Levels, trends and socio-demographic determinants of infant and under-five mortalities in and around slum areas of Dhaka city, Bangladesh
Infant and child mortality are often used to monitor the progress of national population health programs. The data for this study was collected from selected urban slums where icddr,b has maintained the Health and Demographic Surveillance System (HDSS). Using the HDSS database, 6,666 married women w...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-03-01
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| Series: | SSM: Population Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S235282732200012X |
| _version_ | 1819174024379367424 |
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| author | Abdur Razzaque Razib Chowdhury AHM Golam Mustafa Farzana Begum Sohana Shafique Alexander Lawton Mohammad Zahirul Islam |
| author_facet | Abdur Razzaque Razib Chowdhury AHM Golam Mustafa Farzana Begum Sohana Shafique Alexander Lawton Mohammad Zahirul Islam |
| author_sort | Abdur Razzaque |
| collection | DOAJ |
| description | Infant and child mortality are often used to monitor the progress of national population health programs. The data for this study was collected from selected urban slums where icddr,b has maintained the Health and Demographic Surveillance System (HDSS). Using the HDSS database, 6,666 married women were selected and interviewed in 2018 to collect data on socioeconomic status, pregnancy history and safe motherhood practices. The study examined levels and trends of infant and under-five mortality for three periods: 1990–1999 (Period 1), 2000–2009 (Period 2), and 2010–2018 (Period 3) and examined socio-demographic differentials of infant and under-five mortality for Period 3. From Period 1 to Period 3, under-five mortality declined by 68.2%, with child mortality (1–4 years) declining more than infant mortality (84% vs. 65%). In the regression models for Period 3, infant and under-five mortality were higher for working than non-working mothers (infant: OR = 1.35*, CI: 0.98, 1.86; under-five: OR = 1.34*, CI: 0.99, 1.82), lower for girls than boys (infant: OR = 0.77*, CI: 0.57, 1.03; under-five: OR = 0.77*, CI: 0.58, 1.03), higher for small-size than normal/big-size babies (infant: OR = 4.11***, CI: 3.00, 5.64; under-five: OR = 3.68***, CI: 2.70, 5.02), higher for babies delivered vaginally than by caesarean section (infant: OR = 1.79**, CI: 1.14, 2.97; under-five: OR = 1.87***, CI: 1.21, 2.88), higher for babies delivered with complications than no complication (infant: OR = 2.16***, CI: 1.48, 3.15; under-five: OR = 2.21***, CI: 1.55, 3.18), and higher for babies born after a short (<24 months) birth interval (infant: OR = 1.71*, CI: 0.96, 3.05; under-five: OR = 1.63*, CI: 0.93, 2.86) than firstborns. While substantial progress has been made in reducing under-five and infant mortality, neonatal mortality have declined less slowly. Targeted population health interventions addressing the socio-demographic drivers of infant mortality, with a focus on the urban poor, will help Bangladesh achieve Sustainable Development Goal 3. |
| first_indexed | 2024-12-22T20:32:24Z |
| format | Article |
| id | doaj.art-ae749ec696cc4244b8a67cbae1362356 |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-12-22T20:32:24Z |
| publishDate | 2022-03-01 |
| publisher | Elsevier |
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| series | SSM: Population Health |
| spelling | doaj.art-ae749ec696cc4244b8a67cbae13623562022-12-21T18:13:34ZengElsevierSSM: Population Health2352-82732022-03-0117101033Levels, trends and socio-demographic determinants of infant and under-five mortalities in and around slum areas of Dhaka city, BangladeshAbdur Razzaque0Razib Chowdhury1AHM Golam Mustafa2Farzana Begum3Sohana Shafique4Alexander Lawton5Mohammad Zahirul Islam6International Centre for Diarrhoeal Disease Research, (icddr,b), Bangladesh; Corresponding author. 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212, Bangladesh.International Centre for Diarrhoeal Disease Research, (icddr,b), BangladeshInternational Centre for Diarrhoeal Disease Research, (icddr,b), BangladeshInternational Centre for Diarrhoeal Disease Research, (icddr,b), BangladeshInternational Centre for Diarrhoeal Disease Research, (icddr,b), BangladeshFielding School of Public Health, University of California Los Angeles, USAEmbassy of Sweden, Dhaka, BangladeshInfant and child mortality are often used to monitor the progress of national population health programs. The data for this study was collected from selected urban slums where icddr,b has maintained the Health and Demographic Surveillance System (HDSS). Using the HDSS database, 6,666 married women were selected and interviewed in 2018 to collect data on socioeconomic status, pregnancy history and safe motherhood practices. The study examined levels and trends of infant and under-five mortality for three periods: 1990–1999 (Period 1), 2000–2009 (Period 2), and 2010–2018 (Period 3) and examined socio-demographic differentials of infant and under-five mortality for Period 3. From Period 1 to Period 3, under-five mortality declined by 68.2%, with child mortality (1–4 years) declining more than infant mortality (84% vs. 65%). In the regression models for Period 3, infant and under-five mortality were higher for working than non-working mothers (infant: OR = 1.35*, CI: 0.98, 1.86; under-five: OR = 1.34*, CI: 0.99, 1.82), lower for girls than boys (infant: OR = 0.77*, CI: 0.57, 1.03; under-five: OR = 0.77*, CI: 0.58, 1.03), higher for small-size than normal/big-size babies (infant: OR = 4.11***, CI: 3.00, 5.64; under-five: OR = 3.68***, CI: 2.70, 5.02), higher for babies delivered vaginally than by caesarean section (infant: OR = 1.79**, CI: 1.14, 2.97; under-five: OR = 1.87***, CI: 1.21, 2.88), higher for babies delivered with complications than no complication (infant: OR = 2.16***, CI: 1.48, 3.15; under-five: OR = 2.21***, CI: 1.55, 3.18), and higher for babies born after a short (<24 months) birth interval (infant: OR = 1.71*, CI: 0.96, 3.05; under-five: OR = 1.63*, CI: 0.93, 2.86) than firstborns. While substantial progress has been made in reducing under-five and infant mortality, neonatal mortality have declined less slowly. Targeted population health interventions addressing the socio-demographic drivers of infant mortality, with a focus on the urban poor, will help Bangladesh achieve Sustainable Development Goal 3.http://www.sciencedirect.com/science/article/pii/S235282732200012XInfantUnder-fiveMortalitySlumDhakaBangladesh |
| spellingShingle | Abdur Razzaque Razib Chowdhury AHM Golam Mustafa Farzana Begum Sohana Shafique Alexander Lawton Mohammad Zahirul Islam Levels, trends and socio-demographic determinants of infant and under-five mortalities in and around slum areas of Dhaka city, Bangladesh SSM: Population Health Infant Under-five Mortality Slum Dhaka Bangladesh |
| title | Levels, trends and socio-demographic determinants of infant and under-five mortalities in and around slum areas of Dhaka city, Bangladesh |
| title_full | Levels, trends and socio-demographic determinants of infant and under-five mortalities in and around slum areas of Dhaka city, Bangladesh |
| title_fullStr | Levels, trends and socio-demographic determinants of infant and under-five mortalities in and around slum areas of Dhaka city, Bangladesh |
| title_full_unstemmed | Levels, trends and socio-demographic determinants of infant and under-five mortalities in and around slum areas of Dhaka city, Bangladesh |
| title_short | Levels, trends and socio-demographic determinants of infant and under-five mortalities in and around slum areas of Dhaka city, Bangladesh |
| title_sort | levels trends and socio demographic determinants of infant and under five mortalities in and around slum areas of dhaka city bangladesh |
| topic | Infant Under-five Mortality Slum Dhaka Bangladesh |
| url | http://www.sciencedirect.com/science/article/pii/S235282732200012X |
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