Abstract
Aims: Mortality in children aged under two years is a severe public health problem in many developing countries. The aims of the study were to reveal the prevalence and factors associated with mortality in children under two years in Bangladesh. Methods: Data were analyzed using the Bangladesh Demographic and Health Survey 2014. A total of 7886 participant data used in this study. The chi-square test of association was performed with dependent and independent variables to measure the prevalence rate, while the final model binary logistic and log-binomial regressions were used to identify the potential risk factors for under-two mortalities. Results: The prevalence of under-2 mortalities in Bangladesh was 3.9%. Regression analysis revealed that a lower level of paternal education, succeeding birth interval less than 24 months, multiple birth babies, and smaller than the average size at birth were significantly associated with children’s mortality under two years in Bangladesh. Conclusions: Despite improvements in the reduction of child mortality in Bangladesh, many children died within the first 24 months of life, mostly preventable. Programs towards increasing education levels and pregnancy intervals might help in preventing infant mortality in Bangladesh. Bangladesh Journal of Medical Science Vol. 21 No. 02 April’22 Page : 413-421
Highlights
Childhood mortality is considered an indicator of the overall state of public health and socio-economic stability of a nation[1]
More than two-thirds of children were from rural areas, and around one-fifth lived in the Chittagong division
Over one-fifth of children belonged to the poorest quartile household, and most families used pit toilets
Summary
Childhood mortality is considered an indicator of the overall state of public health and socio-economic stability of a nation[1]. The world has achieved positive results in developing child survival in the last few decades. The death rate for children under five years decreased from 10.5 to 5.9 million between 1992 and 2015 at a 53% reduction[2]. Child mortality remains an urgent concern, especially in sub-Saharan Africa and South Asia, owing to the high prevalence in countries such as Bangladesh[3,4]. Over the last two decades, Bangladesh recorded a notable positive result concerning child survival and achieved Millennium Development Goals 4 successfully, which resulted in a 65 percent reduction in child mortality between 19935 to 20144. Increased availability of health resources related to child
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