Under-five Mortality and Associated Factors among Children Born from 15-49 Years Old Mothers in Haramaya Town, Eastern Ethiopia

Abstract Background: The global under-five mortality rate has dropped from almost 90 deaths per 1,000 live births in 1990 to 43 in 2015. The Ethiopian Mini Demographic Health Survey, 2019 shows 55 under-five deaths per 1,000 live births. In the eastern part of Ethiopia, evidence from the Kersa Health and Demographic Surveillance System in Kersa district of East Hararghe Zone, Oromia Region suggested the decline of under-five mortality rate from 131.8 per 1000 live births in 2008 to 77.4 per 1000 live births in 2013. The death rates still remain far from the Sustainable Development Goals’ target reduction to 25 or less per 1000 live births by 2030. However, the magnitude and determinants of under-five mortality is not studied in Haramaya town. Objective: To assess the under-five mortality rate and associated factors among children born during August 07, 2015- August 06, 2020 in Haramaya town, east Ethiopia by August 07–31/2020. Methodology: Quantitative cross-sectional population-based study was conducted on 391 pairs of 15-49 years old mothers and their live-born under-five children selected using systematic random sampling technique from Haramaya town to cmpare mortality between <=24 and >=25 mother’s age groups. Data were collected using interview-based questionnaire; double entered into EpiData 3.1; and then exported to statistical package for social sciences program version 20.0 for analysis. Binary logistic regression analysis (p-value <0.20) was performed to examine crude association of predictors with under-five mortality, and then multiple logistic regression analysis (p-value <0.05) to measure the statistical association. Results: The death of 28 out of 372 live births gave an under-five mortality rate of 75 per 1000 live births. Children born in households with less than 6 members had 7. 98 times higher odds of dying than those born in households with at least 6 members (AOR =7.98, 95% CI =1.59-40.17). Those children who did not feed colostrum were associated with 17.45 times increased risk of under-five deaths compared to colostrum-fed ones (AOR =17.45, 95% CI =6.54-46.55). Conclusion: The study suggests that 75 per 1000 live births die before celebrating their fifth birth day. Household size and colostrum feeding are the significantly associated factors.Recommendation: All concerned should inform the mothers the role of identified factors like household size and colostrum feeding in child survival.

Download Full-text

Under-five Mortality and Associated Factors among Children Born from 15-49 Years Old Mothers in Haramaya Town, Eastern Ethiopia

10.21203/rs.3.rs-799138/v3 ◽

2021 ◽

Author(s):

Mohammed Ahmed ◽

Melake Demena ◽

Zelalem Teklemariam ◽

Assefa Desalew ◽

Nega Assefa

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Mortality Rate ◽

Logistic Regression Analysis ◽

Associated Factors ◽

Household Size ◽

P Value ◽

Live Births ◽

Under Five ◽

Colostrum Feeding

Abstract Background: The global under-five mortality rate has dropped from almost 90 deaths per 1,000 live births in 1990 to 43 in 2015. The Ethiopian Mini Demographic Health Survey, 2019 shows 55 under-five deaths per 1,000 live births. In the eastern part of Ethiopia, evidence from the Kersa Health and Demographic Surveillance System in Kersa district of East Hararghe Zone, Oromia Region suggested the decline of under-five mortality rate from 131.8 per 1000 live births in 2008 to 77.4 per 1000 live births in 2013. The death rates still remain far from the Sustainable Development Goals’ target reduction to 25 or less per 1000 live births by 2030. However, the magnitude and determinants of under-five mortality is not studied in Haramaya town. Objective: To assess the under-five mortality rate and associated factors among children born during August 07, 2015- August 06, 2020 in Haramaya town, east Ethiopia by August 07–31/2020. Methodology: Quantitative cross-sectional population-based study was conducted on 391 pairs of 15-49 years old mothers and their live-born under-five children selected using systematic random sampling technique from Haramaya town to cmpare mortality between <=24 and >=25 mother’s age groups. Data were collected using interview-based questionnaire; double entered into EpiData 3.1; and then exported to statistical package for social sciences program version 20.0 for analysis. Binary logistic regression analysis (p-value <0.20) was performed to examine crude association of predictors with under-five mortality, and then multiple logistic regression analysis (p-value <0.05) to measure the statistical association. Results: The death of 28 out of 372 live births gave an under-five mortality rate of 75 per 1000 live births. Children born in households with less than 6 members had 7. 98 times higher odds of dying than those born in households with at least 6 members (AOR =7.98, 95% CI =1.59-40.17). Those children who did not feed colostrum were associated with 17.45 times increased risk of under-five deaths compared to colostrum-fed ones (AOR =17.45, 95% CI =6.54-46.55). Conclusion: The study suggests that 75 per 1000 live births die before celebrating their fifth birth day. Household size and colostrum feeding are the significantly associated factors.Recommendation: All concerned should inform the mothers the role of identified factors like household size and colostrum feeding in child survival.

Download Full-text

An Evaluation of Environmental and Cultural Factors Affecting Under-Five Mortality in Kebbi State, Nigeria

African Journal of Environment and Natural Science Research ◽

10.52589/ajensr-okf4qt0w ◽

2021 ◽

Vol 4 (3) ◽

pp. 71-92

Author(s):

Azaki J.B. ◽

Mundi R. ◽

Dakyes S.P.

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Mortality Rate ◽

Logistic Regression Analysis ◽

Cultural Factors ◽

Sub Saharan Africa ◽

P Value ◽

Water Type ◽

Factors Affecting ◽

Under Five

Over the years, Nigeria at all levels of government has formulated and implemented health policies and programmes to reduce under-five mortality; and despite that, it is still among Sub-Saharan Africa countries with high under-five mortality rate. This study aimed at evaluating environmental and cultural factors affecting under-five mortality in Kebbi State, Nigeria. Multi-stage sampling technique was used to sample respondents. Structured questionnaires were administered to 625 women aged 15-49 years and 603 were retrieved, giving the response rate of 96.5%. Descriptive statistics such as frequencies and percentages were employed to analyse the characteristics of the respondents and distribution of under-five mortality experienced by women based on the environmental and cultural factors. Logistic regression analysis was applied to determine the environmental and cultural factors affecting under-five mortality in the study area. The results of the Logistic regression analysis revealed that at P-value <0.05, source of water, frequency of washing water container, water treatment, method of disposing waste water, type of toilet, shared toilet, frequency of washing toilet, method of disposing child’s stool, type of cooling appliance, number of persons per room, use of mosquito net, refuse disposal method and type of cooking fuel were found to be the environmental factors significantly affecting under-five mortality; while ethnicity, religion, practice of food taboo, belief in traditional medicine, belief about disease causation, mother’s autonomy on child’s health and family’s decision on child’s health were found to be the cultural factors significantly affecting under-five mortality in the study area. The study therefore concluded that environmental and cultural factors affect under-five mortality in Kebbi state. To reduce under-five mortality rate, it was recommended that government at all levels should step up efforts in providing adequate infrastructure for public use. Government and cultural organizations should mount advocacy programmes aimed at improving women’s participation in child’s health decision-making in the family.

Download Full-text

Determinants of under-five mortality in the high mortality regions of Ethiopia: mixed-effect logistic regression analysis

Archives of Public Health ◽

10.1186/s13690-021-00578-4 ◽

2021 ◽

Vol 79 (1) ◽

Author(s):

Misganaw Gebrie Worku ◽

Achamyeleh Birhanu Teshale ◽

Getayeneh Antehunegn Tesema

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Mortality Rate ◽

Logistic Regression Analysis ◽

High Mortality ◽

Birth Interval ◽

Binary Logistic Regression ◽

Mixed Effect ◽

Live Births ◽

Under Five

Abstract Background Even though the global under-five mortality rate substantially decreased over time, Sub-Saharan African (SSA) countries including Ethiopia continue to share the huge burden of under-five mortality. Ethiopia showed a substantial reduction in under-five mortality over time but the rate of reduction has varied across regions. Therefore, this study aimed to investigate determinants of under-five mortality in the high mortality regions of Ethiopia. Methods A secondary data analysis was done based on the 2016 Ethiopian Demographic and Health Survey (EDHS) data. A total weighted sample of 3446 live births were included for this study. For the determinants of under-five mortality, mixed-effect logistic regression was fitted. The Intra-Class Correlation Coefficient (ICC), and Median Odds Ratio (MOR) were done to assess the presence of a significant clustering effect. The standard binary logistic regression and the mixed-effect logistic regression model were fitted and deviance (−2LL) was used for model comparison as the models were nested models. Variables with a p-value less than 0.2 in the bi-variable mixed-effect binary logistic regression analysis were considered for the multivariable analysis. In the multivariable mixed-effect logistic regression analysis, the Adjusted Odds Ratio (AOR) with the 95% Confidence Interval (CI) were reported to declare the statistical significance and strength of association of under-five mortality and the determinant factors. Results Overall, the under-five mortality rate in the high mortality regions of Ethiopia was 74 per 1000 live births and it was highest among twin births (262 per 1000 live births). In the multivariable mixed-effect logistic regression analysis, being having 6 and above births (AOR = 3.66, 95% CI: 1.55, 8.67), preceding birth interval of 2–3 years (AOR = 0.57, 95% CI: 0.41, 0.81) and above 3 years (AOR = 0.35, 95% CI: 0.22, 0.55), being twin (AOR = 5.12, 95% CI: 2.28, 11.46), and being having antenatal care (ANC) visit during pregnancy (AOR = 0.27, 95% CI: 0.16, 0.45) were significant determinants of under-five mortality. Conclusion In this study, under-five mortality rate was highest in high mortality regions of Ethiopia. Parity, ANC visit, preceding birth interval, and multiple births were significant predictors of under-five mortality. Therefore, public health interventions that increase maternal health service utilization such as ANC and family planning service utilization to increase birth interval are needed to reduce under-five mortality among these regions of Ethiopia.

Download Full-text

Hand washing practice at critical times and its associated factors among mothers of under five children in Debark town, northwest Ethiopia, 2018

Italian Journal of Pediatrics ◽

10.1186/s13052-019-0713-z ◽

2019 ◽

Vol 45 (1) ◽

Cited By ~ 1

Author(s):

Henok Dagne ◽

Laekemariam Bogale ◽

Muluneh Borcha ◽

Anley Tesfaye ◽

Baye Dagnew

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Associated Factors ◽

Binary Logistic Regression ◽

Hand Washing ◽

Binary Logistic Regression Analysis ◽

Under Five ◽

Under Five Children ◽

Critical Times

Abstract Background The burden of communicable diseases within developing countries is mainly influenced by poor personal hygiene practices. Hand washing is considered as most cost effective intervention for reducing health problems such as diarrhoea and acute respiratory tract infections. This study aimed to assess hand washing practice at critical times and identify associated factors among mothers of under five children in Debark town. Method A community based cross-sectional study design was carried out from May 1–20, 2018 in Debark town. After selection of participants using simple random sampling, face to face interview was performed by using semi-structured pre-tested questionnaire. Data were entered into EPI Info 7 and exported into SPSS 21 for further analysis. Results were presented by simple frequency, percentage and mean for descriptive variables. Binary logistic regression analysis was used to test the association of dependent and independent factors. Variables with 95% confidence interval and p ≤ 0.2 during the univariable binary logistic regression analysis were included in the multivariate logistic regression analysis. At the final model variables with p ≤ 0.05 were treated as significantly associated factors of hand washing practice at critical times. Results Good hand washing practice at critical times was reported in 52.2% (95% CI: 47.5, 57.2%) of study participants. Desirable attitude [AOR = 3.37, 95% CI (2.03, 5.58)], presence of water for washing hands [AOR = 4.86, 95% CI (1.26, 18.69)] and a good knowledge [AOR = 2.98, 95% CI (1.92, 4.60)] were significantly associated factors with hand washing practice at critical times. Conclusion The hand washing practice at critical times of study participants was found to be low. A significant proportion of mothers of under five children have a poor hand washing practice at critical times. It is necessary to increase the access to water and to improve knowledge and attitude of mothers to improve their hand washing practice at critical times.

Download Full-text

Non-Adherence to Anti-Epileptic Drugs and Associated Factors among Epileptic Patients in Dessie Town Public Hospitals, Northeast Ethiopia

Journal of Epilepsy Research ◽

10.14581/jer.21006 ◽

2021 ◽

Vol 11 (1) ◽

pp. 39-48

Author(s):

Nigusie Abebaw ◽

Natnaiel Girma ◽

Miftah Yasin

Keyword(s):

Adverse Effect ◽

Logistic Regression ◽

Regression Analysis ◽

Antiepileptic Drugs ◽

Logistic Regression Analysis ◽

Associated Factors ◽

Public Hospitals ◽

P Value ◽

Drug Adherence ◽

Epileptic Patients

Background and Purpose: Patients who are non-adherent to their medication are frequently hospitalized with prolonged lengths of stay and make repeated emergency department visits. They are also more likely to miss work or school due to the seizure effects. In Ethiopia, although there is little evidence concerning anti-epileptic drug adherence, some studies were conducted with some controversy with studies done in another country. This study was therefore conducted to assess non-adherence to antiepileptic drugs and associated factors among adult epileptic patients attending in Dessie town public hospitals, northeast Ethiopia.Methods: Hospital-based cross-sectional study design was employed on 368 patients from January 16, 2018 to March 16, 2018. A systematic random sampling technique was employed to recruit study participants. The collected data were entered into EpiData 3.1 and exported to SPSS version 22.0 for analysis. All covariates that were significant at p-value <0.25 in the bivariate logistic regression analysis were considered for further multivariable logistic regression analysis level of statistical significance at p-value <0.05.Results: Among the respondents, 37.5% (95% confidence interval [CI], 32.1-42.9) of them were non-adhered to antiepileptic drugs. Patients who were unable to write and read (adjusted odds ratio [aOR], 22.30; 95% CI, 5.84-85.21), primary education level (aOR, 5.63; 95% CI, 1.90-16.69), being male (aOR, 2.37; 95% CI, 1.33-4.23), experience adverse effect (aOR, 13.68; 95% CI, 3.27-56.97), patients got medication by payment (aOR, 2.06; 95% CI, 1.04-4.11) were statistically associated with non-adherence.Conclusions: This study revealed that over one-third of participants were non-adherent to antiepileptic drugs. Sex, educational level, adverse effect, and medication source were independent factors for non-adherence to antiepileptic drugs. Therefore, educations and instructions about the importance of recommended drug use can improve antiepileptic drug adherence in patients with epilepsy.

Download Full-text

Hubungan Paritas, Penolong Persalinan dan Jarak Kehamilan dengan Angka Kematian Bayi di Jawa Timur

Jurnal Biometrika dan Kependudukan ◽

10.20473/jbk.v7i2.2018.113-121 ◽

2019 ◽

Vol 7 (2) ◽

pp. 113

Author(s):

Renaldi Kurniawan ◽

Soenarnatalina Melaniani

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Mortality Rate ◽

Infant Mortality ◽

Multiple Logistic Regression Analysis ◽

Infant Mortality Rate ◽

P Value ◽

Multiple Logistic Regression ◽

Never Married ◽

Live Births

Infant mortality is a major component in determining the health and well-being of a community in a country. Indonesia Health Demographic Survey in 2012 shows that infant mortality rate in Indonesia is 32 babies per 1000 live births. Infant mortality rate in eastern Java is 26 babies per 1000 live births. Infant mortality is caused by external factors and internal factors. Parity, gestational distance and birth attendant are the factors chosen to be analyzed. The objectives of the study were to analyze the relationship of parity, birth spacing and birth attendant to infant mortality rate in East Java. The type of research that is analytical research using non-reactive approach. The study took the data of the 2012 IDHS Female Woman Never married. Sampling followed the 2012 IDHS plus inclusion criteria from the researchers. The number of samples of the study was 591 mothers with a history of dead infants during the survey. The study took the data of the 2012 SDKI Female Woman Never married. Data analysis was done by multiple logistic regression. The results of the simple logistic regression analyzes have shown an association between parity> 2 children, birth attendants instead by a health professional, pregnancy spacing ≤ 4 years and spacing of pregnancy> 4 years. All independent variables entered as a candidate for the multiple logistic regression analysis of the results of the multiple logistic regression analysis was parity shows, their relationship with infant mortality with p value = 0.001, but at birth attendant with a p value of 0.66. Screening risks of pregnant mothers and handling of ill toddlers by midwives and IEC to mothers about nutrition, pregnancy care and infant care through counseling, leaflets and posters.

Download Full-text

Prevalence of postural deviations and associated factors in children and adolescents: a cross-sectional study

Fisioterapia em Movimento ◽

10.1590/1980-5918.029.004.ao14 ◽

2016 ◽

Vol 29 (4) ◽

pp. 777-786 ◽

Cited By ~ 4

Author(s):

Mariana Vieira Batistão ◽

Roberta de Fátima Carreira Moreira ◽

Helenice Jane Cote Gil Coury ◽

Luis Ernesto Bueno Salasar ◽

Tatiana de Oliveira Sato

Keyword(s):

Physical Activity ◽

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Associated Factors ◽

Multiple Logistic Regression Analysis ◽

Extrinsic Factors ◽

Cross Sectional ◽

Postural Changes ◽

Intrinsic And Extrinsic Factors

Abstract Introduction: Postural deviations are frequent in childhood and may cause pain and functional impairment. Previously, only a few studies have examined the association between body posture and intrinsic and extrinsic factors. Objective: To assess the prevalence of postural changes in school children, and to determine, using multiple logistic regression analysis, whether factors such as age, gender, BMI, handedness and physical activity might explain these deviations. Methods: The posture of 288 students was assessed by observation. Subjects were aged between 6 and 15 years, 59.4% (n = 171) of which were female. The mean age was 10.6 (± 2.4) years. Mean body weight was 38.6 (± 12.7) kg and mean height was 1.5 (± 0.1) m. A digital scale, a tapeline, a plumb line and standardized forms were used to collect data. The data were analyzed descriptively using the chi-square test and logistic regression analysis (significance level of 5%). Results: We found the following deviations to be prevalent among schoolchildren: forward head posture, 53.5%, shoulder elevation, 74.3%, asymmetry of the iliac crests, 51.7%, valgus knees, 43.1%, thoracic hyperkyphosis, 30.2%, lumbar hyperlordosis, 37.2% and winged shoulder blades, 66.3%. The associated factors were age, gender, BMI and physical activity. Discussion: There was a high prevalence of postural deviations and the intrinsic and extrinsic factors partially explain the postural deviations. Conclusion: These findings contribute to the understanding of how and why these deviations develop, and to the implementation of preventive and rehabilitation programs, given that some of the associated factors are modifiable.

Download Full-text

Clinical profile and factors determining outcome of intramural very low birth weight babies in a tertiary care centre: a retrospective study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20170143 ◽

2017 ◽

Vol 5 (2) ◽

pp. 520

Author(s):

Devi Meenakshi K. ◽

Arasar Seeralar A. T. ◽

Srinivasan Padmanaban

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Regression Analysis ◽

Birth Weight ◽

Low Birth Weight ◽

Logistic Regression Analysis ◽

Very Low Birth Weight ◽

Tertiary Care ◽

P Value ◽

Increased Risk

Background: Very low birth weight (VLBW) babies are at increased risk of a number of complications both immediate and late. Worldwide it has been observed that these babies contribute to a significant extent to neonatal mortality and morbidity. Aim of the study was to study the risk factors contributing to mortality in VLBW babies and to evaluate the morbidity pattern in these infants.Methods: A retrospective analysis of data retrieved from the case records of VLBW babies admitted in the NICU of Kilpauk Medical College between January 2015 to December 2015. Out of the 2360 intramural babies admitted during the study period, 99 babies were less than 1500 gms. The risk factors for these babies were analyzed for their association with the outcome. Data were statistically analyzed.Results: In present study, we found that sex of the baby, gestational age, obstetric score, birth asphyxia, pulmonary haemorrhage, ROP and presence of shock were found to be associated with increased mortality. By logistic regression analysis it was observed that birth weight of the baby (p value 0.002), duration of stay (p value 0.0006), presence of shock (p<0.0001), were the risk factors significantly associated with poor outcome.Conclusions: Among the maternal and neonatal factors analyzed in the study using logistic regression analysis, birth weight, duration of hospital stay and presence of shock were significantly related to poor outcome. Of these presence of shock was the single most important factor that predicted increased mortality.

Download Full-text

Knowledgeof anthrax infection prevention and its associated factors among livestock owners in Sekotazuria district, Wag-himra zone, northeast, Amhara region Ethiopia: Cross Sectional Study

10.21203/rs.2.13502/v1 ◽

2019 ◽

Author(s):

Kibeb seid ◽

Terefe Derso ◽

atsede mazengia shiferaw

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Health Education ◽

Logistic Regression Analysis ◽

Associated Factors ◽

Infection Prevention ◽

Good Knowledge ◽

Amhara Region ◽

Cross Sectional ◽

Anthrax Infection

Abstract Introduction Anthrax is an infectious bacterial disease transmitted from infected animal to human by direct or indirectcontact with their products like hides or wool. The most efficient ways of anthrax infection preventions are vaccination of livestock, surveillance, and proper disposal of livestock carcasses in domestic herd.Recently, anthrax infection in humans has been reported from several districts spreadcountrywide and becomes a major public health problem of animals-humans in Amhara region (the study area).Objective This study aimed at determining knowledge of anthrax infection prevention and its associated factors among livestock owners in Sekotazuria district.Method Community based cross-sectional quantitative study was conducted from April to May, 2018, at Sekotazuria district, Northeast Ethiopia. A total of 844 live-stoke owners were selected from Sekotazuria district using simple random sampling technique. Data were collected using a structured self-administered questionnaire and data were cleaned, coded, and entered into Epi-info version 3.5.3, and transferred into SPSS version 20 for further statistical analysis. A p-value of less than 0.05 at multiple logistic regression analysis was considered statistically significant.Results The study revealed that good knowledge of anthrax prevention among livestock owners was 55.8% (95%CI: 54.2, 57.4%). According to multivariable logistic regression analysis, secondary and above educational level[AOR=2.97, 95% CI: 1.07, 8.20], age range of 42 – 80 [AOR=1.47, 95% CI: 1.04, 2.07], and health education about anthrax [AOR=4.25, 95% CI: 2.51, 7.17]were found significantly associated with good knowledge of anthrax infection prevention.Conclusion More than half of livestock owners at SekotaZuria District had good knowledge towards anthrax infection prevention, education level in secondary and above,respondents age category 42-80 years, and health education about anthrax were factors associated with knowledge of anthrax infection prevention. Therefore, health education about anthrax shall be strengthening.

Download Full-text