Retrospective Cohort Study in the Determinants of Child Mortality in Butajira Demographic and Surveillance Sites
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Date
2006-07
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Addis Abeba Universty
Abstract
Background: Eleven million children under age of five die annually in the
world as a whole, of which over ten million are in the developing world. A
large proportion of these deaths are preventable and uncounted. To this
end a realistic picture of an epidemiological profile and intervention
developments require an understanding of the determinants of child
mortality. Moreover, a relatively less expensive and feasible method that
can yield reliable and valid data is necessary. Though many studies that
have been done to determine factors associated with child deaths, no
sound methods were used.
Objective: Therefore, this study was designed to identity factors
associated with death of children in the first five years of life.
Method: This study was a retrospective cohort study that took secondary
data of BRHP and qualitative study design to supplement on the quality
of data collection. All birth cohorts born between Jan 1st to Dec 31st,
2000 were considered as the study population. Data was analyzed using
the Cox proportional Hazard model to track survival pattern of children
and factors associated with child death.
Results: Infant and under five mortality rates were 83.9 and 118 deaths
per 1000 live births. Excess mortality was observed in female children
than in males; moreover, multiple births were at increased risk of dying
than singleton. Urban children had more (50%) chances of survival
compared to rural ones. upon stepwise multivariate Cox regression
source of water esp. pipe water, sex of child, multiple births, urban
places of residence and availability of radio in the household were found
to be independent predictors of child survival.
Conclusions and recommendation: mortality is relatively high and the provision of safe
and adequate water supply and promotion of child health should be considered in the
area.
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Retrospective cohort study in the determinants of child