Determinants of death among under-5 children in Bangladesh

Abstract

Background:
It is well established that improving human health has direct obvious payoff on enhancing life expectancy along with economic growth. Under-5 child mortality deliberately used to understand a countries overall public health status. In Bangladesh, child mortality remains a significant public health problem. Therefore, the chief intention of this undertaken study was to ascertain the best possible important factors of pre-school child mortality in Bangladesh.
Method
This study was based on large dataset of Bangladesh Demographic and Health Survey, 2014 (BDHS-2014). Based on an extensive literature review thirteen covariates were selected. Chi-square test was accomplished to find out the association with under-5 deaths. The factors which achieved statistical significance (p<0.05) were put into binary logistic model for multilevel adjustment.
Results:
Obtained results described different geospatial, socioeconomic, demographic and health factors i.e. division, parents’ education, fathers’ occupation, wealth index of family, type of toilet, birth status (single or multiple birth), vitamin A and antenatal care visit during pregnancy were significantly associated with under-5 child mortality. Results of the binary logistic regression revealed that lower level of father’s education, multiple birth and not receiving vitamin A dose were found the strong predictors of influencing infant mortality.
Conclusion:
A nationally representative data had been used to reflect the recent mortality pattern in this country. Different socio-economic, health and demographic factors are associated with U5CM. This evidence based empirical study suggests that more attention needs regarding to stall all kinds of child mortality in Bangladesh.