Journal of Research & Opinion peer-reviewed open access journal

Determinants of death among under-5 children in Bangladesh

Md. Sazedur Rahman
Statistics Discipline, Khulna University, Khulna-9208.
Md. Saidur Rahman
Department of Management, Islamic University, Kushtia, Bangladesh.
Md. Ashfikur Rahman
Development Studies Discipline, Khulna University, Khulna-9208
Share:

How to Cite

1.
Determinants of death among under-5 children in Bangladesh. Journal of Research and Opinion [Internet]. 2019 Mar. 30 [cited 2024 Nov. 21];6(3):2294-302. Available from: https://researchopinion.in/index.php/jro/article/view/4
  • Articles
  • Submited: October 30, 2019
  • Published: March 30, 2019

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.

References

1. Adedini SA, Odimegwu C, Imasiku EN, Ononokpono DN, Ibisomi L. Regional variations in infant and child mortality in Nigeria: a multilevel analysis. Journal of biosocial science. 2015; 47(2):pp.165-187. https://doi.org/10.1017/S0021932013000734
2. Ahmad OB, Lopez AD, Inoue M. The decline in child mortality: a reappraisal. Bulletin of the World Health Organization. 2000; 78: pp. 1175-1191.
3. Akter T, Hoque DM, Chowdhury EK, Rahman M, Russell M, Arifeen SE. Is there any association between parental education and
child mortality? A study in a rural area of
Bangladesh. Public health. 2015; 129(12):pp.
1602-1609.
https://doi.org/10.1016/j.puhe.2015.08.004
4. Alam N, Van Ginneken JK, Bosch AM. Infant mortality among twins and triplets in rural Bangladesh in 1975–2002. Tropical Medicine & International Health. 2007; 12(12):pp.
1506-1514.https://doi.org/10.1111/j.1365-
3156.2007.01959.x
5. Ayele DG, Zewotir TT, Mwambi HG. Structured additive regression models with spatial correlation to estimate under-five mortality risk factors in Ethiopia. BMC public
health. 2015; 15(1): p. 268. https://doi.org/10.1186/s12889-015-1602-z
6. Bangladesh Demographic and Health Survey (BDHS), (1993–94). NIPORT, Dhaka, Bangladesh. Dhaka: Mitra and Associates; 1993-94.
7. Bereka SG, Habtewold FG, Nebi TD. Under-Five Mortality of Children and its Determinants in Ethiopian Somali Regional State, Eastern Ethiopia. Health Science Journal. 2017; 11(3): pp. 1-8.
8. Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year?.The lancet. 2003; 361(9376): pp.2226-2234. https://doi.org/10.1016/S0140-6736 (03)13779-8
9. Breierova L, Duflo E. The impact of education on fertility and child mortality: Do fathers really matter less than mothers?. National bureau of economic research; 2004.
10. Chowdhury QH, Islam R, Hossain K. Socio-economic determinants of neonatal, post neonatal, infant and child mortality. International Journal of Sociology and Anthropology. 2010; 2(6):pp. 118-125.
11. Ezeh OK, Agho KE, Dibley MJ, Hall JJ, Page AN. Risk factors for postneonatal, infant, child and under-5 mortality in Nigeria: a pooled cross-sectional analysis. BMJ open. 2015; 5(3):p.e006779.
http://dx.doi.org/10.1136/bmjopen-2014-006779
12. Hong R. Effect of multiple birth on infant mortality in Bangladesh. Journal of paediatrics and child health. 2006; 42(10): pp. 630-635. https://doi.org/10.1111/j.1440-1754.2006.00940.x
13. Hossain MM, Mani KK, Islam MR. Prevalence and determinants of the gender differentials risk factors of child deaths in Bangladesh: evidence from the Bangladesh demographic and health survey, 2011. PLoS neglected tropical diseases. 2015;9(3):p. e0003616. https://doi.org/10.1371/journal.pntd.0003616
14. Humphrey JH, Agoestina T, Wu L, Usman A, Nurachim M, Subardja D, et al. Impact of neonatal vitamin A supplementation on infant morbidity and mortality. The Journal of pediatrics. 1996; 128(4): pp. 489-496. https://doi.org/10.1016/S0022-3476(96)70359-1
15. Imdad, A., Yakoob, M.Y., Sudfeld, C., Haider, B.A., Black, R.E. and Bhutta, Z.A., 2011. Impact of vitamin A supplementation on infant and childhood mortality. BMC public health, 11(3), p.S20. https://doi.org/10.1186/1471-2458-11-S3-S20
16. Karmaker SC, Lahiry S, Roy DC, Singha B. Determinants of infant and child mortality in Bangladesh: time trends and comparisons across South Asia. Bangladesh Journal of Medical Science. 2014; 13(4): pp. 431-437. https://doi.org/10.3329/bjms.v13i4.20590
17. Kembo J, Van Ginneken JK. Determinants of infant and child mortality in Zimbabwe: Results of multivariate hazard analysis. Demographic Research. 2009; 21: pp. 367-384.
18. Khan JR, Awan N. A comprehensive analysis on child mortality and its determinants in Bangladesh using frailty models. Archives of
Public Health. 2017; 75(1):p.58. https://doi.org/10.1186/s13690-017-0224-6
19. Klemm RD, Labrique AB, Christian P, Rashid M, Shamim AA, Katz J et al. Newborn vitamin A supplementation reduced infant mortality in rural Bangladesh. Pediatrics. 2008; 122(1): pp.
242-250.
20. Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, Rudan I et al. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends
since 2000. The Lancet. 2012; 379(9832):pp.2151-2161. https://doi.org/10.1016/S0140-6736(12)60560-1
21. Maniruzzaman M, Suri HS, Kumar N, Abedin MM, Rahman MJ, El-Baz A et al. Risk factors of neonatal mortality and child mortality in Bangladesh. Journal of global health. 2018;
8(1):p.010417.https://dx.doi.org/
10.7189/jogh.08.010421
22. McGuire JW. Basic health care provision and under-5 mortality: a cross-national study of developing countries. World Development.
2006; 34(3): pp. 405-425.https://doi.org/10.1016/j.worlddev.2005.0 8.004
23. Mohammad KA, Bari W. Fine and Gray competing risk regression model to study the causespecific under-five child mortality in Bangladesh. BMC international health and human rights. 2017; 17(1): p. 3. https://doi.org/10.1186/s12914-017-0112-8
24. Mondal MN, Hossain MK, Ali MK. Factors influencing infant and child mortality: A case study of Rajshahi District, Bangladesh. Journal of Human Ecology. 2009; 26(1):pp. 31-39.https://doi.org/10.1080/09709274.2009.119 06162
25. NIPORT Mitra and Associates and ICF. Bangladesh demographic and health survey 2014 (policy brief). Technical report, National Institute of Population Research and Training (NIPORT), Mitra and Associates, and ICF International. 2016.
26. Rahman KM, Sarkar P. Determinants of infant and child mortality in Bangladesh. Pakistan Journal of Social Sciences. 2009; 6(3): pp. 175-180.
27. Rahmathullah L, Tielsch JM, Thulasiraj RD, Katz J, Coles C, Devi S, et al. Impact of supplementing newborn infants with vitamin A on early infant mortality: community based randomised trial in southern India. Bmj. 2003; 327(7409): p.254. https://doi.org/10.1136/bmj.327.7409.254
28. Uddin J, Hossain Z. Predictors of infant mortality in a developing country. Asian Journal of Epidemiology. 2008; 1(1): pp. 1-6.
How to Cite
1.
Determinants of death among under-5 children in Bangladesh. Journal of Research and Opinion [Internet]. 2019 Mar. 30 [cited 2024 Nov. 21];6(3):2294-302. Available from: https://researchopinion.in/index.php/jro/article/view/4

Send mail to Author


Send Cancel

Custom technologies based on your needs

Journal of Research and Opinion  invites original research and review articles not published/submitted for publications anywhere. The journal accepts review articles only if author (s) has included his/her own research work and is an authority in the particular field. Invited or submitted review articles on current medical research developments will also be included. Medical practitioners are encouraged to contribute interesting case reports.

 

  • Manuscript template
  • Make a submission
  • Beta visitors

Why publish with us?

Open Access and Free

Full open-access. No processing & publication fees for authors

Refereed

The journal has rigorous peer-reviews

Indexed

The journal is indexed in DOAJ, SINTA and under review by ERIC