Determinant factors of under-five mortality in Southern Nations, Nationalities and People’s region (SNNPR), Ethiopia
Abstract Background Child mortality is a key indicator of the performance of the health system of a nation. Impressive progress in the reduction of under-five mortality has been made in Ethiopia. However, still there are some regions where the under-five mortality rates are high. Southern Nations, N...
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | Italian Journal of Pediatrics |
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| Online Access: | https://doi.org/10.1186/s13052-021-01118-0 |
| _version_ | 1818716386521776128 |
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| author | Gizachew Gobebo |
| author_facet | Gizachew Gobebo |
| author_sort | Gizachew Gobebo |
| collection | DOAJ |
| description | Abstract Background Child mortality is a key indicator of the performance of the health system of a nation. Impressive progress in the reduction of under-five mortality has been made in Ethiopia. However, still there are some regions where the under-five mortality rates are high. Southern Nations, Nationalities, and Peoples’ Region (SNNPR) is among those regions in Ethiopia with high under-five mortality rates. This study aimed to identify the determinant factors of under-five mortality in SNNPR. Methods Data used for the study were drawn from the 2016 EDHS. A total of 1277 under-five children were included in the study. A multivariable logistic regression model was fitted to identify determinant factors associated with under-five mortality. Results Children with second or third birth order (OR = 1.316, 95% CI: (1.097, 2.343)), fourth or fifth birth order (OR = 1.934, 95% CI: (1.678, 3.822)), sixth or above birth order (OR = 3.980, 95% CI: (2.352, 6.734)) were significantly associated with increased risk of under-five mortality as compared to those with first birth order. Increased risk of under-five mortality was also significantly associated with a family size of five or more (OR = 3.397, 95% CI: (1.702, 6.782)) as compared to the family size of less than five; smaller size at birth (OR = 1.714, 95% CI: (1.120, 2.623)) as compared to larger size at birth; multiple births (OR = 1.472, 95% CI: (1.289, 2.746)) as compared to singletons. On the other hand, female children (OR = 0.552, 95% CI: (0.327, 0.932)), children born at health institutions (OR = 0.449, 95% CI: (0.228, 0.681)) and children who were breastfed (OR = 0.657, 95% CI: (0.393, 0.864)) were significantly associated with decreased risk of under-five mortality as compared to male children, those born at home and those who were not breastfed respectively. Conclusions Sex of a child, birth order, size of a child at birth, place of delivery, birth type, breastfeeding status, and family size were significant factors associated with under-five mortality in SNNPR, Ethiopia. Thus, planning and implementing relevant strategies that focus on those identified determinant factors of under-five mortality is required for the improvement of child survival in SNNPR, Ethiopia. |
| first_indexed | 2024-12-17T19:18:26Z |
| format | Article |
| id | doaj.art-246a3fe70b3047d7ba24a49e2ac3319b |
| institution | Directory Open Access Journal |
| issn | 1824-7288 |
| language | English |
| last_indexed | 2024-12-17T19:18:26Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Italian Journal of Pediatrics |
| spelling | doaj.art-246a3fe70b3047d7ba24a49e2ac3319b2022-12-21T21:35:41ZengBMCItalian Journal of Pediatrics1824-72882021-10-014711910.1186/s13052-021-01118-0Determinant factors of under-five mortality in Southern Nations, Nationalities and People’s region (SNNPR), EthiopiaGizachew Gobebo0Department of Statistics, College of Natural and Computational Sciences, Ambo UniversityAbstract Background Child mortality is a key indicator of the performance of the health system of a nation. Impressive progress in the reduction of under-five mortality has been made in Ethiopia. However, still there are some regions where the under-five mortality rates are high. Southern Nations, Nationalities, and Peoples’ Region (SNNPR) is among those regions in Ethiopia with high under-five mortality rates. This study aimed to identify the determinant factors of under-five mortality in SNNPR. Methods Data used for the study were drawn from the 2016 EDHS. A total of 1277 under-five children were included in the study. A multivariable logistic regression model was fitted to identify determinant factors associated with under-five mortality. Results Children with second or third birth order (OR = 1.316, 95% CI: (1.097, 2.343)), fourth or fifth birth order (OR = 1.934, 95% CI: (1.678, 3.822)), sixth or above birth order (OR = 3.980, 95% CI: (2.352, 6.734)) were significantly associated with increased risk of under-five mortality as compared to those with first birth order. Increased risk of under-five mortality was also significantly associated with a family size of five or more (OR = 3.397, 95% CI: (1.702, 6.782)) as compared to the family size of less than five; smaller size at birth (OR = 1.714, 95% CI: (1.120, 2.623)) as compared to larger size at birth; multiple births (OR = 1.472, 95% CI: (1.289, 2.746)) as compared to singletons. On the other hand, female children (OR = 0.552, 95% CI: (0.327, 0.932)), children born at health institutions (OR = 0.449, 95% CI: (0.228, 0.681)) and children who were breastfed (OR = 0.657, 95% CI: (0.393, 0.864)) were significantly associated with decreased risk of under-five mortality as compared to male children, those born at home and those who were not breastfed respectively. Conclusions Sex of a child, birth order, size of a child at birth, place of delivery, birth type, breastfeeding status, and family size were significant factors associated with under-five mortality in SNNPR, Ethiopia. Thus, planning and implementing relevant strategies that focus on those identified determinant factors of under-five mortality is required for the improvement of child survival in SNNPR, Ethiopia.https://doi.org/10.1186/s13052-021-01118-0Under-five mortalityDeterminant factorsSNNPREthiopia |
| spellingShingle | Gizachew Gobebo Determinant factors of under-five mortality in Southern Nations, Nationalities and People’s region (SNNPR), Ethiopia Italian Journal of Pediatrics Under-five mortality Determinant factors SNNPR Ethiopia |
| title | Determinant factors of under-five mortality in Southern Nations, Nationalities and People’s region (SNNPR), Ethiopia |
| title_full | Determinant factors of under-five mortality in Southern Nations, Nationalities and People’s region (SNNPR), Ethiopia |
| title_fullStr | Determinant factors of under-five mortality in Southern Nations, Nationalities and People’s region (SNNPR), Ethiopia |
| title_full_unstemmed | Determinant factors of under-five mortality in Southern Nations, Nationalities and People’s region (SNNPR), Ethiopia |
| title_short | Determinant factors of under-five mortality in Southern Nations, Nationalities and People’s region (SNNPR), Ethiopia |
| title_sort | determinant factors of under five mortality in southern nations nationalities and people s region snnpr ethiopia |
| topic | Under-five mortality Determinant factors SNNPR Ethiopia |
| url | https://doi.org/10.1186/s13052-021-01118-0 |
| work_keys_str_mv | AT gizachewgobebo determinantfactorsofunderfivemortalityinsouthernnationsnationalitiesandpeoplesregionsnnprethiopia |