Under-five mortality and associated factors in southeastern Ethiopia

Abstract

Background In the year 2019, around 5 million children under age five died and most of the deaths happened in developing countries. Though large numbers of deaths are reported in such countries, limited availability of data poses a substantial challenge on generating reliable estimates. Hence, this study aims to assess the prevalence and factors associated with under-five mortality in southeastern Ethiopia. Methods A register based cross sectional study was conducted from 1st September 2014 to July 2019 in Asella teaching and referral hospital. A total of 4901 under-five age children registered on the admission and discharge book of pediatric ward with complete information were included for the analysis. Data entry and analysis were conducted using Epidata Version 7 and SPSS version 21, respectively. Descriptive statistics were used to explore the characteristics of the study participants and their condition at discharge. Adjusted Odds Ratio (AOR) with its 95% Confidence interval and P-value less than 5% was used to decide the statistically significant association. Results The prevalence of under-five mortality among admitted children in Asella Teaching and Referral hospital was 8.7% (95% CI 7.91–9.50%). Post-Neonatal and Child mortality were found to be 9.1% and 8.18%, respectively. Moreover, large numbers of death (45.2%) were seen within the first 2 days of admission. Address (AOR:1.4(1.08–1.81)), HIV status (AOR:4.64 (2.19–9.8)), severe acute malnutrition (AOR:2.82 (2.03–3.91)), hypovolemic shock (AOR:4.32 (2.31–8.1)), type I diabetes with DKA (AOR:3.53(1.34–9.29) and length of stay in the hospital for ≤2 days (AOR: 4.28 (3.09–5.95)) as well as 3–4 days (AOR: 1.48 (1.02–2.15)) were among the identified predictors. Conclusions Though childhood mortality is swiftly decreasing, and access and utilization of health care is improving in Ethiopia, our study found large prevalence of under-five mortality, 8.7% and higher number of deaths in early days of admission. Improving the quality of service has a paramount importance in reducing the mortality and managing associated factors contributing to under-five mortality among admitted children.

WITHDRAWN: The Determinants of Maternal Health Care Service Utilization in Sheka Zone South West Ethiopia.

“…This could be because women are more aware of the need of attending tness center shipping because they were probably informed at the ANC session. A similar end outcome has been reported in other studies [12]. The usage of ANC is one of the most powerful determinants for utilizing professional shipping attendants during shipping and PNC offers after shipping, according to the end outcome.…”

The factors associated with under-five mortality in Ethiopia

“…The global under-5 mortality rate decreased by 59%, from 93 deaths per 1000 live births in 1990 to 39 in 2018. At the same time, mortality amongst children aged five to fourteen years dropped by 53%, from 15 to 7 fatalities per thousand children [ 2 ]. Despite recent progress, over five million children under the age of five died in 2019 [ 3 ].…”

Clinical epidemiology of COVID-19 among hospitalized children in rural western Kenya

“…Importantly, five of the eight deaths observed were among children with severe wasting. Children with COVID-19 appear to have similar mortality risk to children with other common medical conditions resulting in hospital admission in sub-Saharan Africa [32,33]. Evidence from high-income countries suggests that COVID-19-related mortality among hospitalized children and adolescents is less than 5% [28,[34][35][36], considerably lower than that…”