Spatiotemporal distributions of under-five mortality in Ethiopia between 2000 and 2019.
Under-five mortality declined in the last two decades in Ethiopia, but sub-national and local progress remains unclear. This study aimed to investigate the spatiotemporal distributions and ecological level factors of under-five mortality in Ethiopia. Data on under-five mortality were obtained from f...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
|
| Series: | PLOS Global Public Health |
| Online Access: | https://doi.org/10.1371/journal.pgph.0001504 |
| _version_ | 1797697979550793728 |
|---|---|
| author | Kendalem Asmare Atalell Kefyalew Addis Alene |
| author_facet | Kendalem Asmare Atalell Kefyalew Addis Alene |
| author_sort | Kendalem Asmare Atalell |
| collection | DOAJ |
| description | Under-five mortality declined in the last two decades in Ethiopia, but sub-national and local progress remains unclear. This study aimed to investigate the spatiotemporal distributions and ecological level factors of under-five mortality in Ethiopia. Data on under-five mortality were obtained from five different Ethiopian Demographic and Health Surveys (EDHS), conducted in 2000, 2005, 2011, 2016, and 2019. Environmental and healthcare access data were obtained from different publicly available sources. Bayesian geostatistical models were used to predict and visualize spatial risks for under-five mortality. The national under-five mortality rate in Ethiopia declined from 121 per 1000 live births in 2000 to 59 per 1000 live births in 2019. Spatial variation in under-five mortality was observed at regional and local levels with the highest rates reported in the Western, Eastern, and Central parts of Ethiopia. Spatial clustering of under-five mortality was significantly associated with population density, access to a water body, and climatic factors such as temperature. Under-five mortality rate declined over the past two decades and varied substantially at sub-national and local levels in Ethiopia. Increasing access to water and health care may help to reduce under-five mortality in high-risk areas. Therefore, interventions targeted to reduce under-five mortality should be strengthened in the areas that had a clustering of under-five mortality in Ethiopia by increasing access to quality health care access. |
| first_indexed | 2024-03-12T03:47:37Z |
| format | Article |
| id | doaj.art-8ea912f6fa3946cb93eb4abb326e0df5 |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-12T03:47:37Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-8ea912f6fa3946cb93eb4abb326e0df52023-09-03T12:37:11ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0133e000150410.1371/journal.pgph.0001504Spatiotemporal distributions of under-five mortality in Ethiopia between 2000 and 2019.Kendalem Asmare AtalellKefyalew Addis AleneUnder-five mortality declined in the last two decades in Ethiopia, but sub-national and local progress remains unclear. This study aimed to investigate the spatiotemporal distributions and ecological level factors of under-five mortality in Ethiopia. Data on under-five mortality were obtained from five different Ethiopian Demographic and Health Surveys (EDHS), conducted in 2000, 2005, 2011, 2016, and 2019. Environmental and healthcare access data were obtained from different publicly available sources. Bayesian geostatistical models were used to predict and visualize spatial risks for under-five mortality. The national under-five mortality rate in Ethiopia declined from 121 per 1000 live births in 2000 to 59 per 1000 live births in 2019. Spatial variation in under-five mortality was observed at regional and local levels with the highest rates reported in the Western, Eastern, and Central parts of Ethiopia. Spatial clustering of under-five mortality was significantly associated with population density, access to a water body, and climatic factors such as temperature. Under-five mortality rate declined over the past two decades and varied substantially at sub-national and local levels in Ethiopia. Increasing access to water and health care may help to reduce under-five mortality in high-risk areas. Therefore, interventions targeted to reduce under-five mortality should be strengthened in the areas that had a clustering of under-five mortality in Ethiopia by increasing access to quality health care access.https://doi.org/10.1371/journal.pgph.0001504 |
| spellingShingle | Kendalem Asmare Atalell Kefyalew Addis Alene Spatiotemporal distributions of under-five mortality in Ethiopia between 2000 and 2019. PLOS Global Public Health |
| title | Spatiotemporal distributions of under-five mortality in Ethiopia between 2000 and 2019. |
| title_full | Spatiotemporal distributions of under-five mortality in Ethiopia between 2000 and 2019. |
| title_fullStr | Spatiotemporal distributions of under-five mortality in Ethiopia between 2000 and 2019. |
| title_full_unstemmed | Spatiotemporal distributions of under-five mortality in Ethiopia between 2000 and 2019. |
| title_short | Spatiotemporal distributions of under-five mortality in Ethiopia between 2000 and 2019. |
| title_sort | spatiotemporal distributions of under five mortality in ethiopia between 2000 and 2019 |
| url | https://doi.org/10.1371/journal.pgph.0001504 |
| work_keys_str_mv | AT kendalemasmareatalell spatiotemporaldistributionsofunderfivemortalityinethiopiabetween2000and2019 AT kefyalewaddisalene spatiotemporaldistributionsofunderfivemortalityinethiopiabetween2000and2019 |