Determinants of Infant Mortality in Malawi: An Analysis to Control for Death Clustering within Families

1995 ◽  
Vol 27 (1) ◽  
pp. 95-106 ◽  
Author(s):  
Nyovani J. Madise ◽  
Ian Diamond
Keyword(s):  
Infant Mortality ◽  
Socioeconomic Factors ◽  
Birth Interval ◽  
Neonatal Period ◽  
Geographical Area ◽  
Familial Correlation ◽  
Mortality Risks ◽  
Modern Methods ◽  
Child Spacing ◽  
Death Clustering

SummaryThe 1988 Malawi Traditional and Modern Methods of Child Spacing Survey data are used to identify determinants of infant mortality in Malawi. The logistic binomial analysis shows that socioeconomic factors are significant even during the neonatal period while the length of the preceding birth interval is significant in the post-neonatal period only. There is a strong familial correlation of mortality risks during both the neonatal and post-neonatal periods but the effect of geographical area of residence is stronger in the post-neonatal period.

BIRTH ORDER, STAGE OF INFANCY AND INFANT MORTALITY IN INDIA

2017 ◽  
Vol 50 (5) ◽  
pp. 604-625 ◽  
Author(s):  
S. K. Mishra ◽  
Bali Ram ◽  
Abhishek Singh ◽  
Awdhesh Yadav
Keyword(s):  
Infant Mortality ◽  
Birth Order ◽  
Neonatal Period ◽  
Family Health ◽  
National Family Health Survey ◽  
Female Children ◽  
National Family ◽  
Urban Rural ◽  
Using Data ◽  
The Relationship

SummaryUsing data from India’s National Family Health Survey, 2005–06 (NFHS-3), this article examines the patterns of relationship between birth order and infant mortality. The analysis controls for a number of variables, including mother’s characteristics such as age at the time of survey, current place of residence (urban/rural), years of schooling, religion, caste, and child’s sex and birth weight. A modest J-shaped relationship between birth order of children and their risk of dying in the neonatal period is found, suggesting that although both first- and last-born children are at a significantly greater risk of dying compared with those in the middle, last-borns (i.e. fourth and higher order births) are at the worst risk. However, in the post-neonatal period first-borns are not as vulnerable, but the risk increases steadily with the addition of successive births and last-borns are at much greater risk, even worse than those in the neonatal period. Although the strength of relationship between birth order and mortality is attenuated after the potential confounders are taken into account, the relationship between the two variables remains curvilinear in the neonatal period and direct in the post-neonatal period. There are marked differences in these patterns by the child’s sex. While female children are less prone to the risk of dying in the neonatal period in comparison with male children, the converse is true in the post-neonatal period. Female children not only run higher risks of dying in the post-neonatal period, but also become progressively more vulnerable with an increase in birth order.

scholarly journals The effect of sociodemographic variables on child-spacing in rural Saudi Arabia

1999 ◽  
Vol 5 (1) ◽  
pp. 136-140
Author(s):  
N. N. Al Nahedh
Keyword(s):  
Saudi Arabia ◽  
Birth Order ◽  
Infant Feeding ◽  
Birth Interval ◽  
Predictor Variables ◽  
Marriage Education ◽  
Age At Marriage ◽  
Factors Influencing ◽  
Child Spacing ◽  
Positive Factor

Adequate child-spacing is considered a positive factor in the health of mothers and their children. A house-to-house survey of 332 women in Al-Oyaynah village, Saudi Arabia was carried out in April and May of 1995 to determine the existing practice of child-spacing and factors influencing it. The variables examined included age of the mother, age at marriage, education, income, parity, type of infant-feeding and birth order. The age of the mother, age at marriage and education were significantly associated with the length of the birth interval. The current age of mother and her parity were found to be the only significant predictor variables of birth interval

CHILD IMMUNISATION IN GHANA: THE EFFECTS OF FAMILY, LOCATION AND SOCIAL DISPARITY

1997 ◽  
Vol 29 (3) ◽  
pp. 327-343 ◽  
Author(s):  
ZOE MATTHEWS ◽  
IAN DIAMOND
Keyword(s):  
Prenatal Care ◽  
Socioeconomic Factors ◽  
Health Survey ◽  
Women's Education ◽  
Demographic And Health Survey ◽  
Familial Correlation ◽  
Social Disparity ◽  
Children Under 5

The data from the Demographic and Health Survey conducted in Ghana in 1988 are used to identify determinants of immunisation uptake for children under 5 years. The logistic binomial analysis shows that socioeconomic factors are significant, especially women's education and region, and that the type of prenatal care received by the mother is also important. There is a strong familial correlation of vaccination behaviours, and there is also clustering of data within enumeration areas.

scholarly journals Association between birth interval and wasting in children under 5 years of age in Ethiopia: a systematic review and meta-analysis protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037976
Author(s):  
Mesfin Wudu Kassaw ◽  
Ayele Mamo Abebe ◽  
Biruk Beletew Abate ◽  
Ayelign Mengesha Kassie ◽  
Murat Açık
Keyword(s):  
Systematic Review ◽  
Birth Interval ◽  
Meta Analysis ◽  
Geographical Area ◽  
Public Health Problem ◽  
Joint Estimation ◽  
Hard Copy ◽  
P Value ◽  
Pooled Prevalence ◽  
Debre Berhan

IntroductionAccording to the UNICEF, WHO and World Bank joint estimation, 1 in every 13 children suffered from wasting globally. The highest burden of undernutrition recorded in Asia and Africa. Wasting remains a considerable public health problem in Ethiopia despite the introduction of exhaustive nutritional programmes. As reported in the literature, the prevalence of wasting in Ethiopia has remained high over the last four decades. In Ethiopia, more than one-third of child deaths are associated with malnutrition. The current nutritional interventions implemented in Ethiopia need to be evidence based. For this purpose, systematic review is preferable as it can present a more reliable and precise estimate than individual studies. The aim of this review is to assess the pooled prevalence of wasting and its association with birth interval in Ethiopia.MethodologyStudies published after 20 January 2012 will be retrieved from databases, mainly PubMed/Medline, Scopus, Embase, CINAHL and HINARI. The articles retrieved from databases will be selected after reading the title, abstract and full text. Three reviewers will independently assess the quality of each study using both the Joanna Briggs Institute and Ottawa Scale critical appraisal checklists. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist will be used to maintain scientific strength. Funnel plots, Egger’s test and Begg’s test will be used to deal with publication bias, and I2, forest plots and Cochrane’s Q square statistics will be used for heterogeneity. Potential causes of heterogeneity will be explored through sensitivity and subgroup analyses. Because heterogeneity among studies is inevitable, given the wide geographical area and variety of study designs, the Der-Simonian and Laird random-effects model will be used. The presence of a statistical association between birth interval and wasting will be declared if the p value is <0.05 with the 95% CI.Ethics and disseminationEthical issues will not be applicable to this review and meta-analysis. This review and meta-analysis will report the pooled prevalence of wasting and its association with birth interval in Ethiopia. Effort will be made to publish the findings in a peer-reviewed journal such as the Ethiopian Journal of Health and Development, and the findings will be presented at national conferences. A hard copy will also be sent to Woldia University and Debre Berhan University.

Demographic and socioeconomic factors affecting infant mortality in Egypt

1990 ◽  
Vol 22 (4) ◽  
pp. 447-451 ◽  
Author(s):  
Hassan Y. Aly
Keyword(s):  
Infant Mortality ◽  
Socioeconomic Factors ◽  
Rural Areas ◽  
Urban Areas ◽  
Factors Affecting ◽  
Rural And Urban Areas ◽  
Positive Effects ◽  
Rural And Urban ◽  
Reduce Infant Mortality ◽  
Nationally Representative

SummaryThis paper analyses the relative importance of demographic and socioeconomic factors with respect to their role in reducing infant mortality in Egypt.Logit analyses of data from a nationally representative sample of Egyptian households, and for urban and rural households separately, indicate that demographic factors have more effect on infant mortality than socioeconomic factors. The results also show the need to improve housing in urban areas and sewerage systems in rural areas in order to reduce infant mortality. One of the most important policy conclusions, however, concerns the importance of providing a vigorous educational campaign to enlighten mothers and prospective mothers in both rural and urban areas on the positive effects of breast-feeding, longer birth intervals, and fewer children on the survival of infants.

A World of Homicides

2012 ◽  
Vol 16 (3) ◽  
pp. 238-258 ◽  
Author(s):  
Marc Ouimet
Keyword(s):  
Developing Countries ◽  
Economic Development ◽  
Income Inequality ◽  
Infant Mortality ◽  
Socioeconomic Factors ◽  
Human Development ◽  
Homicide Rate ◽  
Regression Analyses ◽  
Medium Level

The current study contrasts and compares the role of socioeconomic factors that explain variations in the homicide rate for 165 countries in 2010. Regression analyses demonstrate that economic development (GNI), inequality (Gini), and poverty (excess infant mortality) are significant predictors of the homicide rate for all countries. However, subsample analyses shows that income inequality, not economic development or poverty, predicts homicide for countries with a medium level of human development. Also, the variations in homicide for developing countries are inadequately explained by our model. To conclude, an analysis of the countries that exhibited significant discrepancies between their predicted and observed homicide rate is discussed.

scholarly journals Quantitative und qualitative Veränderungen der Mortalität zwischen 1790 und 1990 in einem Bergdorf der Zentralschweiz

Gesnerus ◽  
1996 ◽  
Vol 53 (1-2) ◽  
pp. 27-33
Author(s):  
Melchior Durrer
Keyword(s):  
Infant Mortality ◽  
Life Expectancy ◽  
Infectious Diseases ◽  
Geographical Area ◽  
Qualitative Change ◽  
Mountain Village ◽  
Dramatic Rise ◽  
Central Switzerland ◽  
Circulatory Diseases

The quantitative and qualitative change of mortality has been compared between 1790 and 1990. The survey was done in the limited geographical area of a mountain village in central Switzerland. It shows a drop in mortality and infant mortality as well as a dramatic rise in life expectancy. Infectious diseases were partly replaced by the heart and circulatory diseases during these two centuries.

scholarly journals Inequalities in Infant Mortality in Brazil at Subnational Levels in Brazil, 1990 to 2015

2020 ◽  
Author(s):  
Celia Landmann Szwarcwald ◽  
Wanessa da Silva de Almeida ◽  
Renato Azeredo Teixeira ◽  
Elisabeth Barboza França ◽  
Marina Jorge de Miranda ◽  
...  
Keyword(s):  
Infant Mortality ◽  
Marked Decrease ◽  
Neonatal Period ◽  
Infant Mortality Rate ◽  
Gdp Per Capita ◽  
Global Burden ◽  
Live Births ◽  
Inequality Measures ◽  
Per Capita ◽  
Annual Decline

Abstract Background: In this study, infant mortality rate (IMR) inequalities are analyzed from 1990 to 2015 in different geographic scales. Methods: The Ministry of Health (MoH) IMR estimates by Federative Units (FU) were compared to those obtained by the Global Burden of Disease (GBD) group. In order to measure the inequalities of the IMR by FU, the ratios from highest to lowest from 1990 to 2015 were calculated. Maps were elaborated in 2000, 2010 and 2015 at the municipality level. To analyze the effect of income, IMR inequalities by GDP per capita were analyzed, comparing Brazil and the FU to other same-income level countries in 2015, and the IMR municipal estimates were analyzed by income deciles, in 2000 and 2010. Results: IMR decreased from 47.1 to 13.4 per 1,000 Live Births (LB) from 1990 to 2015, with an annual decrease rate of 4.9%. The decline was less pronounced for the early neonatal annual rate (3.5%). The Northeast region showed the most significant annual decline (6.2%). The IMR estimates carried out by the GBD were about 20% higher than those obtained by the MoH, but in terms of their inequalities, the ratio from the highest to the lowest IMR among the 27 FU decreased from 4 to 2, for both methods. The percentage of municipalities with IMR higher than 40 per 1000 LB decreased from 23% to 2%, between 2000 and 2015. Comparing the IMR distribution by income deciles, all inequality measures of the IMR decreased markedly from 2000 to 2010. Conclusion: The results showed a marked decrease in the IMR inequalities in Brazil, regardless of the geographic breakdown and the calculation method. Despite clear signs of progress in curbing infant mortality, there are still challenges in reducing its level, such as the concentration of deaths in the early neonatal period, and the specific increases of post neonatal mortality in 2016, after the recent cuts in social investments.

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