Childhood Mortality: Trends and Determinants in Ethiopia from 1990 to 2015—A Systematic Review

Adinew, Yohannes Mehretie; Feleke, Senafikish Amsalu; Mengesha, Zelalem Birhanu; Workie, Shimelash Bitew

doi:10.1155/2017/7479295

Cited by 22 publications

(12 citation statements)

References 23 publications

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“…e provided in-depth information on the determinants of under-five mortality was using the datasets of 2016 EDHS. Reports indicated that the country has been showing a significant reduction in under-five mortality across all regions [15]. But still, the country is at a higher risk of underfive mortality.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with U5M in the Afar Region of Ethiopia

Gebremichael

Fenta

2020

Advances in Public Health

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Background. Ethiopia has experienced a significant reduction of under-five mortality over the past few decades. But still, the country is far from the Sustainable Development Goals (SDGs) of 2030. This study aims to identify the potential associated factors of under-five mortality in the Afar region, Ethiopia. Methods. Data from a national representative cross-sectional survey of Ethiopian Demographic and Health Survey of the year 2016 were used. Data were collected from the population of all under-five children in randomly selected enumeration areas of the Afar region of Ethiopia. Chi-squared and binary logistic regression analyses were employed. Results. The result revealed that twin child [(AOR = 5.37; 95%CI: 2.12–13.62)], age of mothers at first birth [(AOR = 0.47; 95%CI: 0.35–0.62) of greater than 16], current breastfeeders (AOR = 0.41; 95%CI: 0.32–0.54), rural residents (AOR: 2.54; 95%CI: 2.49–2.58), used current contraceptive methods (AOR = 0.38; 95%CI: 0.15–0.94), vaccinated the child (AOR = 0.40; 95%CI: 0.27–0.59), family size [(AOR = 0.65; 95%CI: 0.41–0.92) for 4–6 household members and (AOR = 0.49; 95%CI: 0.29–0.80) for seven and more household members], rich households (AOR = 0.03; 95%CI: 0.01–0.16), mother’s age group [(AOR = 3.24; 95%CI: 1.90–5.54) (age 20–29), (AOR = 12.43; 95%CI: 6.86–22.51) (age 30–39), and (AOR = 46.31; 95%CI: 21.74–98.67) (age 40 and above), and antenatal visits ((AOR = 0.48; 95%CI: 0.31–0.74) (1–3 visits) and (AOR = 0.44; 95%CI: 0.24–0.81) (4 and more visits)) significantly determined the under-five mortality. Conclusions. The study showed that giving birth at an early age, low coverage and quality of health access, unimproved breastfeeding culture, nonaccessibility to contraceptive methods, absence of awareness of mothers on vaccination of a child, low economic status of households, and low status of mothers’ antenatal visits lead to the highest under-five mortality in the area. Therefore, community-based educational programs and public health interventions focused on improving the survival of children by providing awareness to the community and specifically to mothers should be improved.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with U5M in the Afar Region of Ethiopia

Gebremichael

Fenta

2020

Advances in Public Health

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“…Wang and Yang (2016) have mentioned that water pollution has significant negative effect on infant mortality in China. Mehretie Adinew, Feleke, Mengesha, and Workie (2017), regarding Ethiopia, highlighted that access to improved water sources can reduce the IMR to a great extent. Keskin, Shastry and Willis (2017) have successfully proven that abstaining from giving the children contaminated well water has reduced the infant mortality to a great extent.…”

Section: An Exhaustive Review Of Literaturementioning

confidence: 99%

“…Vijaykumar et al (2016) showed, for India, IMR will reduce with the improvement of access to improved water sources and latrine. Mehretie Adinew et al (2017), considering Ethiopia, mentioned that sanitation is an important determinant of infant survival. Alemu (2017) mentioned that 1 per cent increase in sanitation facilities will reduce the infant mortality by 2 per thousand live births.…”

Section: An Exhaustive Review Of Literaturementioning

confidence: 99%

Improved yet Unsafe: An Aquatic Perspective of Indian Infant Mortality

Banerjee

Sar

Pandey

2020

Journal of Health Management

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Infant mortality rate (IMR) is an important development indicator and a vital component of millennium development goals (MDGs) set by United Nations Development Programme (UNDP). According to UNDP, so far India has only fared moderately in reducing IMR (Goal 4 of MDGs). India (32) ranks 144th among 196 countries regarding IMR as per the 2017 data availed from World Development Indicators. Its adjacent countries such as Bhutan (25.6), Bangladesh (26.9) and Nepal (27.8) have fared much better regarding infant survival. Numbers within the parentheses indicate the IMR of the respective country. The United Nations Children’s Fund (UNICEF) has identified that IMR among families with better access to improved drinking water sources and toilet is much lower than those bereft of the same. This inference has been drawn from National Family Health Survey 3 data (NFHS III). The present study investigates into the aforementioned relation analysing NFHS IV data. The result depicts that contrary to UNICEF’s findings, IMR increases with better accessibility to improved water sources. Further to this, the article shows that an additional aqua-related practice together with improved drinking water sources might lead to the betterment of IMR for India.

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“…The objective of the Millennium Development Goals (MDG) 4 was to reduce mortality in children under five years by two-thirds. Nevertheless, achieving this goal is hampered by the limited availability of data about accurate estimates of their mortality rate [ 5 , 6 ]. Of the 5.3 million deaths of the under-five children in 2018 more than 50% (3.3 million) were in Sub-Saharan Africa.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of child mortality in Ethiopia: Application of multilevel two-part model

Fenta

2020

PLoS ONE

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The child mortality rate is an essential measurement of socioeconomic growth and the quality of life in Ethiopia which is one among the six countries that account for half of the global under-five deaths. Therefore, this study aimed to identify the potential risk factors for child mortality in Ethiopia. Data for the study was drawn from the Ethiopian Demographic and Health Survey data conducted in 2016. A two-part random effects regression model was employed to identify the associated predictors of child mortality. The study found that 53.3% of mothers did not face any child death, while 46.7% lost at least one. Vaccinated child (IRR = 0.735, 95%CI: 0.647, 0.834), were currently using contraceptive (IRR = 0.885, 95%CI: 0.814, 0.962), who had antenatal care visit four or more times visit (IRR = 0.841, 95%CI: 0.737,0.960), fathers whose level of education is secondary or above(IRR = 0.695, 95%CI: 0.594, 0.814), mothers who completed their primary school(IRR = 0.785, 95%CI: 0.713, 0.864), mothers who have birth interval greater than 36 months (IRR = 0.728, 95%CI: 0.676, 0.783), where the age of the mother at first birth is greater than 16 years(IRR = 0.711, 95%CI: 0.674, 0.750) associated with the small number of child death. While multiple births (IRR = 1.355, 95%CI: 1.249, 1.471, four and above birth order (IRR = 1.487, 95%CI: 1.373, 1.612) and had working father (IRR = 1.125, 95%CI: 1.049, 1.206) associated with a higher number of child death. The variance components for the random effects showed significant variation of child mortality between enumeration areas. Policies and programs aimed at addressing enumeration area variations in child mortality need to be formulated and their implementation must be strongly pursued. Efforts are also needed to extend educational programmers aimed at educating mothers on the benefits of the antenatal checkup before first birth, spacing their birth interval, having their child vaccinated, and selecting a safe place of delivery to reduce child mortality.

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Childhood Mortality: Trends and Determinants in Ethiopia from 1990 to 2015—A Systematic Review

Cited by 22 publications

References 23 publications

Factors Associated with U5M in the Afar Region of Ethiopia

Factors Associated with U5M in the Afar Region of Ethiopia

Improved yet Unsafe: An Aquatic Perspective of Indian Infant Mortality

Risk factors of child mortality in Ethiopia: Application of multilevel two-part model

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