Abstract
Mortality of children under the age of five has been target of public health policies. There has been a significant decline in under-five mortality in the twenty first century in almost all countries several studies have been conducted to identify covariates of Infant and Child Mortality in Kenya but none of these used recent data and none has included HIV/AIDs as a risk factor. This study aims at examining bio-demographic, socio-economic and environmental mortality in Kenya. Two methods of the logistic regression and survival analysis method are used. The results of the study show that HIV status of the mother and lengths of the preceding birth interval were significantly associated with both Infant and Child Mortality. Other significant covariates include birth order, age of the mother at birth of the child, sex of the child, education of the mother and father and wealth index.
Highlights
Mortality of children under the age of five has been target of public health policies
There has been a significant decline in under-five mortality in the 21st century in almost all countries regardless of initial levels and economic factors, the rate of decline has been different for different regions
The study sought to identify factors associated with infant and child mortality in Kenya
Summary
Mortality of children under the age of five has been target of public health policies. There has been a significant decline in under-five mortality in the 21st century in almost all countries regardless of initial levels and economic factors, the rate of decline has been different for different regions. According to the results of the Kenya Demographic and Health Survey (KDHS) conducted in 2008-2009 under five mortality has reduced from 115 deaths per 1000 live births in 2003. Infant mortality rate is one of the most important sensitive indicators of the socio-economic and health status of a community. [13] The relative importance of these factors in relation to Infant and Child Mortality risk varies with the level of social and economic well-being of a society. The efforts to reduce Infant and Child Mortality in Kenya have suffered a major setback since the emergence of HIV/AIDs pandemic in the late 1980s. HIV/AIDs is one of the leading causes of death in many African countries
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