Trend and correlates of under-5 mortality in Ethiopia: A multilevel model comparison of 2000–2016 EDHS data
| Autor: | Kibrealem Sisay Wolde, Reta Habtamu Bacha |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | SAGE Open Medicine, Vol 10 (2022) |
| Druh dokumentu: | article |
| ISSN: | 2050-3121 20503121 |
| DOI: | 10.1177/20503121221100608 |
| Popis: | Objectives: The main objectives of this article were to answer (1) what is the trend of under-5 mortality from 2000 to 2016 Ethiopian Demographic and Health Survey? (2) What are the correlates that contribute to under-5 mortality in Ethiopia? Methods: The data used in this study were obtained from 2000, 2005, 2011, and 2016 Ethiopian Demographic and Health Survey data. We used multivariable three-level logistic regression model to predict under-5 mortality, with sex of a child, preceding birth interval, birth order, place of delivery, weight of child at birth, and plurality as first-level variables; mother’s education level, wealth index, mother’s age at first birth, and sex of household head as second-level variables; and residence and survey time as third-level variables. Results: The under-5 mortality declined from 166 deaths per 1000 live birth in 2000 to 67 deaths per 1000 live births in 2016. The odds of under-5 mortality among children with rural residence were 2.81 times greater than among children with urban residence. Moreover, the odds of under-5 mortality were higher among mothers who gave birth with preceding birth intervals of less than 24 months. A child whose preceding birth interval was less than 24 months had a 0.235, 0.174, 0.143, and 0.107 predicted probability of dying in the years 2000, 2005, 2011, and 2016, respectively. Conclusion: Child mortality varied across time in Ethiopia. Understanding both the time-varying nature of the correlates and changes in the type of their associations can help to explain some of the decreases in child mortality rates. Direction and/or presence of a relationship between these correlates and child mortality significantly interacted with time. Therefore, to mitigate the burden of under-5 mortality, the concerned body should provide awareness to the community. |
| Databáze: | Directory of Open Access Journals |
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