ArticleGlobal health action
Under-five mortality and maternal HIV status in Tanzania: analysis of trends between 2003 and 2012 using AIDS Indicator Survey data.
Article in Global health action. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Determinants of infant mortality in Oromia region, Ethiopia.Annals of medicine and surgery (2012) · 2023Article
- Article
- Survival time and predictors of death among HIV infected under five children after initiation of anti -retroviral therapy in West Amhara Referral Hospitals, Northwest Ethiopia.BMC pediatrics · 2022Article
- Socio-economic factors affecting high infant and child mortality rates in selected African countries: does globalisation play any role?Globalization and health · 2022Article
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Abstract
backgroundMortality among children under five remains a significant health challenge across sub-Saharan Africa. HIV/AIDS is one of the leading contributors to the relatively slow decline in under-five mortality in this region. In Tanzania, HIV prevalence among under-five children is high and 90% of all infections are due to mother-to-child transmission.
objectivesThe study aimed to examine the association between maternal HIV-positive status and under-five mortality in Tanzania. It also aimed to estimate the proportions and trends of under-five mortality attributable to maternal HIV/AIDS in Tanzania between 2003 and 2012.
designBinomial logistic regression was used to analyze cross-sectional survey data from the Tanzania AIDS Indicator Surveys to examine the association between maternal HIV positivity and under-five mortality between 2003 and 2012.
resultsAfter controlling for confounders, the adjusted odds ratios were 1.5 (95% CI 1.1-1.9) in 2003-2004, 4.6 (95% CI 2.7-7.8) in 2007-2008, and 2.4 (95% CI 1.2-4.6) in 2011-2012. The maternal HIV-attributable mortality risk percent of under-five children was 3.7 percent in 2003-2004, 11.3 percent in 2007-2008 and 5.6% in 2011-2012.
conclusionMaternal HIV positivity is associated with under-five mortality in Tanzania, making maternal HIV serostatus a relevant determinant of whether a child will survive up to five years of age or not. The impact of maternal HIV/AIDS attributable mortality risk has a significant contribution to the overall under-five mortality in Tanzania. The continued monitoring of HIV and mortality trends is important for policy development and design of interventions.
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