Characteristics of households experiencing under-five deaths: A case of Tropical Institute of Community Health and Development (TICH) partnership districts
| Autor: | Oindo, CO, Otieno, CF, Okeyo, NO, Olayo, RN, Muga, RO, Kaseje, CO |
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| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: | |
| Zdroj: | African Journal of Food, Agriculture, Nutrition and Development; Vol 9, No 3 (2009) |
| ISSN: | 1684-5358 1684-5374 |
| Popis: | Although there has been global decline in Infant and Child Mortality rates, sub-Sahara African countries still bear the greatest burden in the world. Many of these deaths occur as a result of preventable diseases such as pneumonia, malaria, measles and malnutrition. This has been witnessed in the six partnership districts of the study. With the introduction of a dialogue model, the study aimed at investigating the characteristics associated with the affected households. The overall result in the sixpartnership districts is a reversal of the recent child mortality trends in Kenya. The study aimed to determine the child mortality rates in six partnership districts and their distribution by socio-economic characteristics and health seeking behaviour. Mortality and population data were derived from a complete household census of 27 sublocations within the partnership districts (Nyando 7, Kisumu 2, Bondo 7, Suba 7, Siaya 2 and Rachuonyo 2 sub-locations). Child mortality and its relationship tospecific variables relating to background and proximate factors were considered. Between 2006 and 2007, proportions of households with child deaths declined in all the districts with Rachuonyo and Suba district sub-locations having the greatest decline from 38% to 12% and 15% to 0.1%, respectively. Proportions of health facility deliveries decreased in households that experienced under-five deaths in all the other 5 districts except Nyando sub- locations with an increase of (18%). Measles vaccination coverage was lower among households with child deaths.Use of Insecticide Treated Nets (ITNs) was lower among households with child deaths in Kisumu and Bondo unlike in Rachuonyo where a large proportion of the households experiencing child deaths were using ITNs.Child mortality declined by type of housing and level of education. households livingin mud houses and had mothers with primary education experienced the highestproportions of child mortality while households living in permanent houses withmothers having secondary education and above, the lowest. Education of mothersremains a significant determinant of child mortality along with health facilitydelivery. No difference in child mortality was realized between mothers havingprimary education and those that had none. Better health seeking behavior should,therefore, be encouraged to help stem the high child mortality rates. |
| Databáze: | OpenAIRE |
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