Under-five mortality and associated factors in southeastern Ethiopia.

<h4>Background</h4>In the year 2019, around 5 million children under age five died and most of the deaths happened in developing countries. Though large numbers of deaths are reported in such countries, limited availability of data poses a substantial challenge on generating reliable est...

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Autores principales:	Firaol Lemessa Kitila, Rahel Milkias Petros, Gebi Hussein Jima, Tewodros Desalegn, Abebe Sorsa, Isaac Yaw Massey, Chengcheng Zhang, Fei Yang
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/37c81935fda045c79dc7517b339ff7b9
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spelling	oai:doaj.org-article:37c81935fda045c79dc7517b339ff7b92021-12-02T20:14:47ZUnder-five mortality and associated factors in southeastern Ethiopia.1932-620310.1371/journal.pone.0257045https://doaj.org/article/37c81935fda045c79dc7517b339ff7b92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257045https://doaj.org/toc/1932-6203<h4>Background</h4>In the year 2019, around 5 million children under age five died and most of the deaths happened in developing countries. Though large numbers of deaths are reported in such countries, limited availability of data poses a substantial challenge on generating reliable estimates. Hence, this study aims to assess the prevalence and factors associated with under-five mortality in southeastern Ethiopia.<h4>Methods</h4>A register based cross sectional study was conducted from 1st September 2014 to July 2019 in Asella teaching and referral hospital. A total of 4901 under-five age children registered on the admission and discharge book of pediatric ward with complete information were included for the analysis. Data entry and analysis were conducted using Epidata Version 7 and SPSS version 21, respectively. Descriptive statistics were used to explore the characteristics of the study participants and their condition at discharge. Adjusted Odds Ratio (AOR) with its 95% Confidence interval and P-value less than 5% was used to decide the statistically significant association.<h4>Results</h4>The prevalence of under-five mortality among admitted children in Asella Teaching and Referral hospital was 8.7% (95% CI 7.91-9.50%). Post-Neonatal and Child mortality were found to be 9.1% and 8.18%, respectively. Moreover, large numbers of death (45.2%) were seen within the first 2 days of admission. Address (AOR:1.4(1.08-1.81)), HIV status (AOR:4.64 (2.19-9.8)), severe acute malnutrition (AOR:2.82 (2.03-3.91)), hypovolemic shock (AOR:4.32 (2.31-8.1)), type I diabetes with DKA (AOR:3.53(1.34-9.29) and length of stay in the hospital for ≤2 days (AOR: 4.28 (3.09-5.95)) as well as 3-4 days (AOR: 1.48 (1.02-2.15)) were among the identified predictors.<h4>Conclusions</h4>Though childhood mortality is swiftly decreasing, and access and utilization of health care is improving in Ethiopia, our study found large prevalence of under-five mortality, 8.7% and higher number of deaths in early days of admission. Improving the quality of service has a paramount importance in reducing the mortality and managing associated factors contributing to under-five mortality among admitted children.Firaol Lemessa KitilaRahel Milkias PetrosGebi Hussein JimaTewodros DesalegnAbebe SorsaIsaac Yaw MasseyChengcheng ZhangFei YangPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257045 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Firaol Lemessa Kitila Rahel Milkias Petros Gebi Hussein Jima Tewodros Desalegn Abebe Sorsa Isaac Yaw Massey Chengcheng Zhang Fei Yang Under-five mortality and associated factors in southeastern Ethiopia.
description	<h4>Background</h4>In the year 2019, around 5 million children under age five died and most of the deaths happened in developing countries. Though large numbers of deaths are reported in such countries, limited availability of data poses a substantial challenge on generating reliable estimates. Hence, this study aims to assess the prevalence and factors associated with under-five mortality in southeastern Ethiopia.<h4>Methods</h4>A register based cross sectional study was conducted from 1st September 2014 to July 2019 in Asella teaching and referral hospital. A total of 4901 under-five age children registered on the admission and discharge book of pediatric ward with complete information were included for the analysis. Data entry and analysis were conducted using Epidata Version 7 and SPSS version 21, respectively. Descriptive statistics were used to explore the characteristics of the study participants and their condition at discharge. Adjusted Odds Ratio (AOR) with its 95% Confidence interval and P-value less than 5% was used to decide the statistically significant association.<h4>Results</h4>The prevalence of under-five mortality among admitted children in Asella Teaching and Referral hospital was 8.7% (95% CI 7.91-9.50%). Post-Neonatal and Child mortality were found to be 9.1% and 8.18%, respectively. Moreover, large numbers of death (45.2%) were seen within the first 2 days of admission. Address (AOR:1.4(1.08-1.81)), HIV status (AOR:4.64 (2.19-9.8)), severe acute malnutrition (AOR:2.82 (2.03-3.91)), hypovolemic shock (AOR:4.32 (2.31-8.1)), type I diabetes with DKA (AOR:3.53(1.34-9.29) and length of stay in the hospital for ≤2 days (AOR: 4.28 (3.09-5.95)) as well as 3-4 days (AOR: 1.48 (1.02-2.15)) were among the identified predictors.<h4>Conclusions</h4>Though childhood mortality is swiftly decreasing, and access and utilization of health care is improving in Ethiopia, our study found large prevalence of under-five mortality, 8.7% and higher number of deaths in early days of admission. Improving the quality of service has a paramount importance in reducing the mortality and managing associated factors contributing to under-five mortality among admitted children.
format	article
author	Firaol Lemessa Kitila Rahel Milkias Petros Gebi Hussein Jima Tewodros Desalegn Abebe Sorsa Isaac Yaw Massey Chengcheng Zhang Fei Yang
author_facet	Firaol Lemessa Kitila Rahel Milkias Petros Gebi Hussein Jima Tewodros Desalegn Abebe Sorsa Isaac Yaw Massey Chengcheng Zhang Fei Yang
author_sort	Firaol Lemessa Kitila
title	Under-five mortality and associated factors in southeastern Ethiopia.
title_short	Under-five mortality and associated factors in southeastern Ethiopia.
title_full	Under-five mortality and associated factors in southeastern Ethiopia.
title_fullStr	Under-five mortality and associated factors in southeastern Ethiopia.
title_full_unstemmed	Under-five mortality and associated factors in southeastern Ethiopia.
title_sort	under-five mortality and associated factors in southeastern ethiopia.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/37c81935fda045c79dc7517b339ff7b9
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Under-five mortality and associated factors in southeastern Ethiopia.

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