Frequentist and Bayesian Regression Approaches for Determining Risk Factors of Child Mortality in Ghana

Iddrisu, Abdul-Karim; Tawiah, Kassim; Bukari, Francis Kwame; Kumi, Williams

doi:10.1155/2020/8168479

Cited by 7 publications

(11 citation statements)

References 35 publications

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“…This study also revealed that children from mothers having secondary school and above educational background had a fewer risk of death than those from uneducated ones. This is in agreement with previous studies conducted in Gilgel-Gibe Field Research Center of Southwest Ethiopia, 27 the whole Ethiopia, 16 , 23 , 28 Ghana, 21 , 24 , 29 and countries of Sub-Saharan Africa. 30 …”

Section: Discussionsupporting

confidence: 93%

Survival Time Discrepancy among Under-Five-Year Children of Rural Parts of Ethiopia

Adulo

Getachew

2022

J Res Health Sci

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Background: Ethiopia is ranked as the fifth of heavy under-five death burdened countries with the highest burden in its rural areas. This study aimed to identify the determinants of under-five deaths in rural parts of Ethiopia. Study Design: A population-based cross-sectional study. Methods: The data for this study was extracted from the 2016 Ethiopian Demographic and Health Survey. Descriptive analysis, non-parametric estimation, and Cox proportional hazards regression model were used to examine the determinants of under-five mortality. Results: A total of 7301 under-five eligible children from rural areas were involved in this survey, and 6.5% of the cases were passed away before reaching their fifth birthday. Male children’s death accounted for 59.7% of the death rate in the participants. An estimated median survival time was 31 months [95% CI: 30-32]. About 83% of children’s death occurred among children delivered at home. Cox proportional hazard regression model revealed that gender, delivery-place, family-size, mother’s education, number of children, contraceptive use, and source of drinking water had significant effects on survival time of underfive children. Under-five mortality was significantly fewer in female children (HR = 0.728; 95% CI: 0.606- 0.875, P = 0.001), children delivered at health facilities (HR = 0.738; 95% CI: 0.572-0.951, P = 0.019), and those from secondary and above educated mothers (HR = 0.464; 95% CI: 0.301-0.714, P = 0.001), compared to the reference category. Conclusion: Significant risk factors were associated with under-five mortality in rural areas. Delivering in health facilities, uses of contraceptives, mother’s education, and improvement of infrastructures should be areas of concern to decrease under-five children’s deaths.

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Section: Discussionsupporting

confidence: 93%

Survival Time Discrepancy among Under-Five-Year Children of Rural Parts of Ethiopia

Adulo

Getachew

2022

J Res Health Sci

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“…A child born to adolescent mothers exhibits fragile health outcomes and leads to a higher risk of under-five death [43]. Different studies [19,32,33] have shown that younger age (generally below 20 years) of mother at childbirth revealed significantly higher odds of under-five mortality with reference to middle age (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) of childbearing; however, there is no particular common age to segregate. Another prime dominant factor of childhood mortality is the place of residence.…”

Section: Discussionmentioning

confidence: 99%

“…As shown in Figure 2, 22 eligible studies (listed in Table 1) were selected for systematic review from four different regions, namely, Africa, South-East Asia, Eastern Mediterranean, and Western Pacific. Out of 22 studies, 18 studies were conducted in 11 countries in the Africa region (Burkina Faso [19][20][21]: 3, Ethiopia [22][23][24]: 3, Nigeria [25][26][27]: 3, Ghana [28,29]: 2, Lesotho [30]: 1, sub-Saharan (combine study of five-country; Chad, Democratic Republic (DR) of Congo, Mali, Niger, and Zimbabwe) [31]: 1, Zambia [32]: 1, Kenya [33]: 1, DR Congo [34]: 1, Sierra Leone [35]: 1, and Tanzania [36]: 1). One study included was conducted in Nepal [37] and another one in Bangladesh [38] from South-East Asian region.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

A Systematic Review of Factors Associated with Under-Five Child Mortality

Bhusal

Khanal

2022

BioMed Research International

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Background. Preventing the life of the newborn and reducing the entrenched disparity of childhood mortality across different levels is one of the crucial public health problems, especially in underdeveloped and developing countries in the world. Sustainable development goals (SDGs)-3.2 is aimed at terminating all preventable under-five child mortality and shrinking it to 25 per 1000 live births or lower than this by 2030. Several factors have been shown to be linked with childhood mortality. Objective. This review is aimed at pointing out the significant determinants related to under-five child mortality by a systematic review of the literature. Methods. EMBASE, PubMed, Scopus database, and Google Scholar search engine were used for the systematic search of the literature. Special keywords and Boolean operators were used to point out the relevant studies for the review. Original research articles and peer-reviewed papers published in the English language till August 10, 2022, were included in the analysis and synthesis of the results. As per the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines, out of 299 studies identified from different sources, only 22 articles were ascertained for this study. Eligible articles were appraised in detail, and relevant information was extracted and then integrated into the systematic review. Results. Mother’s education, size of child at birth, age of mother at childbirth, place of residence, birth interval, sex of child, type of birth (single or multiple), and birth order, along with other socioeconomic, maternal, child, health facility utilization, and community level variables, were observed as important covariates of under-five mortality. Conclusion. Women’s education and easy access to quality healthcare facilities should be the apex priority to lessen childhood mortality.

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“…The Bayesian methods have also been proved to be better than classical methods in analyzing the utilization of ANC in Ethiopia [ 28 ]. The said Bayesian methods have also provided efficient results for analyzing the important determinants of maternal health care in Ghana [ 29 ], India [ 30 ], Nigeria [ 31 ], and Ethiopia [ 25 , 32 ]. However, to the best of our knowledge, the Bayes methods have not yet been used to analyze the utilization of MHS in the country.…”

Section: Introductionmentioning

confidence: 99%

Bayesian Analysis of Trends in Utilization of Maternal Healthcare Services in Pakistan during 2006-2018

Feroze

Ziad

Fayyaz

et al. 2021

Computational and Mathematical Methods in Medicine

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Objectives. This study is aimed at investigating the time trends and disparities in access to maternal healthcare in Pakistan using Bayesian models. Study Design. A longitudinal study from 2006 to 2018. Methods. The detailed analysis is based on the data from Pakistan Demographic and Health Survey (PDHS) conducted during 2006-2018. We have proposed Bayesian logistic regression models (BLRM) to investigate the trends of maternal healthcare in the country. Based on different goodness-of-fit criteria, the performance of proposed models has also been compared with repeatedly used classical logistic regression models (CLRM). Results. The results from the analysis suggested that BLRM perform better than CLRM. The access to antenatal healthcare increased from 61% to 86% during years 2006-18. The utilization of medication also improved from 44% in 2006 to 60% in 2018. Despite the improvements from 2006 to 2018, every three out of ten women were not protected against neonatal tetanus, neither delivered in the health facility place nor availed with the skilled health provider at the time of delivery during 2018. Similarly, two-fifth mothers did not received any skilled postnatal checkup within two days after delivery. Additionally, the likelihood of MHS provided to mothers is in favor of mothers with lower ages, lower birth orders, urban residences, higher education, higher wealth quintiles, and residents of Sindh and Punjab. Conclusions. The gaps in utilization of MHS in different socioeconomic groups of the society have not decreased significantly during 2006-2018. Any future maternal health initiative in the country should focus to reduce the observed disparities among different socioeconomic sectors of the society.

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Frequentist and Bayesian Regression Approaches for Determining Risk Factors of Child Mortality in Ghana

Cited by 7 publications

References 35 publications

Survival Time Discrepancy among Under-Five-Year Children of Rural Parts of Ethiopia

Survival Time Discrepancy among Under-Five-Year Children of Rural Parts of Ethiopia

A Systematic Review of Factors Associated with Under-Five Child Mortality

Bayesian Analysis of Trends in Utilization of Maternal Healthcare Services in Pakistan during 2006-2018

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