Epidemiological Assessment of Determinants and Causes of under five Child Mortality in Jimma town: Is HIV/AIDS influencing the pattern of child mortality?
No Thumbnail Available
Date
2004-11
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba Universty
Abstract
Background .About 11 million children younger than5 years still die every year even after a
substantial decline in child mortality had occurred. The findings that are available so far show that
about two third of child deaths could be prevented by interventions that are available today and
feasible for implementation in low income countries .The identification of determinants of child
mortality is a crucial step in planning and implementation of interventions .
Objective: To assess the determinants and causes of child mortality
Methods. The study utilized a case control study design, Cases and controls were identified by
population based survey. The study was conducted in Jimma Town from October to November
2004 .The variables included were socioeconomic, behavioral, nutritional, environmental and
disease history. The data was collected using structured questionnaire which include standardized
verbal autopsy tool.
Results: Muslim religion(OR=3.41,95%CI(1.37,8.46)) Dawro(OR=6.51,95%CI(2.13,19.88)) and
Yem (OR=4.25,95%CI(1.09,116.48)), never breast fed, (OR=13.74,95%CI(3.34,56.42)) not
vaccinated children(OR=.26,95%CI(0.10,0.67)) and (OR=3.34,95%CI(1. 27,8.76)) children with
mother’s having more than five children are significantly associated with child death . Pneumonia,
Malaria and gastroenteritis were leading causes of death. Malnutrition (38%)and HIV/AIDS(2.8%)
had contributed to a significant proportion deaths.
Conclusion and recommendations: immunization, parity and breast feeding were found to be
protective from childhood deaths. Despite the limitations of Verbal autopsy, the determination of
causes of death using verbal autopsy is of greater importance and value to public health.
Strengthening the child survival initiatives namely universal child immunization, family planning
and breast feeding are strongly recommended.
Description
Keywords
Epidemiological Assessment of Determinants