Kifle, Abera (2006) Retrospective Cohort Study in the Determinants of Child Mortality in Butajira Demographic and Surveillance Sites. Masters thesis, Addis Ababa University.
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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.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 01 Oct 2018 11:52 |
| Last Modified: | 01 Oct 2018 11:52 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/5835 |
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