A predictive model and socioeconomic and demographic determinants of under-five mortality in Sierra Leone
Sierra Leone is among the countries that recorded high under-five child mortality rate in the world. To design and implement policies that can address this public health challenge, the present study developed a predictive model of factors that explained under-five mortality in Sierra Leone using the...
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Elsevier
2020-03-01
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844020303534 |
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author | Eunice Twumwaa Tagoe Pascal Agbadi Emmanuel K. Nakua Precious Adade Duodu Jerry John Nutor Justice Moses K. Aheto |
author_facet | Eunice Twumwaa Tagoe Pascal Agbadi Emmanuel K. Nakua Precious Adade Duodu Jerry John Nutor Justice Moses K. Aheto |
author_sort | Eunice Twumwaa Tagoe |
collection | DOAJ |
description | Sierra Leone is among the countries that recorded high under-five child mortality rate in the world. To design and implement policies that can address this public health challenge, the present study developed a predictive model of factors that explained under-five mortality in Sierra Leone using the 2008 and 2013 Sierra Leone Demographic and Health Survey (SDHS) datasets. LASSO regression technique was used to select the predictors to build the under-five predictive single-level logit and multilevel logit models. Statistical analyses were performed in the R freeware version 3.6.1. About 588 (10.4%) and 1320 (11.1%) children under five were reported dead in 2008 and 2013, respectively. The significant predictors of under-five mortality in Sierra Leone were the total number of children ever born, number of children under five in the household, mother's birth in the last five years, mother's number of living children, and number of household members, household wealth, maternal contraceptive use and intention, number of eligible women in the household, type of toilet facility, sex of the child, and weight of the child at birth. The study identified certain predictors that deserve policy attention and interventions to strengthen the efforts of creating child welfare and survival atmosphere in Sierra Leone. |
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format | Article |
id | doaj.art-7af1d261ebbe4fce9e0dda527e355ac9 |
institution | Directory Open Access Journal |
issn | 2405-8440 |
language | English |
last_indexed | 2024-04-12T04:15:45Z |
publishDate | 2020-03-01 |
publisher | Elsevier |
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series | Heliyon |
spelling | doaj.art-7af1d261ebbe4fce9e0dda527e355ac92022-12-22T03:48:25ZengElsevierHeliyon2405-84402020-03-0163e03508A predictive model and socioeconomic and demographic determinants of under-five mortality in Sierra LeoneEunice Twumwaa Tagoe0Pascal Agbadi1Emmanuel K. Nakua2Precious Adade Duodu3Jerry John Nutor4Justice Moses K. Aheto5School of Development Management, Ghana Christian University College; Box AF 919, GhanaDepartment of Nursing, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; Corresponding author.Department of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Nursing, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Family Health Care Nursing, School of Nursing, University of California, San Francisco, San Francisco, California, USADepartment of Biostatistics, School of Public Health, College of Health Sciences, University of Ghana, GhanaSierra Leone is among the countries that recorded high under-five child mortality rate in the world. To design and implement policies that can address this public health challenge, the present study developed a predictive model of factors that explained under-five mortality in Sierra Leone using the 2008 and 2013 Sierra Leone Demographic and Health Survey (SDHS) datasets. LASSO regression technique was used to select the predictors to build the under-five predictive single-level logit and multilevel logit models. Statistical analyses were performed in the R freeware version 3.6.1. About 588 (10.4%) and 1320 (11.1%) children under five were reported dead in 2008 and 2013, respectively. The significant predictors of under-five mortality in Sierra Leone were the total number of children ever born, number of children under five in the household, mother's birth in the last five years, mother's number of living children, and number of household members, household wealth, maternal contraceptive use and intention, number of eligible women in the household, type of toilet facility, sex of the child, and weight of the child at birth. The study identified certain predictors that deserve policy attention and interventions to strengthen the efforts of creating child welfare and survival atmosphere in Sierra Leone.http://www.sciencedirect.com/science/article/pii/S2405844020303534Public healthQuality of lifeEpidemiologyPediatricsHealth disparityUnder-five mortality |
spellingShingle | Eunice Twumwaa Tagoe Pascal Agbadi Emmanuel K. Nakua Precious Adade Duodu Jerry John Nutor Justice Moses K. Aheto A predictive model and socioeconomic and demographic determinants of under-five mortality in Sierra Leone Heliyon Public health Quality of life Epidemiology Pediatrics Health disparity Under-five mortality |
title | A predictive model and socioeconomic and demographic determinants of under-five mortality in Sierra Leone |
title_full | A predictive model and socioeconomic and demographic determinants of under-five mortality in Sierra Leone |
title_fullStr | A predictive model and socioeconomic and demographic determinants of under-five mortality in Sierra Leone |
title_full_unstemmed | A predictive model and socioeconomic and demographic determinants of under-five mortality in Sierra Leone |
title_short | A predictive model and socioeconomic and demographic determinants of under-five mortality in Sierra Leone |
title_sort | predictive model and socioeconomic and demographic determinants of under five mortality in sierra leone |
topic | Public health Quality of life Epidemiology Pediatrics Health disparity Under-five mortality |
url | http://www.sciencedirect.com/science/article/pii/S2405844020303534 |
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