery.** Women are entering the care pathway but …