ArticleBulletin of the World Health Organization2016
Trends in socioeconomic disparities in a rapid under-five mortality transition: a longitudinal study in the United Republic of Tanzania.
Article in Bulletin of the World Health Organization, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Under-five mortality and social determinants in africa: a systematic review.European journal of pediatrics · 2025Pooled it
- Systematic review and meta-analysis of the association between dimensions of inequality and a selection of indicators of Reproductive, Maternal, Newborn and Child Health (RMNCH).Journal of global health · 2019Pooled it
- Survival analysis of under-five mortality predictors: evidence from the 2011 and 2022/23 mozambique demographic and health surveys.BMC public health · 2026Article
- Article
- Time to death and its determinants of under-five children in rural Ethiopia by using shared frailty.Scientific reports · 2024Article
- Predictors of mortality among under-five children in rural Ethiopia: a cross sectional study.BMC pediatrics · 2023Article
- The changing tide of human fertility.Human reproduction (Oxford, England) · 2022Article
- Time to under-five mortality and its predictors in rural Ethiopia: Cox-gamma shared frailty model.PloS one · 2022Article
- Bugs in the Bed: Addressing the Contradictions of Embedded Science with Agile Implementation Research.Global health, science and practice · 2021Review
- Projected impact and cost-effectiveness of community-based versus targeted azithromycin administration strategies for reducing child mortality in sub-Saharan Africa.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020Article
- Have inequalities in all-cause and cause-specific child mortality between countries declined across the world?International journal for equity in health · 2019Article
- Household water insecurity, missed schooling, and the mediating role of caregiver depression in rural Uganda.Global mental health (Cambridge, England) · 2017Article
- Determinants of Under-Five Mortality in Mozambique: Insights From the Demographic and Health Survey 2022/23.Sage open pediatricsArticle
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Authors and funding
7 authors.
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Abstract
objectiveTo explore trends in socioeconomic disparities and under-five mortality rates in rural parts of the United Republic of Tanzania between 2000 and 2011.
methodsWe used longitudinal data on births, deaths, migrations, maternal educational attainment and household characteristics from the Ifakara and Rufiji health and demographic surveillance systems. We estimated hazard ratios (HR) for associations between mortality and maternal educational attainment or relative household wealth, using Cox hazard regression models.
findingsThe under-five mortality rate declined in Ifakara from 132.7 deaths per 1000 live births (95% confidence interval, CI: 119.3-147.4) in 2000 to 66.2 (95% CI: 59.0-74.3) in 2011 and in Rufiji from 118.4 deaths per 1000 live births (95% CI: 107.1-130.7) in 2000 to 76.2 (95% CI: 66.7-86.9) in 2011. Combining both sites, in 2000-2001, the risk of dying for children of uneducated mothers was 1.44 (95% CI: 1.08-1.92) higher than for children of mothers who had received education beyond primary school and in 2010-2011, the HR was 1.18 (95% CI: 0.90-1.55). In contrast, mortality disparities between richest and poorest quintiles worsened in Rufiji, from 1.20 (95% CI: 0.99-1.47) in 2000-2001 to 1.48 (95% CI: 1.15-1.89) in 2010-2011, while in Ifakara, disparities narrowed from 1.30 (95% CI: 1.09-1.55) to 1.15 (95% CI: 0.95-1.39) in the same period.
conclusionWhile childhood survival has improved, mortality disparities still persist, suggesting a need for policies and programmes that both reduce child mortality and address socioeconomic disparities.
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