Comparison of under-five mortality for 2000, 2005 and 2011 surveys in Ethiopia

Abstract Background Though the socio-economic situation of the Ethiopian household is improving along with the decrease in under-five child mortality. But, under-five mortality is still one of the major problems. Identification of the risk factors change over time which mismatches with the diminishi...

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Main Authors: Dawit G. Ayele, Temesgen T. Zewotir
Format: Article
Language:English
Published: BMC 2016-09-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-016-3601-0
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author Dawit G. Ayele
Temesgen T. Zewotir
author_facet Dawit G. Ayele
Temesgen T. Zewotir
author_sort Dawit G. Ayele
collection DOAJ
description Abstract Background Though the socio-economic situation of the Ethiopian household is improving along with the decrease in under-five child mortality. But, under-five mortality is still one of the major problems. Identification of the risk factors change over time which mismatches with the diminishing rate of under-five mortality is important to address the problems. Methods The survey data used for this research was taken from three different Ethiopian Demographic and Health Surveys (2000, 2005 and 2011). This data was used to identify the effect of time varying under-five mortality risk factors. The Cox proportional hazard model was adapted for the analysis. Results The effect of respondent’s current age, age at first birth and educational level on the under-five mortality rate significantly diminishes in the recent surveys. On the other hand, the effect of the number of births in the last 5 years increases more in 2011 than in the earlier two surveys. Similarly, number of household members in the house and the number of under-five children in the house demonstrated a difference through years. Regarding total children ever born, child death is more for the year 2000 followed by 2005 and 2011. Conclusion Based on the study, our findings confirmed that under-five mortality is a serious problem in the country. The analysis displayed that the hazard of under-five mortality has a decreasing pattern in years. The result for regions showed that there was an increase in years for some of the regions. This research work gives necessary information to device improved teaching for family planning and children health care to change the child mortality circumstance in the country. Our study suggests that the impact of demographic characteristics and socio-economic factors on child mortality should account for their integral changes over time.
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spelling doaj.art-88523028a9bd465696921a00bd52fedd2022-12-22T00:47:21ZengBMCBMC Public Health1471-24582016-09-0116111010.1186/s12889-016-3601-0Comparison of under-five mortality for 2000, 2005 and 2011 surveys in EthiopiaDawit G. Ayele0Temesgen T. Zewotir1Department of Epidemiology, Room E7133, The Johns Hopkins University, Bloomberg School of Public HealthSchool of Mathematics, Statistics and Computer Science, University of KwaZulu-NatalAbstract Background Though the socio-economic situation of the Ethiopian household is improving along with the decrease in under-five child mortality. But, under-five mortality is still one of the major problems. Identification of the risk factors change over time which mismatches with the diminishing rate of under-five mortality is important to address the problems. Methods The survey data used for this research was taken from three different Ethiopian Demographic and Health Surveys (2000, 2005 and 2011). This data was used to identify the effect of time varying under-five mortality risk factors. The Cox proportional hazard model was adapted for the analysis. Results The effect of respondent’s current age, age at first birth and educational level on the under-five mortality rate significantly diminishes in the recent surveys. On the other hand, the effect of the number of births in the last 5 years increases more in 2011 than in the earlier two surveys. Similarly, number of household members in the house and the number of under-five children in the house demonstrated a difference through years. Regarding total children ever born, child death is more for the year 2000 followed by 2005 and 2011. Conclusion Based on the study, our findings confirmed that under-five mortality is a serious problem in the country. The analysis displayed that the hazard of under-five mortality has a decreasing pattern in years. The result for regions showed that there was an increase in years for some of the regions. This research work gives necessary information to device improved teaching for family planning and children health care to change the child mortality circumstance in the country. Our study suggests that the impact of demographic characteristics and socio-economic factors on child mortality should account for their integral changes over time.http://link.springer.com/article/10.1186/s12889-016-3601-0Baseline hazard functionCross-sectional studyDemographic Health Survey (DHS)Hazard ratioSurvival function
spellingShingle Dawit G. Ayele
Temesgen T. Zewotir
Comparison of under-five mortality for 2000, 2005 and 2011 surveys in Ethiopia
BMC Public Health
Baseline hazard function
Cross-sectional study
Demographic Health Survey (DHS)
Hazard ratio
Survival function
title Comparison of under-five mortality for 2000, 2005 and 2011 surveys in Ethiopia
title_full Comparison of under-five mortality for 2000, 2005 and 2011 surveys in Ethiopia
title_fullStr Comparison of under-five mortality for 2000, 2005 and 2011 surveys in Ethiopia
title_full_unstemmed Comparison of under-five mortality for 2000, 2005 and 2011 surveys in Ethiopia
title_short Comparison of under-five mortality for 2000, 2005 and 2011 surveys in Ethiopia
title_sort comparison of under five mortality for 2000 2005 and 2011 surveys in ethiopia
topic Baseline hazard function
Cross-sectional study
Demographic Health Survey (DHS)
Hazard ratio
Survival function
url http://link.springer.com/article/10.1186/s12889-016-3601-0
work_keys_str_mv AT dawitgayele comparisonofunderfivemortalityfor20002005and2011surveysinethiopia
AT temesgentzewotir comparisonofunderfivemortalityfor20002005and2011surveysinethiopia