Proximate, intermediate, and distal predictors of under-five mortality in Chad: analysis of the 2014–15 Chad demographic and health survey data

Ahinkorah BO, Seidu A-A, Budu E, Armah-Ansah EK, Agbaglo E, Adu C, Hagan Jr. JE, Yaya S (2020)
BMC Public Health 20(1): 1-12.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Ahinkorah, Bright Opoku; Seidu, Abdul-Aziz; Budu, Eugene; Armah-Ansah, Ebenezer Kwesi; Agbaglo, Ebenezer; Adu, Collins; Hagan Jr., John ElvisUniBi; Yaya, Sanni
Abstract / Bemerkung
Abstract Background Under-five mortality in Chad reached a minimum value of 119 deaths per 1000 live births in 2018, compared with a maximum of 250 in 1972. Despite this decline in the  mortality trend, for every six children in Chad, one dies before the age of five. This study, therefore, investigated the proximate, intermediate, and distal determinants of under-five mortality in Chad. Methods We used data from the 2014–15 Chad's Demographic and Health Survey. Data of 7782 children below 5 years were used for the study. Both descriptive and multivariable hierarchical logistic regression analyses were performed. Statistical significance was declared at p < 0.05. Results Under-five mortality was found to be 130 deaths per 1000 live births in Chad, with variations across the various population sub-groups. For distal predictors, the likelihood of death was higher in children born in the FChari Baguirmi region (AOR = 3.83, 95% CI: 1.81–8.14). Children whose mothers belonged to the Baguirmi/Barma ethnic group (AOR = 8.04, 95% CI: 1.75–36.99) were more likely to die before the age of five. On the contrary, the likelihood of under-five mortality was low among children born in rural areas (AOR = 0.73, 95% CI: 0.55–0.97). With the intermediate predictors, the likelihood of under-five deaths was higher among children whose mothers had no formal education (AOR = 1.72, 95% CI: 1.06–2.77). Regarding the proximate predictors, the odds of under-five deaths was higher among male children (AOR = 1.03, 95% CI: 1.05–1.63) and first rank children (AOR = 1.58, 95% CI: 1.13–2.21). Conclusion The study found that the determinants of under-five mortality in Chad are region of residence, place of residence, ethnicity, education, sex of child, and birth rank. These findings show that both socio-economic and proximate factors explain the disparities in under-five mortality in Chad. The identification of these factors can be pivotal towards the design of evidence-based interventions intended to improve child survival. Therefore, improving maternal education while refocusing and re-packaging existing strategies to target selected sub-regional populations with high under-five mortality is urgently required.
Stichworte
Public Health; Environmental and Occupational Health
Erscheinungsjahr
2020
Zeitschriftentitel
BMC Public Health
Band
20
Ausgabe
1
Seite(n)
1-12
ISSN
1471-2458
Page URI
https://pub.uni-bielefeld.de/record/2949384

Zitieren

Ahinkorah BO, Seidu A-A, Budu E, et al. Proximate, intermediate, and distal predictors of under-five mortality in Chad: analysis of the 2014–15 Chad demographic and health survey data. BMC Public Health. 2020;20(1):1-12.
Ahinkorah, B. O., Seidu, A. - A., Budu, E., Armah-Ansah, E. K., Agbaglo, E., Adu, C., Hagan Jr., J. E., et al. (2020). Proximate, intermediate, and distal predictors of under-five mortality in Chad: analysis of the 2014–15 Chad demographic and health survey data. BMC Public Health, 20(1), 1-12. doi:10.1186/s12889-020-09869-x
Ahinkorah, B. O., Seidu, A. - A., Budu, E., Armah-Ansah, E. K., Agbaglo, E., Adu, C., Hagan Jr., J. E., and Yaya, S. (2020). Proximate, intermediate, and distal predictors of under-five mortality in Chad: analysis of the 2014–15 Chad demographic and health survey data. BMC Public Health 20, 1-12.
Ahinkorah, B.O., et al., 2020. Proximate, intermediate, and distal predictors of under-five mortality in Chad: analysis of the 2014–15 Chad demographic and health survey data. BMC Public Health, 20(1), p 1-12.
B.O. Ahinkorah, et al., “Proximate, intermediate, and distal predictors of under-five mortality in Chad: analysis of the 2014–15 Chad demographic and health survey data”, BMC Public Health, vol. 20, 2020, pp. 1-12.
Ahinkorah, B.O., Seidu, A.-A., Budu, E., Armah-Ansah, E.K., Agbaglo, E., Adu, C., Hagan Jr., J.E., Yaya, S.: Proximate, intermediate, and distal predictors of under-five mortality in Chad: analysis of the 2014–15 Chad demographic and health survey data. BMC Public Health. 20, 1-12 (2020).
Ahinkorah, Bright Opoku, Seidu, Abdul-Aziz, Budu, Eugene, Armah-Ansah, Ebenezer Kwesi, Agbaglo, Ebenezer, Adu, Collins, Hagan Jr., John Elvis, and Yaya, Sanni. “Proximate, intermediate, and distal predictors of under-five mortality in Chad: analysis of the 2014–15 Chad demographic and health survey data”. BMC Public Health 20.1 (2020): 1-12.

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