Time to death and its determinants among under-five children in Sub-Saharan Africa using the recent (2010–2018) demographic and health survey data: country-based shared frailty analyses

Abstract Background Substantial global progress has been made in reducing under-five mortality since 1990, yet progress is insufficient to meet the sustainable development goal of 2030 which calls for ending preventable child deaths. There are disproportional survivals among children in the world. T...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Desalegn Tesfa, Sofonyas Abebaw Tiruneh, Melkalem Mamuye Azanaw, Alemayehu Digssie Gebremariam, Melaku Tadege Engdaw, Belayneh Kefale, Bedilu Abebe, Tsion Dessalegn
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Survival status Under-five mortality Determinant factors Shard frailty Sub-Saharan Africa Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/78a800b28a0d4cd7b52bc6776567aecb
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:78a800b28a0d4cd7b52bc6776567aecb
record_format	dspace
spelling	oai:doaj.org-article:78a800b28a0d4cd7b52bc6776567aecb2021-11-21T12:33:23ZTime to death and its determinants among under-five children in Sub-Saharan Africa using the recent (2010–2018) demographic and health survey data: country-based shared frailty analyses10.1186/s12887-021-02950-31471-2431https://doaj.org/article/78a800b28a0d4cd7b52bc6776567aecb2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12887-021-02950-3https://doaj.org/toc/1471-2431Abstract Background Substantial global progress has been made in reducing under-five mortality since 1990, yet progress is insufficient to meet the sustainable development goal of 2030 which calls for ending preventable child deaths. There are disproportional survivals among children in the world. Therefore, the study aimed to assess the Survival status of under-five mortality and determinants in Sub-Saharan African Countries using the recent DHS data. Methods The data was retrieved from the birth record file from the standard Demographic and Health Survey dataset of Sub-Saharan Africa countries. Countries that have at least one survey between 2010 and 2018 were retrieved. Parametric shared frailty survival analysis was employed. Results A total of 27,221 (7.35%) children were died before celebrating their fifth birthday. Children at an early age were at higher risk of dying and then decrease proportionally with increased age. The risk of death among rich and middle family were lowered by 18 and 8% (AHR =0.82, 95% CI: 0.77-0.87) and (AHR = 0.92, 95% CI: 0.87-0.97) respectively, the hazard of death were 11, 19, 17, 90 and 55% (AHR = 1.06, 95% CI: 1.00-1.12), (AHR = 1.11,95%CI:1.04-1.19), (AHR = 1.17, 95% CI:1.12-1.23), (AHR = 1.90, 95%CI: 1.78-2.04) and (AHR = 1.55, 95% CI:1.47-1.63) higher than among children in rural, use unimproved water, delivered at home, born less than 18 months and between 18 and 23 months birth intervals respectively. The hazard of death was 7% among females and low birth weights (AHR = 0.93, 95%CI: 0.90 – 0.97) and (AHR = 0.93 95%CI: 0.89-0.97) respectively. There was also a significant association between multiple births and birth orders (AHR = 2.11, 95%CI: 2.51 – 2.90), (AHR = 3.01, 95%CI: 2.85-3.19) respectively. Conclusions Death rate among under-five children was higher at an early age then decreases as age advanced. Wealth status, residence, water source, place of delivery, sex of the child, plurality, birth size, preceding birth interval, and birth order were the most predictor variables. The health care program should be designed to encourage a healthy family structure. The health care providers should intervene in the community to inspire maternal health services.Desalegn TesfaSofonyas Abebaw TirunehMelkalem Mamuye AzanawAlemayehu Digssie GebremariamMelaku Tadege EngdawBelayneh KefaleBedilu AbebeTsion DessalegnBMCarticleSurvival statusUnder-five mortalityDeterminant factorsShard frailtySub-Saharan AfricaPediatricsRJ1-570ENBMC Pediatrics, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Survival status Under-five mortality Determinant factors Shard frailty Sub-Saharan Africa Pediatrics RJ1-570
spellingShingle	Survival status Under-five mortality Determinant factors Shard frailty Sub-Saharan Africa Pediatrics RJ1-570 Desalegn Tesfa Sofonyas Abebaw Tiruneh Melkalem Mamuye Azanaw Alemayehu Digssie Gebremariam Melaku Tadege Engdaw Belayneh Kefale Bedilu Abebe Tsion Dessalegn Time to death and its determinants among under-five children in Sub-Saharan Africa using the recent (2010–2018) demographic and health survey data: country-based shared frailty analyses
description	Abstract Background Substantial global progress has been made in reducing under-five mortality since 1990, yet progress is insufficient to meet the sustainable development goal of 2030 which calls for ending preventable child deaths. There are disproportional survivals among children in the world. Therefore, the study aimed to assess the Survival status of under-five mortality and determinants in Sub-Saharan African Countries using the recent DHS data. Methods The data was retrieved from the birth record file from the standard Demographic and Health Survey dataset of Sub-Saharan Africa countries. Countries that have at least one survey between 2010 and 2018 were retrieved. Parametric shared frailty survival analysis was employed. Results A total of 27,221 (7.35%) children were died before celebrating their fifth birthday. Children at an early age were at higher risk of dying and then decrease proportionally with increased age. The risk of death among rich and middle family were lowered by 18 and 8% (AHR =0.82, 95% CI: 0.77-0.87) and (AHR = 0.92, 95% CI: 0.87-0.97) respectively, the hazard of death were 11, 19, 17, 90 and 55% (AHR = 1.06, 95% CI: 1.00-1.12), (AHR = 1.11,95%CI:1.04-1.19), (AHR = 1.17, 95% CI:1.12-1.23), (AHR = 1.90, 95%CI: 1.78-2.04) and (AHR = 1.55, 95% CI:1.47-1.63) higher than among children in rural, use unimproved water, delivered at home, born less than 18 months and between 18 and 23 months birth intervals respectively. The hazard of death was 7% among females and low birth weights (AHR = 0.93, 95%CI: 0.90 – 0.97) and (AHR = 0.93 95%CI: 0.89-0.97) respectively. There was also a significant association between multiple births and birth orders (AHR = 2.11, 95%CI: 2.51 – 2.90), (AHR = 3.01, 95%CI: 2.85-3.19) respectively. Conclusions Death rate among under-five children was higher at an early age then decreases as age advanced. Wealth status, residence, water source, place of delivery, sex of the child, plurality, birth size, preceding birth interval, and birth order were the most predictor variables. The health care program should be designed to encourage a healthy family structure. The health care providers should intervene in the community to inspire maternal health services.
format	article
author	Desalegn Tesfa Sofonyas Abebaw Tiruneh Melkalem Mamuye Azanaw Alemayehu Digssie Gebremariam Melaku Tadege Engdaw Belayneh Kefale Bedilu Abebe Tsion Dessalegn
author_facet	Desalegn Tesfa Sofonyas Abebaw Tiruneh Melkalem Mamuye Azanaw Alemayehu Digssie Gebremariam Melaku Tadege Engdaw Belayneh Kefale Bedilu Abebe Tsion Dessalegn
author_sort	Desalegn Tesfa
title	Time to death and its determinants among under-five children in Sub-Saharan Africa using the recent (2010–2018) demographic and health survey data: country-based shared frailty analyses
title_short	Time to death and its determinants among under-five children in Sub-Saharan Africa using the recent (2010–2018) demographic and health survey data: country-based shared frailty analyses
title_full	Time to death and its determinants among under-five children in Sub-Saharan Africa using the recent (2010–2018) demographic and health survey data: country-based shared frailty analyses
title_fullStr	Time to death and its determinants among under-five children in Sub-Saharan Africa using the recent (2010–2018) demographic and health survey data: country-based shared frailty analyses
title_full_unstemmed	Time to death and its determinants among under-five children in Sub-Saharan Africa using the recent (2010–2018) demographic and health survey data: country-based shared frailty analyses
title_sort	time to death and its determinants among under-five children in sub-saharan africa using the recent (2010–2018) demographic and health survey data: country-based shared frailty analyses
publisher	BMC
publishDate	2021
url	https://doaj.org/article/78a800b28a0d4cd7b52bc6776567aecb
work_keys_str_mv	AT desalegntesfa timetodeathanditsdeterminantsamongunderfivechildreninsubsaharanafricausingtherecent20102018demographicandhealthsurveydatacountrybasedsharedfrailtyanalyses AT sofonyasabebawtiruneh timetodeathanditsdeterminantsamongunderfivechildreninsubsaharanafricausingtherecent20102018demographicandhealthsurveydatacountrybasedsharedfrailtyanalyses AT melkalemmamuyeazanaw timetodeathanditsdeterminantsamongunderfivechildreninsubsaharanafricausingtherecent20102018demographicandhealthsurveydatacountrybasedsharedfrailtyanalyses AT alemayehudigssiegebremariam timetodeathanditsdeterminantsamongunderfivechildreninsubsaharanafricausingtherecent20102018demographicandhealthsurveydatacountrybasedsharedfrailtyanalyses AT melakutadegeengdaw timetodeathanditsdeterminantsamongunderfivechildreninsubsaharanafricausingtherecent20102018demographicandhealthsurveydatacountrybasedsharedfrailtyanalyses AT belaynehkefale timetodeathanditsdeterminantsamongunderfivechildreninsubsaharanafricausingtherecent20102018demographicandhealthsurveydatacountrybasedsharedfrailtyanalyses AT bediluabebe timetodeathanditsdeterminantsamongunderfivechildreninsubsaharanafricausingtherecent20102018demographicandhealthsurveydatacountrybasedsharedfrailtyanalyses AT tsiondessalegn timetodeathanditsdeterminantsamongunderfivechildreninsubsaharanafricausingtherecent20102018demographicandhealthsurveydatacountrybasedsharedfrailtyanalyses
_version_	1718418953099804672

Time to death and its determinants among under-five children in Sub-Saharan Africa using the recent (2010–2018) demographic and health survey data: country-based shared frailty analyses

Ejemplares similares