Child Mortality Rates Research Articles

Unintentional childhood mortality during emergencies in Israel: a comparative study

BackgroundArmed conflicts are likely to have implications for the welfare and safety of children, potentially leading to increased rates of unintentional childhood injuries.MethodsWe examine data from Israel concerning the relationship...

Who is being left behind in water security, where do they live, and why are they left behind towards the achievement of the 2030 agenda?

The study focuses on sustainable development goal (SDG) 6, target 6.1.1 examining the proportion of the population using safely managed drinking water (SM). The SDGs aim to leave no one behind (LNOB) in development by 2030, this paper investigates if anyone is being left behind in accessing SM. We use world regions, countries globally, and 23 countries identified globally as critically water insecure (CWIC). The results indicate none of the CWIC had over 50% of the population accessing SM, but had over 50% using improved water, and over 10% using surface water. Sub-Saharan Africa had the lowest percentages using SM, and the highest using surface water in 2020. Pre-primary schools lag behind primary and secondary schools in accessing basic water services. Tanzania, Burundi, Papua New Guinea, and the Solomon Islands have below 50% of pre-primary schools with basic water. Households and schools using unimproved water sources are mostly from low-income and low climate resilience countries, fragile countries, and rural areas of CWICs characterized by high levels of poverty, food insecurity and illiterate women; subsequently exacerbating stunting and child mortality rates. These negative outcomes are largely consequences of poor institutional quality common to CWICs. Previous studies failed to highlight good governance, rigorously examine CWICs, and NOLB in water -health-food insecurity nexus. The stakeholders of the 2030 Agenda on water security can use these findings to accelerate the progress of leaving no one behind.

Bioarchaeological Perspectives on Late Antiquity in Dalmatia: Paleogenetic, Dietary, and Population Studies of the Hvar—Radošević burial site

Late Antiquity Dalmatia was a time and place of political unrest in the Roman Empire that influenced the lives of those in that region. The Late Antique burial site of Hvar – Radošević, spanning the 3rd to 5th centuries CE, is located on the Croatian Dalmatian island of Hvar. Given the time frame and location on a busy marine trade route, the study of this burial site offers us a glimpse into the lives of the Late Antique population living on this island. It comprises 33 individuals, with 17 buried within a confined grave tomb and the remaining individuals buried in separate locations in the tomb's proximity. The study aims to provide a new perspective on the lives of people on the island during those times by studying ancestry, population structure, possible differences within the buried population, dietary habits, and general health. The genetic analysis of the ancestral origins of the individuals buried at Hvar – Radošević revealed a diverse population reflective of the era's genetic variability. The identification of genetic outliers suggests a range of ancestries from distinct regions of the Roman Empire, possibly linked to trade routes associated with the Late Antique port in ancient Hvar. Stable isotope ratio analysis (δ13C and δ15N) indicated a diet mainly consisting of C3 plants, with minimal consumption of marine foods. High childhood mortality rates, physiological stress markers, and dental diseases suggest a low quality of life in the population. Assessment of kinship and dietary patterns revealed no discernible distinctions between individuals buried within the tomb and those buried outside, indicative of an absence of differential burial practices based on social status and familial ties among this specific buried population.

Childhood burn injury in the ger districts of Ulaanbaatar, Mongolia: an analysis of parent narratives

Childhood burns pose a significant public health concern, particularly in low- and middle-income nations, where the burden is pronounced. Mongolia stands out for its elevated rates of burn-related child mortality, especially among 1 to 5-year-olds. Despite this, there is a lack of research on the current status of childhood burns in Ulaanbaatar. This study utilized Cognitive Edge’s Sensemaker® to collect micronarratives from parents in the ger districts of Ulaanbaatar, aiming to understand the present context of childhood burn injuries. Thematic analysis revealed four key themes, including features in home and outdoor environments, lack of safety measures, and limitations in supervision. The findings emphasize the need for a comprehensive approach to burn injury prevention tailored to the Mongolian context. Implementing suitable safety measures in ger districts based on these results could be instrumental. Additionally, extending this approach to other low- and middle-income countries warrants further investigation for effective preventive measures.

Plants used for the management of paediatric ailments in Zimbabwe: A narrative review

Background: Children are susceptible to various types of infections and diseases because of their low and weakened immune system. In various communities throughout the world, medicinal plants have historically been used to treat and manage paediatric diseases and ailments.Aim: The current study was aimed at identifying and analysing medicinal plants used traditionally to treat and manage paediatric diseases in Zimbabwe.Setting: This review provides an overview of medicinal plants used to manage paediatric ailments in Zimbabwe.Method: Ethnobotanical information on medicinal plants used to treat and manage paediatric diseases in Zimbabwe was obtained using online databases such as Scopus, JSTOR, PubMed, Google Scholar and Science Direct.Results: A total of 178 taxa belonging to 64 families have been documented as traditional medicines for paediatric diseases and ailments in Zimbabwe. Cryptolepis oblongifolia, Asparagus spp., Dichrostachys cinerea, Fadogia ancylantha, Inula glomerata, Lannea edulis and Strychnos spinosa are the most popular medicinal plants with four to five use reports each. Medicinal plants are used to treat and manage 41 childhood medical conditions in Zimbabwe.Conclusion: Baseline data provided in this study can be used for future ethnopharmacological research focusing on chemical, pharmacological and toxicological evaluations of the documented species.Contribution: This study contributes to the existing literature about medicinal plants used to treat and manage paediatric diseases, and such data can be used to develop new health-promoting products for children and also pharmaceutical products that can be used to reduce child or infant mortality rate.

Effects of ambient heat exposure on risk of all-cause mortality in children younger than 5 years in Africa: a pooled time-series analysis

Reducing child mortality is a Sustainable Development Goal, and climate change constitutes numerous challenges for Africa. Previous research has shown an association between leading causes of child mortality and climate change. However, few studies have examined these effects in detail. We aimed to explore the effects of ambient heat on neonate, post-neonate, and child mortality rates. For this pooled time-series analysis, health data were obtained from the International Network for the Demographic Evaluation of Populations and Their Health (INDEPTH) Health and Demographic Surveillance System. We included data from 29 settlements from 13 countries across Africa, collected via monthly surveys from Jan 1, 1993, to Dec 31, 2016. Climate data were obtained from ERA5, collected from Jan 1, 1991, to Dec 31, 2019. We pooled these data for monthly mean daily maximum wet bulb globe temperature (WBGT) and downscaled to geolocations. Due to data heaping, we pooled our health data on a monthly temporal scale and a spatial scale into six different climate regions (ie, Sahel [ie, Burkina Faso and northern Ghana], Guinea [ie, southern Ghana, Côte d'Ivoire, and Nigeria], Senegal and The Gambia, eastern Africa [ie, Kenya, Malawi, Tanzania, Mozambique, and Uganda], South Africa, and Ethiopia). Our outcomes were neonate (ie, younger than 28 days), post-neonate (ie, aged 28 days to 1 year), and child (ie, older than 1 year and younger than 5 years) mortality. To assess the association between WBGT and monthly all-cause mortality, we used a time-series regression with a quasi-Poisson, polynomial-distributed lag model. Between Jan 1, 1993, and Dec 31, 2016, there were 44 909 deaths in children younger than 5 years across the 29 sites in the 13 African countries: 10 078 neonates, 14 141 post-neonates, and 20 690 children. We observed differences in the association of heat with neonate, post-neonate, and child mortality by study region. For example, for Ethiopia, the relative risk ratio of mortality at the 95th percentile compared with median heat exposure during the study period was 1·14 (95% CI 1·06-1·23) for neonates, 0·99 (0·90-1·07) for post-neonates, and 0·79 (0·73-0·87) for children. Across the whole year, there was a significant increase in the relative risk of increased mortality for children in eastern Africa (relative risk 1·27, 95% CI 1·19-1·36) and Senegal and The Gambia (1·11, 1·04-1·18). Our results show that the influence of extreme heat on mortality risk in children younger than 5 years varies by age group, region, and season. Future research should explore potentially informative ways to measure subtleties of heat stress and the factors contributing to vulnerability. EU Horizons as part of the Heat Indicators for Global Health (HIGH) Horizons project.

Exploring the factors behind socioeconomic inequalities in Antenatal Care (ANC) utilization across five South Asian natiaons: A decomposition approach.

Maternal and child mortality rates remain a significant concern in South Asian countries, primarily due to limited access to maternal care services and socioeconomic disparities. While previous studies have examined the factors influencing the utilization of antenatal care (ANC) services in individual countries, there is a lack of comparative analysis across South Asian nations. This study aims to investigate the factors affecting ANC utilization among women aged 15-49 in Bangladesh, India, Nepal, Maldives, and Pakistan using the latest Demographic and Health Survey data. The study utilized a total weighted sample size of 262,531 women. Simple bivariate statistics and binary logistic regression were employed to identify potential factors influencing ANC utilization. Decomposition analysis and concentration curve (Lorenz curve) were used to assess inequality in ANC service utilization. The prevalence of ANC utilization varied across the countries, with Maldives having the highest (96.83%) and Bangladesh the lowest (47.01%). Women's and husbands' education, household wealth status, BMI, and urban residence were found to significantly influence maternal healthcare services utilization. Higher education levels, affluent wealth quintiles, and urban living were identified as significant contributors to socioeconomic disparities in accessing ANC services. This study highlights the crucial role of socioeconomic factors in the utilization of maternal healthcare services in South Asian countries. Governments should focus on improving healthcare infrastructure, addressing cultural barriers, and promoting education to address these disparities. Identifying context-specific causes of maternal healthcare utilization is essential to inform targeted interventions and policies aimed at improving access to ANC services and reducing maternal mortality rates.

Unrolling the Invisible: Socio-Cultural Grounds of Child Mortality in the Slums of Dhaka

According to World Health Organization, there is an 85% decline in the recorded child deaths from 1971 in Bangladesh from 371.3 to 22.6 per 1000 live births. However, the rate of child mortality is still quite significant considering the growing development of Bangladesh. In maximum literatures, the prevalent reasons behind child mortality are portrayed as complete biological phenomena and medical conditions (e.g., asphyxia, prematurity, and low birth weight) for the children under the age of 5 in Bangladesh. This research focused on the reasons behind child mortality beyond the biological and medical conditions while stressing on finding the preventable causes of child mortality, through a systematic method of death study named Social Autopsy. Social autopsy refers to a structured qualitative research tool that aims at identifying social, behavioral, and health systems contributors to child deaths. Using this tool, the research has identified that multiple socio-cultural, structural, and behavioral conditions along with medical conditions for child mortality. The research was done in two of the biggest slum areas of Dhaka city: Hazaribagh and Kamrangir Char. 15 families who lost children under 5 years and 5 health care providers were interviewed with a semi-structured method to draw an inclusive picture of socio-cultural dynamics of child mortality. The data was analyzed manually through thematic analysis and narrative analysis which showed the interconnection of all the broader underlying reasons and a detailed impacts of specific causes of child mortality.

Factors influencing compliance with multiple injection immunization among mothers of toddlers at The Public Health Center Porong Integrated Health Service Post, Sidoarjo, East Java, Indonesia: A Descriptive Study

Introduction: Immunization significantly reduces infant and child morbidity and mortality rates globally. However, basic immunization coverage in 65 countries must catch up to the 90% global target. Multiple injection immunization involves administering multiple immunizations in one visit, enhancing early protection during vulnerable periods. This approach reduces the need for multiple health visits, which is particularly beneficial for children facing access barriers. It also improves healthcare efficiency, minimizes missed opportunities, and lessens the burden on parents needing frequent facility visits. Objective: The objective of this study was to explore the factors influencing compliance with multiple injection immunization among mothers of toddlers at the Public Health Center Porong Integrated Health Service Post, Sidoarjo, East Java, Indonesia Method: Conducted in March 2024 at Public Health Centre Porong, Indonesia, this study employed a consecutive sampling method. It involved 100 mothers with infants aged 13 to 24 months who had received immunizations at the Post. Data were collected through structured interviews and analyzed to determine compliance rates and associated factors. Result: Among the participants, 91% of mothers were aged between 20 to 35 years, indicating a productive age group. The compliance rate for multiple injection immunization was 61%. Additionally, 74% of mothers had completed high school, suggesting a positive association between higher education and enhanced health decision-making capabilities. A significant proportion of mothers (75%) were not employed, highlighting the influence of occupation on health-related knowledge and practices. Conclusion: The study underscores the necessity for targeted health education initiatives tailored to the diverse demographic and occupational characteristics of mothers. Such interventions should improve maternal knowledge and promote adherence to essential childhood immunizations, leveraging the cognitive advantages associated with higher education and non-working status. This approach aims to foster informed decision-making and proactive health behaviours among mothers in community health settings.

Effect of male partners' involvement and support on reproductive, maternal and child health and well-being in East Africa: A scoping review.

East African countries have high rates of maternal and child mortality and morbidity. Studies have shown that the involvement of male partners in reproductive health can benefit maternal and child health (MCH). This scoping review aims to provide an overview of the evidence across East Africa that describes male partner involvement and its effect on maternal, reproductive, and child well-being. Ten databases were searched to identify quantitative data on male's involvement in East Africa. Studies reporting qualitative data, "intention to use" data or only reporting on male partner's education or economic status were excluded. Studies were organized into five a priori categories: antenatal care (ANC), human immunodeficiency virus, breastfeeding, family planning, and intimate partner violence with further categories developed based on studies included. A total of 2787 records were identified; 644 full texts were reviewed, and 96 studies were included in this review. Data were reported on 118,967 mothers/pregnant women and 15,361 male partners. Most of the studies (n = 83) were reported from four countries Ethiopia (n = 49), Kenya (n = 14), Tanzania (n = 12) and Uganda (n = 10). The evidence indicates that male partner involvement and support is associated with improved reproductive, MCH across a wide range of outcomes. However, the studies were heterogeneous, using diverse exposure and outcome measures. Also, male partners' lack of practical and emotional support, and engagement in violent behaviors towards partners, were associated with profound negative impacts on MCH and well-being. The body of evidence, although heterogeneous, provides compelling support for male involvement in reproductive health programs designed to support MCH. To advance research in this field, an agreement is needed on a measure of male partner "involvement." To optimize benefits of male partners' involvement, developing core outcome sets and regional coordination are recommended.

Implementasi Asuhan Gizi Berbasis Pangan Lokal sebagai Upaya Peningkatan Kognitif (Pengetahuan) Gizi Ibu yang memiliki Balita Stunting di Kepulauan Kabaena Timur

The problem of stunting is one of the determinants of the quality of human resources because it has a fatal impact on increasing infant and child mortality rates. Stunting causes sufferers to get sick easily and have a body posture that is not optimal as an adult. Indirectly this is caused by a lack of knowledge of nutrition. Efforts to increase knowledge can be made by implementing a local food-based nutritional care program which is carried out by providing intensive counseling, accompanied by recommendations for local food menus and demonstrations of local food menus so that it can increase maternal nutritional knowledge. The purpose of this study was to determine changes in mother's nutritional knowledge before being given local food-based nutritional care. This type of research is a pre-experimental one group pre-test-post test design. The population was 30 toddlers aged 0-23 months who experienced stunting during the July period in the East Kabaena Islands and a sample of 27 people. The sampling technique uses simple random sampling. Knowledge data obtained using a questionnaire. The results of this research showed that from 27 samples the average knowledge score about nutrition was 5.2 and after implementing nutritional care the score was 10.2. The conclusion of this study is that local food-based nutrition care can improve maternal nutrition cognitive (knowledge).

Impact of rural-urban migration on indirect child mortality estimation in Kenya

When estimating child mortality rates using the indirect method, it is assumed that all reported births and deaths occurred in the place where the mothers resided at the time of the survey. However, the migration of women can result in transferring data about deceased children from one place to another. In many developing countries, substantial migration happens between rural and urban regions, where child mortality disparities are significant. This migration creates challenges as child mortality estimates for rural and urban areas computed under the assumption of non-migration are likely to be erroneous. Our study pooled data from six Kenya Demographic and Health Surveys between 1989 and 2014. The study aimed to establish statistical evidence of the impact of rural-urban migration on indirect child mortality estimates. Our findings indicate that the inclusion of deceased children born to women who migrated from rural to urban regions led to a significant overestimation of infant, one-to-four, and under-five mortality rates in urban areas. On average, the overestimation of infant mortality rates ranged from 2.5% to 21.7%, while one-to-four mortality rate overestimation ranged from 4.0% to 41.2%. The average overestimation of under five mortality rate was between 3.0% and 26.8%. Based on these results, future indirect estimates of child mortality for rural and urban regions should be adjusted to account for the impacts of migration between these areas. Furthermore, it is essential to consider re-estimating trends of child mortality for rural and urban regions in Kenya to better understand the timing of mortality convergence between these regions.

Patterns of peasant way of life in Tobolsk province in the second half of the XIXth century (on the materials of N.N. Mataev’s personal archive)

The goal of the research is to analyze the specifics of the everyday life of old-timer peasants of Tobolsk province on the basis of information collected during ethnographic fieldwork in the Tyumen region. On the basis of the involved narrative sources, such as personal diaries, memoirs, biographies and retelling of ancestral memories of the hereditary peasant N.N. Mataev, marital behavior, child-parent relations, interaction between family members in and out of the home lifehave been studied, the level of child mortality and birth rate have been analyzed, and the cultural specifics of everyday life of several generations of one family have been revealed. The collected records in the form of interviews, diaries and memoirs refer to the end of the 19th century and the beginning of the 20th century, i.e. to the period of active changes and transformations in the way of life of the peasant village in Russia, which determines the relevance of the research, because a thorough study of the identity of the Siberian sub-ethnos allows us to find differences in the consequences of these transformations and understand the history of Western Siberia. The principle of historicism and the civilizational approach applied allow us to observe the stages of development of new forms of family structure and the transformation of peasant life as a result of modernization. The studied ethnographic materials allow to present more fully the picture of peasant everyday life and to draw conclusions about the specific features of the life cycle of the traditional patriarchal peasant family and the community of old residents of Tobolsk province.

Optimal control of rotavirus infection in breastfed and non-breastfed children

According to the World Health Organization’s guidelines, a two-year mandatory breastfeeding period is strongly recommended, supported by research demonstrating its significant benefits in reducing childhood illnesses and mortality rates. The present study is designed to address this recommendation by focusing on a specific infection, namely rotavirus. Acknowledging this evidence, researchers recognize the need for a deeper understanding of the dynamics of rotavirus disease. In response, our study focuses on constructing and analyzing an SIR epidemic model uniquely designed for transmitting rotavirus in children. The model partitions the children population into three compartments: susceptible, infected, and recovered. To enhance precision, we further categorize susceptible children based on breastfeeding status and infected individuals based on infectious or non-infectious nature. This detailed categorization enables a thorough examination of rotavirus transmission dynamics. The proposed model analyzes two equilibria, disease-free and endemic, revealing local and global stability conditions determined by the basic reproduction number (R0). Our exploration extends to local stability analysis for the endemic equilibrium when R0>1 and global stability assessment using the Lyapunov theory under specific conditions. Subsequently, we employ optimal control theory through Pontryagin’s maximum principle to minimize the cost burden associated with disease control in children. Then, our work provides a sensitivity analysis of different parameters for the basic reproduction number to enhance our understanding of model dynamics. Finally, numerical simulations conducted with MATLAB and Python software validate our analytical findings, offering a comprehensive and practical assessment of the proposed model’s implications for controlling rotavirus transmission in children.

Child Labor, Corruption, and Development

Abstract Employing an overlapping generations model with endogenous education choice and corruption, we investigate how child labor and corruption influence human capital accumulation and development. We show that multiple steady states exist in the economy. One steady state has a high level of human capital, while the other has a low level of human capital. In the steady state with a low level of human capital, child labor and corruption exist, fertility and child mortality rates are high, and the welfare level is low. Conversely, in the steady state with a high level of human capital, child labor and corruption are diminished, fertility and child mortality rates are low, and welfare is high. In addition, we show that it is difficult to steer an economy away from a poverty trap with child labor and corruption because bureaucrats of the current generation are opposed to policy changes, such as the reinforcement of monitoring and penal regulations. However, we highlight the possibility for the government to develop the economy in the poverty trap by implementing an education policy, which is Pareto improving.

Infant and child mortality in Afghanistan: A scoping review.

Since 1990, global child and infant mortality rates have typically stabilized or decreased due to improved healthcare, vaccination rollouts, and international funding. However, Afghanistan continues to face the highest child and infant mortality rates globally, with 43 deaths per 1000 live births. This study aims to examine the factors contributing to this high mortality rate and propose interventions to address the issue. A comprehensive literature search was conducted using databases such as Google Scholar and PubMed, focusing on articles published in English within the last 10 years (2013-2023). The search terms included "Child mortality," "Infant mortality," "SIDS," "COVID-19," and "Afghanistan." Original studies, systematic reviews, case studies, and reports meeting the inclusion criteria were selected for analysis. Additional sources from organizations such as UNICEF, the World Bank Group, WHO, and EMRO were also reviewed. The study findings reveal significant challenges contributing to Afghanistan's high infant and child mortality rates. These challenges include birth defects, preterm birth, malnutrition, sudden infant death syndrome (SIDS), traumatic injuries, fatal infections, infanticide, and abuse. The ongoing conflict, insecurity, and humanitarian crises further exacerbate the situation, leading to increased child casualties. Despite efforts by international agencies like UNICEF to provide vaccines and maternal education, the infant mortality rate remains high. In conclusion, Afghanistan's child and infant mortality rates are of significant concern, and it is imperative that action be taken to reduce the incidence of child and infant mortality rates.

Clinicopathological discrepancies in the diagnoses of childhood causes of death in the CHAMPS network: An analysis of antemortem diagnostic inaccuracies

IntroductionDetermining aetiology of severe illness can be difficult, especially in settings with limited diagnostic resources, yet critical for providing life-saving care. Our objective was to describe the accuracy of antemortem...

Patient Safety Culture in Pre-Post Partum and Perinatology Units

Introduction: Effective patient safety practices in pre-post partum and perinatology units are crucial for ensuring high-quality care for mothers and children. These practices are expected to reduce maternal and child mortality rates, which remain significant. Patient safety implementation in hospitals depends largely on the patient safety culture within each institution. Objective: This study aimed to assess the application of patient safety culture in pre-post partum and perinatology wards. Methods: The research employed a mixed-methods approach with a sequential explanatory design. Quantitative data were gathered using the AHRQ (Agency for Health Research and Quality) questionnaire. Meanwhile, the qualitative research used an instrumental case study approach insights were derived from in-depth interviews with 52 nurses working in these units. Results: Results show an overall positive response rate of 67.8% across the 12 dimensions of patient safety culture, indicating satisfactory levels. The dimension with the highest positive response rate is teamwork at 38%, while openness had the lowest at 6%. Challenges in patient safety program implementation include lack of safety culture surveys, inadequate incident reporting systems, high blaming culture, lack of support, delayed case reporting, and financial constraints. Reporting, analysis, and evaluation are predominantly limited to internal hospital processes. Conclusion: The obstacles encountered in implementing a patient safety culture are the behavior of healthcare workers and the lack of optimal support from management. The recommendations given are the formation of a Patient Safety Committee, education about safety culture for healthcare workers, Monitoring and evaluation of the patient safety program that has been implemented.

Time to treatment-seeking by caretakers of children under-five with diarrhea and associated factors in Uganda: a multilevel proportional hazards analysis

BackgroundDiarrhea is considered to be one of the major public health concerns in developing countries. It has a detrimental impact, reflecting one of the highest child mortality rates globally, especially in Sub-Saharan Africa, where 2 out of every 10 children in Uganda under the age of five die. The objective of this study was to investigate the factors associated with time to treatment seeking by caretakers of children under-five with Diarrhea in Uganda.MethodDOVE dataset of 745 caretakers in a prospective and retrospective incidence-based study using multi-stage sampling design was used in the assessment. The analysis was done using a time-to-event approach using life tables, Kaplan Meier survival analysis and multilevel proportional hazards model.ResultsKaplan-Meier survival analysis indicated the median time to seeking treatment among 745 caretakers of children under-Five after onset of diarrhea was 2 days. The multi-level proportional hazards model of a Weibull distribution showed that the estimated frailty variance was 0.13, indicating heterogeneity of treatment seeking time by caretakers of under-five children with diarrhea across regions in Uganda. Significant factors found to influence time to treatment-seeking by caretakers of children under-five with diarrhea were, male children (HR = 0.82; 95% CI = 0.71–0.95, p = 0.010), belonging to richest wealth quintile (HR = 1.37; 95% CI = 1.05–1.78, p = 0.022), and residing more than 5 km away from a health facility (HR = 0.68; 95% CI = 0.56–0.84, p = 0.000).ConclusionsThere are delays in seeking diarrhea treatment in Uganda because two days are enough to claim a life after dehydration.The policymakers should pay attention to formulate effective intervention to sensitize caregivers on the importance of early treatment-seeking behavior to avoid severe malnutrition caused by diarrhea. Community awareness program should also be encouraged particularly in areas of more than 5 km from the health facility to make people aware of the necessity to take prompt action to seek care in the early stage.

Systematic Literature Review Analysis: Effectiveness of Family Planning Programs in Reducing Maternal and Child Mortality Rates

Systematic Literature Review Analysis: Effectiveness of Family Planning Programs in Reducing Maternal and Child Mortality Rates