The DHS Program - Quality information to plan, monitor and improve population, health, and nutrition programs
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Geospatial analysis of the impact of Cameroonian Anglophone Crisis conflict intensity on antenatal care utilisation

Abigail NgwangKerry LM WongAduragbemi Banke-Thomas
Communications Medicine
2026
2026/1/13
Vol.6 No.1 p.1090
Adequate antenatal care (ANC) is often unrealised in sub-Saharan Africa (SSA). This is exemplified in the Cameroonian Anglophone Crisis, an ongoing armed civil conflict. Conflict intensity varies nationally, causing differential impacts on healthcare access. This study aimed to quantify the impact o...
EpidemiologyHealth services
10.1038/S43856-026-01374-3
ISSN:2730-664X

The demographic and socioeconomic correlates of behavior and HIV infection status across sub-Saharan Africa

Patel Chirag J.Claypool Kajal T.Chow EricChung Ming-KeiMai Don7
Communications Medicine
2022
2022/8/18
Vol.2 No.1 p.1-11
Predisposition to become HIV positive (HIV + ) is influenced by a wide range of correlated economic, environmental, demographic, social, and behavioral factors. While evidence among a candidate handful have strong evidence, there is lack of a consensus among the vast array of variables measured in l...
EpidemiologyHIV infections
10.1038/S43856-022-00170-Z
ISSN:2730-664X

Effects of COVID-19 pandemic on low birth weight in a nationwide study in India

Santosh KumarClare HillTimothy J. Halliday
Communications Medicine
2024
2024/6/14
Vol.4 No.1 p.1-7
Among newborns, those born in India have the highest prevalence of low birth weight (LBW). The COVID-19 pandemic exacerbated the risk factors for LBW. This study examined whether birth outcomes deteriorated during the pandemic period compared to those during the pre-pandemic period. This cross-secti...
Preterm birthPublic health
10.1038/S43856-024-00545-4
ISSN:2730-664X

Associations between male child marriage and intimate partner violence across low- and middle-income countries

Shaoru ChenNing MaYuhao KongZekun ChenShang Lou20
Nature Health
2026
2026/7/13
00 p.1-11
Male child marriage (before age 18 years) remains prevalent in many low- and middle-income countries (LMICs), yet its consequences for men’s roles in intimate partner violence (IPV) are poorly understood. Using Demographic and Health Survey data from 41 low- and middle-income countries (LMICs), we s...
EpidemiologyHuman behaviourRisk factorsSociology
10.1038/S44360-026-00169-Z
ISSN:3005-0693

Quantifying the direct and indirect protection provided by insecticide treated bed nets against malaria

Unwin H. Juliette T.Sherrard-Smith EllieChurcher Thomas S.Ghani Azra C.
Nature Communications
2023
2023/2/8
Vol.14 No.1 p.1-12
Long lasting insecticidal nets (LLINs) provide both direct and indirect protection against malaria. As pyrethroid resistance evolves in mosquito vectors, it will be useful to understand how the specific benefits LLINs afford individuals and communities may be affected. Here we use modelling to show ...
Computational modelsEpidemiologyMalariaMathematics and computing
10.1038/S41467-023-36356-9
ISSN:2041-1723

Subnational survey data reveal persistent gaps in living standards across 75 low and middle-income countries

Roman HoffmannOmkar PatangeCaroline ZimmShonali PachauriCamille Belmin14
Nature Communications
2025
2025/6/11
Vol.16 No.1 p.1-11
Many households worldwide face substantial gaps in decent living standards (DLS), universal and essential material preconditions for achieving well-being and inclusive development. Here, we use subnational Demographic and Health Survey data from 75 low and middle-income countries (1990–2021) to expl...
Developing worldEconomicsEnergy and societyInterdisciplinary studiesSociology
10.1038/S41467-025-60195-5
ISSN:2041-1723

Rainfall variability and under-five child mortality in 59 low- and middle-income countries

Cheng HeYixiang ZhuYichen GuoMichelle L. BellVeronique Filippi8
Nature Water
2025
2025/8/11
00 p.1-9
Climate change is reshaping the Earth’s hydrological cycle. Such changes impact children’s health through multiple pathways. Here we show that, in 59 low- and middle-income countries, although sufficient annual rainfall decreases under-five child mortality, anomalies in seasonal rainfall could incre...
Environmental healthEnvironmental impact
10.1038/S44221-025-00478-9
ISSN:2731-6084

Temperature-related neonatal deaths attributable to climate change in 29 low- and middle-income countries

Asya DimitrovaAnna DimitrovaMatthias MengelAntonio GasparriniHermann Lotze-Campen6
Nature Communications
2024
2024/6/29
Vol.15 No.1 p.1-11
Exposure to high and low ambient temperatures increases the risk of neonatal mortality, but the contribution of climate change to temperature-related neonatal deaths is unknown. We use Demographic and Health Survey (DHS) data (n = 40,073) from 29 low- and middle-income countries to estimate the temp...
Ecological modellingEnvironmental healthEpidemiology
10.1038/S41467-024-49890-X
ISSN:2041-1723

The gendered effects of the COVID-19 pandemic on adolescent literacy and schooling outcomes in India

Arindam NandiNicole HaberlandMeredith KozakThoại D. Ngô
Npj Science Of Learning
2023
2023/9/22
Vol.8 No.1 p.1-12
The COVID-19 pandemic disrupted education delivery around the world, with school closures affecting over 1.6 billion students worldwide. In India, schools were closed for over 18 months, affecting 248 million students. This study estimates the effect of the pandemic on adolescent literacy and school...
EconomicsEducation
10.1038/S41539-023-00193-8
ISSN:2056-7936

The potential public health consequences of COVID-19 on malaria in Africa

Ellie Sherrard-SmithAlexandra B. HoganArran HamletOliver J. WatsonCharlie Whittaker29
Nature Medicine
2020
2020/8/7
Vol.26 No.9 p.1411-1416
The burden of malaria is heavily concentrated in sub-Saharan Africa (SSA) where cases and deaths associated with COVID-19 are rising1. In response, countries are implementing societal measures aimed at curtailing transmission of SARS-CoV-22,3. Despite these measures, the COVID-19 epidemic could stil...
Computational modelsMalariaPolicy
10.1038/S41591-020-1025-Y
ISSN:1078-8956

Flood exposure and pregnancy loss in 33 developing countries

Cheng HeYixiang ZhuLu ZhouJovine BachwenkiziAlexandra Schneider7
Nature Communications
2024
2024/1/2
Vol.15 No.1 p.1-10
Floods have affected billions worldwide. Yet, the indirect health impacts of floods on vulnerable groups, particularly women in the developing world, remain underexplored. Here, we evaluated the risk of pregnancy loss for women exposed to floods. We analyzed 90,465 individual pregnancy loss records ...
Environmental healthNatural hazardsRisk factors
10.1038/S41467-023-44508-0
ISSN:2041-1723

Investigating anaemia vulnerability: determinants and changes in prevalence among adolescent girls in aspirational districts of India

Subhojit LetMahashweta ChakrabartySeema Tiwari
Humanities And Social Sciences Communications
2025
2025/2/27
Vol.12 No.1 p.1-12
The World Health Organization identifies adolescent girls as particularly prone to anaemia due to reproductive changes, with challenges being more pronounced in India’s ‘Aspirational Districts’ (ADs), which suffer from poor education and health. The study examines the prevalence of anaemia among ado...
GeographyHealth humanitiesMedical humanities
10.1057/S41599-025-04573-W
ISSN:2662-9992

A multivariate decomposition analysis of drivers of overweight and obesity among Ghanaian women

Joseph Prince MensahRobert AkpariboAfua Atuobi-YeboahEmmanuel AnabaLaura Ann Gray8
Communications Medicine
2026
2026/1/15
Vol.6 No.1 p.1220
Overweight and obesity are rising globally, with Ghana experiencing significant increases among women over the past two decades, raising public health concerns. This study aimed to identify and quantify the key drivers of overweight and obesity among women of reproductive age in Ghana, analysing how...
EpidemiologyObesity
10.1038/S43856-026-01391-2
ISSN:2730-664X

Effect of girls’ education on cancer awareness and screening in a natural experiment in Lesotho

Janny LiaoRamaele MoshoeshoeMichelle D. HolmesS. V. SubramanianJan-Walter De Neve
Nature Communications
2025
2025/4/20
Vol.16 No.1 p.1-9
Breast and cervical cancers are important causes of disability and premature death among women in Sub-Saharan Africa. Previous research has linked girls’ education to cancer service access. Here, we examine the causal effect of girls’ educational attainment on cancer screening practices by means of ...
Breast cancerCancer screeningCervical cancerEducation
10.1038/S41467-025-58875-3
ISSN:2041-1723

Children supervising children across low- and middle-income countries: the role of mothers’ education

Mónica Ruiz-CasaresRuo Ying FengNegin ZamaniRené IwoMagdalena Janus7
Humanities And Social Sciences Communications
2025
2025/5/21
Vol.12 No.1 p.1-14
Around the world, many young children spend time supervising or being supervised by other children without adults. This can have both positive (e.g., strengthening sibling ties) and negative (e.g., hinder supervisor’s schooling) consequences for children, families, and communities. Population-based ...
Development studiesSocial policy
10.1057/S41599-025-05008-2
ISSN:2662-9992

Fertility transition powered by women’s access to electricity and modern cooking fuels

Belmin CamilleHoffmann RomanPichler Peter-PaulWeisz Helga
Nature Sustainability
2021
2021/12/13
00 p.1-9
Access to electricity and modern cooking fuels, especially for women, leads to time savings in the home, improved health and better access to information. These factors increase women’s well-being and enhance their ability to make reproductive choices, which is empirically expressed by falling birth...
Developing worldEnergy access
10.1038/S41893-021-00830-3
ISSN:2398-9629

Examining differentials in HIV transmission risk behaviour and its associated factors among men in Southern African countries

Phiri MillionLemba MusondaChomba ChrispinKanyamuna Vincent
Humanities And Social Sciences Communications
2022
2022/8/27
Vol.9 No.1 p.1-12
Sub-Saharan Africa (SSA), particularly Southern and East Africa, has the highest AIDS deaths and HIV-infected people in the world. Even though considerable effort has been made over the years to study HIV transmission risk behaviours of different population groups in SSA, there is little evidence of...
Social policySocial scienceSociology
10.1057/S41599-022-01312-3
ISSN:2662-9992

Patterns of maternal and child health services utilization and associated socioeconomic disparities in sub-Saharan Africa

Claire NajjuukoZiqi XuSamuel KizitoChenyang LuFred M. Ssewamala
Nature Communications
2025
2025/8/22
Vol.16 No.1 p.1-10
Under-five mortality remains a global health issue, especially in sub-Saharan Africa, where preventable conditions largely drive the high mortality rates. Understanding the heterogeneity in utilization of reproductive, maternal, newborn, and child health services is crucial for reducing under-five m...
Health servicesPopulation screening
10.1038/S41467-025-61350-8
ISSN:2041-1723

Associations between monthly temperature anomalies and mortality among children younger than five years in low- and middle-income countries

Pengfei LiJingyi WuTao XueTong Zhu
Communications Medicine
2025
2025/8/21
Vol.5 No.1 p.1-10
This study examined associations between anomalous temperatures and under-five mortality (U5M) in low- and middle-income countries (LMICs). Between 1998 and 2019, data were collected on 1,745,132 live births across 56 LMICs. The median age was 27.0 months (interquartile range: 12.0, 43.0), and 51.0%...
EpidemiologyPaediatric research
10.1038/S43856-025-01101-4
ISSN:2730-664X

Tree plantations and forest regrowth are linked to poverty reduction in Africa

Bowy den BraberCharlotte M. HallJeanine M. RhemtullaMatthew E. FaganLaura Vang Rasmusssen
Communications Earth & Environment
2024
2024/11/20
Vol.5 No.1 p.1-8
Numerous countries have adopted large-scale tree planting programs as a climate mitigation strategy and to improve local livelihoods. However, it remains poorly documented how the surge in tree plantations has altered local livelihoods. Here, we assess whether tropical tree plantation expansion and ...
Ecosystem servicesEnvironmental economics
10.1038/S43247-024-01845-2
ISSN:2662-4435

Relationship between adolescent anemia and school attendance observed during a nationally representative survey in India

Jan-Walter De NeveOmar KarlssonRajesh Kumar RaiSantosh KumarSebastian Vollmer
Communications Medicine
2024
2024/6/12
Vol.4 No.1 p.1-9
Anemia has been suggested to be related with schooling outcomes in India. Less is known, however, about whether the observed relationship persists after accounting for all household-level factors which may confound the association between anemia and schooling. Nationally representative data on adole...
AnaemiaEpidemiologyPaediatric research
10.1038/S43856-024-00533-8
ISSN:2730-664X

Increase in wild animal consumption across Central Africa

Mattia BessoneDaniel J. IngramKatharine AbernethySylvanus AbuaSophie Allebone-Webb46
Nature
2026
2026/4/29
00 p.1-7
While human activities are driving widespread declines in wildlife populations1,2, in Central Africa, the meat of wild animals, or wild meat, represents a major component of the diets of millions of people3. To halt faunal degradation while ensuring sustainable use of wildlife, it is crucial to unde...
Conservation biologyDeveloping worldSustainability
10.1038/S41586-026-10422-W
ISSN:0028-0836

A cross-sectional study of environmental quality and the timing of menarche and menopause in India using national survey and environmental monitoring datasets

Aparajita ChattopadhyaySourav BiswasKathrin Schilling
Communications Medicine
2026
2026/4/22
0
Reproductive timing, including age at menarche and menopause, reflects endocrine health and long-term disease risk. Environmental conditions such as air pollution, groundwater chemistry, and land use may influence reproductive timing, yet evidence from India remains limited. This study evaluates ass...
Endocrine reproductive disordersEpidemiologyPopulation screeningUrogenital reproductive disorders
10.1038/S43856-026-01575-W
ISSN:2730-664X

Subnational variations in the quality of household survey data in sub-Saharan Africa

Valentin SeidlerEdson C. UtaziAmelia B. FinaretSebastian LuckenederGregor Zens10
Nature Communications
2025
2025/4/22
Vol.16 No.1 p.1-12
Nationally representative household surveys collect geocoded data that are vital to tackling health and other development challenges in sub-Saharan Africa. Scholars and practitioners generally assume uniform data quality but subnational variation of errors in household data has never been investigat...
Developing worldGeographyInterdisciplinary studiesResearch data
10.1038/S41467-025-58776-5
ISSN:2041-1723

Nationwide surveys of awareness of tuberculosis in India uncover a gender gap in tuberculosis awareness

Ranganath Thimmanahalli SobagaiahNitu KumariDivya Bharathi GattamMohammed Shoyaib Khazi
Communications Medicine
2024
2024/8/23
Vol.4 No.1 p.1-14
Tuberculosis remains a major challenge in India, with an estimated 2.69 million cases each year. Although men are more affected than women, gender differences and related factors affect awareness of tuberculosis and thus impact tuberculosis diagnosis and access to treatment. Understanding the gender...
EpidemiologyTuberculosis
10.1038/S43856-024-00592-X
ISSN:2730-664X

A small area model to assess temporal trends and sub-national disparities in healthcare quality

Adrien AllorantNancy FullmanHannah H. LeslieMoussa SarrDaouda Gueye11
Nature Communications
2023
2023/7/28
Vol.14 No.1 p.1-13
Monitoring subnational healthcare quality is important for identifying and addressing geographic inequities. Yet, health facility surveys are rarely powered to support the generation of estimates at more local levels. With this study, we propose an analytical approach for estimating both temporal an...
EpidemiologyHealth servicesPublic health
10.1038/S41467-023-40234-9
ISSN:2041-1723

Self-supplied drinking water in low- and middle-income countries in the Asia-Pacific

Tim FosterCindy PriadiKrishna Kumar KotraMitsunori OdagiriEmily Christensen Rand6
Npj Clean Water
2021
2021/7/12
Vol.4 No.1 p.1-10
There is increasing awareness of household self-supply and the role it can play in securing water for domestic needs in low- and middle-income countries (LMICs), but its scale across the Asia-Pacific has not previously been quantified. This study analysed 77 datasets from 26 countries to estimate th...
Development studiesHydrologySustainability
10.1038/S41545-021-00121-6
ISSN:2059-7037

Maps and metrics of insecticide-treated net access, use, and nets-per-capita in Africa from 2000-2020

Amelia Bertozzi-VillaCaitlin A. BeverHannah KoenkerDaniel J. WeissCamilo Vargas-Ruiz24
Nature Communications
2021
2021/6/11
Vol.12 No.1 p.1-12
Insecticide-treated nets (ITNs) are one of the most widespread and impactful malaria interventions in Africa, yet a spatially-resolved time series of ITN coverage has never been published. Using data from multiple sources, we generate high-resolution maps of ITN access, use, and nets-per-capita annu...
Computational modelsEpidemiologyLifestyle modificationMalaria
10.1038/S41467-021-23707-7
ISSN:2041-1723

ENSO impacts child undernutrition in the global tropics

Anttila-Hughes Jesse K.Jina Amir S.McCord Gordon C.
Nature Communications
2021
2021/10/12
Vol.12 No.1 p.1-8
The El Niño Southern Oscillation (ENSO) is a principal component of global climate variability known to influence a host of social and economic outcomes, but its systematic effects on human health remain poorly understood. We estimate ENSO’s association with child nutrition at global scale by combin...
Climate-change adaptationDeveloping worldEnvironmental economicsEnvironmental impactInterdisciplinary studies
10.1038/S41467-021-26048-7
ISSN:2041-1723

Characterizing COVID-19 waves in urban and rural districts of India

Pandey BhartenduGu JianyuRamaswami Anu
Npj Urban Sustainability
2022
2022/10/28
Vol.2 No.1 p.1-9
Understanding spatial determinants, i.e., social, infrastructural, and environmental features of a place, which shape infectious disease is critically important for public health. We present an exploration of the spatial determinants of reported COVID-19 incidence across India’s 641 urban and rural ...
Environmental studiesGeography
10.1038/S42949-022-00071-Z
ISSN:2661-8001

Burden of infant mortality associated with flood in 37 African countries

Yixiang ZhuCheng HeJovine BachwenkiziZafar FatmiLu Zhou9
Nature Communications
2024
2024/11/23
Vol.15 No.1 p.1-9
Floods are becoming more frequent and severe in the context of climate change, with major impacts on human health. However, their effect on infant mortality remains unknown, particularly in low- and middle-income countries. We conducted a sibling-matched case-control study using individual-level dat...
Environmental healthNatural hazardsRisk factors
10.1038/S41467-024-54561-Y
ISSN:2041-1723

Association of parental characteristics with offspring anthropometric failure, anaemia and mortality in India

Rai Rajesh KumarSubramanian S. V.Vollmer Sebastian
Humanities And Social Sciences Communications
2022
2022/2/1
Vol.9 No.1 p.1-13
This study used a wide range of information on parental sociodemographic, physical and behavioural characteristics as well as on the presence of non-communicable diseases among parents and examined the association of these attributes with anthropometric failure, anaemia and mortality of their childr...
Health humanitiesSociology
10.1057/S41599-022-01054-2
ISSN:2662-9992

Estimated effect of vitamin A supplementation on anaemia and anthropometric failure of Indian children

Rai Rajesh Kumar
Pediatric Research
2022
2022/2/9
00 p.1-9
India has an unacceptably high burden of vitamin A deficiency (VAD) among children aged 6–59 months. To mitigate VAD and its adverse effects on child health, the Indian government runs a nationwide vitamin A supplementation (VAS) programme. However, the effect of VAS in reducing child morbidity and ...
Medicine/Public Health, generalPediatricsPediatric Surgery
10.1038/S41390-022-01969-1
ISSN:0031-3998

Maternal preconceptional and prenatal exposure to El Niño Southern Oscillation levels and child mortality: a multi-country study

Hongbing XuCastiel Chen ZhuangVanessa M. OddoEspoir Bwenge MalembakaXinghou He7
Nature Communications
2024
2024/7/17
Vol.15 No.1 p.1-15
El Niño Southern Oscillation (ENSO) has been shown to relate to the epidemiology of childhood infectious diseases, but evidence for whether they increase child deaths is limited. Here, we investigate the impact of mothers’ ENSO exposure during and prior to delivery on child mortality by constructing...
Developing worldEnvironmental healthRisk factors
10.1038/S41467-024-50467-X
ISSN:2041-1723

Associations between long-term drought and diarrhea among children under five in low- and middle-income countries

Wang PinAsare ErnestPitzer Virginia E.Dubrow RobertChen Kai
Nature Communications
2022
2022/6/30
Vol.13 No.1 p.1-10
Climate change is projected to intensify drought conditions, which may increase the risk of diarrheal diseases in children. We constructed log-binomial generalized linear mixed models to examine the association between diarrhea risk, ascertained from global-scale nationally representative Demographi...
Climate-change impactsDiarrhoeaEnvironmental impact
10.1038/S41467-022-31291-7
ISSN:2041-1723