Epidemiological Assessment of Determinants and Causes of Under Five Child Mortality in Jimma Town: Is HIV/AIDS Influencing the Pattern of Child Mortality?

Girma, Belaineh (2014) Epidemiological Assessment of Determinants and Causes of Under Five Child Mortality in Jimma Town: Is HIV/AIDS Influencing the Pattern of Child Mortality? Masters thesis, Addis Ababa University.

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Abstract

Background .About 11 million children younger than5 years still die every year even after a substantial decline in child mortality had occurred. The findings that are available so far show that about two third of child deaths could be prevented by interventions that are available today and feasible for implementation in low income countries .The identification of determinants of child mortality is a crucial step in planning and implementation of interventions . Objective: To assess the determinants and causes of child mortality Methods. The study utilized a case control study design, Cases and controls were identified by population based survey. The study was conducted in Jimma Town from October to November 2004 .The variables included were socioeconomic, behavioral, nutritional, environmental and disease history. The data was collected using structured questionnaire which include standardized verbal autopsy tool. Results: Muslim religion(OR=3.41,95%CI(1.37,8.46)) Dawro(OR=6.51,95%CI(2.13,19.88)) and Yem (OR=4.25,95%CI(1.09,116.48)), never breast fed, (OR=13.74,95%CI(3.34,56.42)) not vaccinated children(OR=.26,95%CI(0.10,0.67)) and (OR=3.34,95%CI(1. 27,8.76)) children with mother’s having more than five children are significantly associated with child death . Pneumonia, Malaria and gastroenteritis were leading causes of death. Malnutrition (38%)and HIV/AIDS(2.8%) had contributed to a significant proportion deaths. Conclusion and recommendations: immunization, parity and breast feeding were found to be protective from childhood deaths. Despite the limitations of Verbal autopsy, the determination of causes of death using verbal autopsy is of greater importance and value to public health. Strengthening the child survival initiatives namely universal child immunization, family planning and breast feeding are strongly recommended.

Item Type: Thesis (Masters)
Subjects: R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 04 Jul 2018 08:42
Last Modified: 04 Jul 2018 08:42
URI: http://thesisbank.jhia.ac.ke/id/eprint/6564

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