Abstract
BackgroundMortality rate under the age of five is the proportion of deaths of children below the age of 5 years out of 1000 live births. It is related with the living standard of a population, and it is taken as one of the health and socioeconomic status deterioration index. Mortality rate under the age of five also indicates a poor quality life standards of a population. It is very significantly high in Sub-Saharan African countries. Ethiopia is one of these Sub-Saharan African countries where mortality rate under the age five is high. This research work aims to identify the determinants and associated factors of under-five mortality in Ethiopia.MethodsThe data for this paper were gathered from the EDHS 2016, collected by CSA. In this study, count family models such as Poisson, negative binomial, zero-inflated Poisson and zero-inflated negative binomial regression were applied for analyzing the data. Each of these count models were compared with different statistical tests like log-likelihood ratio test, Akaike information criteria, mean absolute difference, Vuong test and observed versus predicted probability plot.ResultsThe study revealed that as mothers’ age at first birth increased by one unit, the average number of under-five mortality rate decreased by 2.69%. In the same way the number of under-five mortality of Afar, Benishangul Gumuz and Dire Dawa were 1.3446, 1.6429 and 1.3320 times more likely to Tigray respectively. The risk of under-five mortality for primary and secondary education level of the mother was 28.31 and 40.96% less likely than to mothers who have no education respectively.ConclusionFrom the result we found that, there were overabundance zeros and broad heterogeneity in the non-zero outcomes. Zero-inflated negative binomial regression model was found to best fit the data, and from the regression model, age of mothers at first birth, mother’s education level, place of residence and region were statistically significant factors of under-five mortality per mother.
Highlights
Mortality rate under the age of five is the proportion of deaths of children below the age of 5 years out of 1000 live births
By keeping other variables held constant in the model, a one unit increase of age at first birth will decrease the average number of under-five mortality by 2.69% in Ethiopia (IRR = 0.9731; CI = 0.9638, 0.9825)
The risk of under-five mortality for those mothers who live in Afar regional state was 1.3446 (IRR = 1.3446; CI = 1.0514, 1.7196) times more likely to die before age five as compared to those mothers who lives in Tigray regional state keeping other variables held constant in the model
Summary
Mortality rate under the age of five is the proportion of deaths of children below the age of 5 years out of 1000 live births It is related with the living standard of a population, and it is taken as one of the health and socioeconomic status deterioration index. Mortality rate under the age of five indicates a poor quality life standards of a population It is very significantly high in Sub-Saharan African countries. Under-five mortality rate indicates proportion of children deaths occurring between birth and 5 years of age which is expressed out of 1000 live births [2]. Among 195 nations, 52 nations need quick progress of diminishing U5M These nations are found in many parts of the world, and many of them are found in Sub-Saharan Africa. The SDG goal is targeted to decrease the number of under-five mortality by 10 million between the years 2017 and 2030 [3]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
