Time to Death and Its Predictors Among Infants in Ethiopia: Multilevel Mixed-Effects Parametric Survival Analysis Using the 2019 Ethiopian Mini Demographic Health Survey
Befekadu Oyato,1 Husen Zakir,1 Dursa Hussein,2 Tasfaye Lemma,3 Mukemil Awol1 1Department of Midwifery, College of Health Sciences, Salale University, Fitche, Ethiopia; 2Department of Public Health, College of Health Sciences, Salale University, Fitche, Ethiopia; 3Department of Nursing, College of He...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-05-01
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| Series: | Pediatric Health, Medicine and Therapeutics |
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| Online Access: | https://www.dovepress.com/time-to-death-and-its-predictors-among-infants-in-ethiopia-multilevel--peer-reviewed-fulltext-article-PHMT |
| _version_ | 1827942339902963712 |
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| author | Oyato B Zakir H Hussein D Lemma T Awol M |
| author_facet | Oyato B Zakir H Hussein D Lemma T Awol M |
| author_sort | Oyato B |
| collection | DOAJ |
| description | Befekadu Oyato,1 Husen Zakir,1 Dursa Hussein,2 Tasfaye Lemma,3 Mukemil Awol1 1Department of Midwifery, College of Health Sciences, Salale University, Fitche, Ethiopia; 2Department of Public Health, College of Health Sciences, Salale University, Fitche, Ethiopia; 3Department of Nursing, College of Health Sciences, Salale University, Fitche, EthiopiaCorrespondence: Befekadu Oyato, Department of Midwifery, College of Health Sciences, Salale University, Fitche, Ethiopia, Email befekadutes2016@gmail.comIntroduction: Three years ahead of the plan, Ethiopia has met Millennium Development Goal 4 of reducing under-five mortality. Additionally, the nation is on track to achieve the Sustainable Development Goal of putting an end to preventable child mortality. Despite this, recent data from the nation showed that there were 43 infant deaths for every 1000 live births. Moreover, the country has fallen short of the 2015 Health Sector Transformation Plan goal, with an anticipated infant mortality rate of 35 deaths per 1000 live births in 2020. Thus, this study aims to identify the time to death and its predictors among Ethiopian infants.Methods: This study used the 2019 Mini-Ethiopian Demographic and Health Survey data set to conduct a retrospective study. The analysis used survival curves and descriptive statistics. Multilevel mixed-effects parametric survival analysis was applied to identify the predictors of infant mortality.Results: The estimated mean survival time of infants was 11.3 months (95% CI: 11.1, 11.4). Women’s current pregnancy status, family size, age of women, previous birth interval, place of delivery, and mode of delivery were significant individual-level predictors of infant mortality. Infants born with less than 24 months’ birth interval had a 2.29 times higher estimated risk of death (AHR = 2.29, 95% CI: 1.05, 5.02). Infants born at home were 2.48 times more likely to die than those born in a health facility (AHR = 2.48, 95% CI: 1.03, 5.98). At the community level, women’s education was the only statistically significant predictor of infant death.Conclusion: The risk of infant death was higher before the first month of life, typically shortly after birth. Healthcare programs should put a strong emphasis on efforts to space out births and make institutional delivery services more readily accessible to mothers in Ethiopia to address the infant mortality challenges.Keywords: predictors, infant mortality, multilevel-mixed effects, parametric survival analysis, Ethiopia |
| first_indexed | 2024-03-13T09:56:55Z |
| format | Article |
| id | doaj.art-aeb0d757dcc04b8aac705b9913d4e61d |
| institution | Directory Open Access Journal |
| issn | 1179-9927 |
| language | English |
| last_indexed | 2024-03-13T09:56:55Z |
| publishDate | 2023-05-01 |
| publisher | Dove Medical Press |
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| series | Pediatric Health, Medicine and Therapeutics |
| spelling | doaj.art-aeb0d757dcc04b8aac705b9913d4e61d2023-05-23T18:52:22ZengDove Medical PressPediatric Health, Medicine and Therapeutics1179-99272023-05-01Volume 1416918383919Time to Death and Its Predictors Among Infants in Ethiopia: Multilevel Mixed-Effects Parametric Survival Analysis Using the 2019 Ethiopian Mini Demographic Health SurveyOyato BZakir HHussein DLemma TAwol MBefekadu Oyato,1 Husen Zakir,1 Dursa Hussein,2 Tasfaye Lemma,3 Mukemil Awol1 1Department of Midwifery, College of Health Sciences, Salale University, Fitche, Ethiopia; 2Department of Public Health, College of Health Sciences, Salale University, Fitche, Ethiopia; 3Department of Nursing, College of Health Sciences, Salale University, Fitche, EthiopiaCorrespondence: Befekadu Oyato, Department of Midwifery, College of Health Sciences, Salale University, Fitche, Ethiopia, Email befekadutes2016@gmail.comIntroduction: Three years ahead of the plan, Ethiopia has met Millennium Development Goal 4 of reducing under-five mortality. Additionally, the nation is on track to achieve the Sustainable Development Goal of putting an end to preventable child mortality. Despite this, recent data from the nation showed that there were 43 infant deaths for every 1000 live births. Moreover, the country has fallen short of the 2015 Health Sector Transformation Plan goal, with an anticipated infant mortality rate of 35 deaths per 1000 live births in 2020. Thus, this study aims to identify the time to death and its predictors among Ethiopian infants.Methods: This study used the 2019 Mini-Ethiopian Demographic and Health Survey data set to conduct a retrospective study. The analysis used survival curves and descriptive statistics. Multilevel mixed-effects parametric survival analysis was applied to identify the predictors of infant mortality.Results: The estimated mean survival time of infants was 11.3 months (95% CI: 11.1, 11.4). Women’s current pregnancy status, family size, age of women, previous birth interval, place of delivery, and mode of delivery were significant individual-level predictors of infant mortality. Infants born with less than 24 months’ birth interval had a 2.29 times higher estimated risk of death (AHR = 2.29, 95% CI: 1.05, 5.02). Infants born at home were 2.48 times more likely to die than those born in a health facility (AHR = 2.48, 95% CI: 1.03, 5.98). At the community level, women’s education was the only statistically significant predictor of infant death.Conclusion: The risk of infant death was higher before the first month of life, typically shortly after birth. Healthcare programs should put a strong emphasis on efforts to space out births and make institutional delivery services more readily accessible to mothers in Ethiopia to address the infant mortality challenges.Keywords: predictors, infant mortality, multilevel-mixed effects, parametric survival analysis, Ethiopiahttps://www.dovepress.com/time-to-death-and-its-predictors-among-infants-in-ethiopia-multilevel--peer-reviewed-fulltext-article-PHMTpredictorsinfant mortalitymultilevel mixed effectsparametric survival analysisethiopia |
| spellingShingle | Oyato B Zakir H Hussein D Lemma T Awol M Time to Death and Its Predictors Among Infants in Ethiopia: Multilevel Mixed-Effects Parametric Survival Analysis Using the 2019 Ethiopian Mini Demographic Health Survey Pediatric Health, Medicine and Therapeutics predictors infant mortality multilevel mixed effects parametric survival analysis ethiopia |
| title | Time to Death and Its Predictors Among Infants in Ethiopia: Multilevel Mixed-Effects Parametric Survival Analysis Using the 2019 Ethiopian Mini Demographic Health Survey |
| title_full | Time to Death and Its Predictors Among Infants in Ethiopia: Multilevel Mixed-Effects Parametric Survival Analysis Using the 2019 Ethiopian Mini Demographic Health Survey |
| title_fullStr | Time to Death and Its Predictors Among Infants in Ethiopia: Multilevel Mixed-Effects Parametric Survival Analysis Using the 2019 Ethiopian Mini Demographic Health Survey |
| title_full_unstemmed | Time to Death and Its Predictors Among Infants in Ethiopia: Multilevel Mixed-Effects Parametric Survival Analysis Using the 2019 Ethiopian Mini Demographic Health Survey |
| title_short | Time to Death and Its Predictors Among Infants in Ethiopia: Multilevel Mixed-Effects Parametric Survival Analysis Using the 2019 Ethiopian Mini Demographic Health Survey |
| title_sort | time to death and its predictors among infants in ethiopia multilevel mixed effects parametric survival analysis using the 2019 ethiopian mini demographic health survey |
| topic | predictors infant mortality multilevel mixed effects parametric survival analysis ethiopia |
| url | https://www.dovepress.com/time-to-death-and-its-predictors-among-infants-in-ethiopia-multilevel--peer-reviewed-fulltext-article-PHMT |
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