The factors associated with under-five mortality in Ethiopia

Yemane, Getahun Dejene

doi:10.1016/j.amsu.2022.104063

Cited by 10 publications

(19 citation statements)

References 15 publications

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“…Compared to children born in a health institution, those born at home had a higher risk of dying before the age of five. This result agrees with the finding of the previous study [ 4 , 28 , 29 ]. This might be because babies born at home are more likely to have infections.…”

Section: Discussionsupporting

confidence: 94%

“…Using several literature reviews, region, education of mothers, wealth index of HH, marital status, sex of the child, place of delivery, types of birth, breastfeeding, and source of water and toilet facility [ 4 , 16 , 18 ].…”

Section: Methodsmentioning

confidence: 99%

“…Ethiopian research revealed that children in rural areas have a higher risk of passing away before turning five than children in metropolitan areas [ 4 ]. The location of residence significantly affected the risk of under-five mortality, according to a survival analysis of under-five mortality in Nigeria [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Determinant factors of under-five mortality in rural Ethiopia

Yemane¹

2022

Annals of Medicine &Amp; Surgery

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Section: Discussionsupporting

confidence: 94%

Section: Methodsmentioning

confidence: 99%

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Determinant factors of under-five mortality in rural Ethiopia

Yemane¹

2022

Annals of Medicine &Amp; Surgery

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“…Female children have a lower risk of under-five mortality than their male counterparts ( 3–10 ). Twins have a higher under-five mortality rate than singles ( 3 , 4 , 10 , 11 ). Other significant factors include a short inter-genital interval and low birth weight ( 7 , 9–11 ).…”

Section: Introductionmentioning

confidence: 96%

Effects of household access to water, sanitation, and hygiene services on under-five mortality in Sub-Saharan Africa

Gaffan

Kpozéhouen

Dégbey

et al. 2023

Front. Public Health

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IntroductionSub-Saharan Africa has the highest under-five mortality rate and is among the regions where people have the least access to adequate Water, Sanitation, and Hygiene (WASH) services. The work aimed to investigate the effects of WASH conditions faced by children on under-five mortality in Sub-Saharan Africa.MethodsWe carried out secondary analyses using the Demographic and Health Survey datasets of 30 countries in Sub-Saharan Africa. The study population consisted of children born within 5 years preceding the selected surveys. The dependent variable was the child’s status (1 = deceased versus 0 = alive) on the survey day. The individual WASH conditions in which children live were assessed in their immediate environment, i.e., at the level of their households of residence. The other explanatory variables were related to the child, mother, household, and environment. Following a description of the study variables, we identified the predictors of under-five mortality using a mixed logistic regression.ResultsThe analyses involved 303,985 children. Overall, 6.36% (95% CI = 6.24–6.49) of children died before their fifth birthday. The percentage of children living in households with access to individual basic WASH services was 58.15% (95% CI = 57.51–58.78), 28.18% (95% CI = 27.74–28.63), and 17.06% (95% CI = 16.71–17.41), respectively. Children living in households using unimproved water facilities (aOR = 1.10; 95% CI = 1.04–1.16) or surface water (aOR = 1.11; 95% CI = 1.03–1.20) were more likely to die before five than those coming from households with basic water facilities. The risk of under-five mortality was 11% higher for children living in households with limited sanitation facilities (aOR = 1.11; 95% CI = 1.04–1.18) than for those with basic sanitation services. We found no evidence to support a relationship between household access to hygiene services and under-five mortality.ConclusionInterventions to reduce under-five mortality should focus on strengthening access to basic water and sanitation services. Further studies are needed to investigate the contribution of access to basic hygiene services on under-five mortality.

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“…The death rate for children under-five (U5) is an indicator of the socioeconomic development and public health system effectiveness of a country [1][2][3]. Under-five mortality rate (U5MR) is expressed per 1000 live births [4,5]. Between 1990 and 2015, there was a decline globally in U5MR from 93 to 43 per 1000 live births [6].…”

Section: Introductionmentioning

confidence: 99%

Maternal demographic and socioeconomic correlates of child mortality in Papua New Guinea: Evidence from the integrated Health and Demographic Surveillance System

Emori,

Pham,

et al. 2023

Preprint

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Background Papua New Guinea (PNG) continues to struggle with high child U5MRs, with data from the PNG Census reporting 63.9 deaths per 1000 live births. Addressing high child U5MRs remains a health priority for PNG in line with the UN SDG3. This study aimed to examine the socio-demographic correlates associated with U5MR in PNG. Methods The 2015 Women of Reproductive Age (15-49 years) and Household Socio-Economic Status datasets from the PNG Institute of Medical Research (PNGIMR) integrated Health Demographic Surveillance System (iHDSS) were used to examine associations between surveillance site, maternal age, marital status and household wealth quintile and U5MR. The main outcome measure was under-5 mortality (death from between 0-59 months) determined by using data from women of reproductive age who had experienced under-five mortality in the lifetime. Sociodemographic factors were assessed using participant interviews. Chi-square and logistic regressions were used to test the strength of associations between factors and U5MR. Results A total of 5,899 women were included in the study. Factorssignificantly associated with U5MR were maternal age group and marital status. Children born to mothers aged 15-19 [OR: 10.91 (95% CI: 3.70-32.15)] and children born to mothers aged 20-24 [OR: 3.11 (95% CI: 1.65 -5.85)] had higher likelihood of experiencing U5MR compared to children who were born to mothers aged 40-49. Children born to single mothers [OR: 1.91 (95% CI: 1.19-3.05) were more likely to experience U5MR compared to children born to married mothers. Compared with the Hiri surveillance site, U5MR was lower in Asaro [OR: 0.54 (95% CI: 0.32-0.90)] and Hides [OR: 0.25 (95% CI: 0.11-0.59)] surveillance sites. No associations were found between the U5MR and household wealth quintile. Conclusions This study highlights the importance of re-evaluating existing maternal and child health intervention programs. Comprehensive approaches are needed to address associated maternal and household socio-economic factors to improve U5MR in PNG.

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The factors associated with under-five mortality in Ethiopia

Cited by 10 publications

References 15 publications

Determinant factors of under-five mortality in rural Ethiopia

Determinant factors of under-five mortality in rural Ethiopia

Effects of household access to water, sanitation, and hygiene services on under-five mortality in Sub-Saharan Africa

Maternal demographic and socioeconomic correlates of child mortality in Papua New Guinea: Evidence from the integrated Health and Demographic Surveillance System

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