Nigeria’s total fertility rate drops to 4.8 per woman in five years

The 2024 Nigeria Demographic and Health Survey (NDHS) Report said Nigeria’s Total Fertility Rate (TFR) has declined from 5.3 children per woman in 2018 to 4.8 in 2024, marking a major demographic shift over the past five years.

The Minister of State for Health and Social Welfare, Dr Iziaq Salako, disclosed this on Friday in Abuja at the launch of the report.

Salako said the decline reflects gradual gains in access to and use of family planning services nationwide.

He said;: Modern contraceptive use among currently married women increased modestly to 15 per cent in 2023 from 12 per cent in 2018, while satisfied demand for family planning rose to 37 percent”.

He noted that although the improvements were encouraging, they remained below the levels required to drive rapid social and economic progress.

According to him, antenatal coverage currently stands at 63 per cent, skilled birth attendance at 46 per cent, while postnatal coverage within two days after delivery rose from 38 per cent in 2018 to 42 per cent in 2024.

Salako said the under-five mortality rate had dropped significantly from 132 deaths per 1,000 live births in 2018 to 110 per 1,000 in 2024, while neonatal mortality remained nearly stagnant, moving from 39 to 41 per 1,000 live births within the same period.

“More efforts are required to reduce neonatal deaths, which account for about 40 to 45 per cent of under-five mortality,” he added.

The Minister said the findings highlight urgent gaps requiring coordinated responses, adding that the ministry had already begun translating them into policy reforms.

He said initiatives such as the Maternal and Maternal Mortality Reduction Initiative and the Nigerian Child Survivor Act (2023–2025) were designed to address context-specific challenges through coordinated interventions.

Salako added that the data would also guide sub-national governments to identify geographical areas requiring urgent intervention.

Chairman of the National Population Commission (NPC), Hon. Nasir Kwarra, said the NDHS remains a vital instrument for understanding population trends, child and maternal health, nutrition, malaria, HIV, and other development indicators.

Kwarra said the survey was implemented by the NPC with oversight from the Ministry of Health and Social Welfare and support from development partners.

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He added that the success of the exercise demonstrated the power of institutional collaboration and reaffirmed that “data is not merely a technical output but a public good that empowers evidence-based governance”.

World Bank Senior Health Specialist, Dr Ritgak Tilly-Gyado, said the data would support the Bank’s analytical work and policy modelling in key areas such as health, education and nutrition.