title: State of the Nigerian child - neglect of child and adolescent mental health: a review.
abstract: BACKGROUND
  As most child health initiatives in Nigeria lack a child and adolescent mental health (CAMH) strategy, CAMH issues have remained obscure to the country's policy-makers. The lack of current and representative epidemiological data on the mental health of Nigerian children continues to be a barrier to advocacy for CAMH policy initiatives. In view of the importance of CAMH to national development, there must be a continued search for ways of bringing the state of CAMH in Nigeria to the attention of policy-makers.
  
  
  OBJECTIVE
  To use information from UNICEF's State of the World's Children as proxy data to speculate on the state of child mental health in Nigeria.
  
  
  METHODS
  With a view to discussing its CAMH implications, social and health indicators in the Nigerian child were extracted from UNICEF's 2012 edition.
  
  
  RESULTS
  Most of the social and health indicators assessed reflect significant mental health risks. Up to 65% of households live on less than US$1·25 per day, child malnutrition is evident in up to 40% of children, and the primary and secondary school net enrolment ratios are only 63% and 25%, respectively. In addition, the rate of attendance for antenatal care was 45%, and only 39% of deliveries were supervised by skilled birth attendants. Child labour and under-age marriage is very common. A literature review demonstrates that children living in these circumstances are at significant risk of mental health problems.
  
  
  CONCLUSIONS
  Current data on the state of Nigerian children contain indices that can serve as proxy information for the state of CAMH in the country. Policy-makers need to invest more in pre-emptive child health initiatives as a way of preserving the physical and mental health of children.
authors: O
authors: O
authors: Atilola
authors: O O
authors: OO
authors: Ayinde
authors: C T
authors: CT
authors: Emedoh
authors: O
authors: O
authors: Oladimeji
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006291:Health Policy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008603:Mental Health; D009549:Nigeria / Q000453:epidemiology; D055815:Young Adult
keywords: Child mental health policy,; Children,; Mental health risks,; Nigeria