Evidence map›Paper›PMID 30965556›Full record

ArticleInternational journal of environmental research and public health2019

Under-Five Mortality and Associated Factors: Evidence from the Nepal Demographic and Health Survey (2001⁻2016).

Pramesh Raj Ghimire, Kingsley E Agho, Osita Kingsley Ezeh, Andre M N Renzaho, Michael Dibley, Camille Raynes-Greenow

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Pramesh Raj GhimireSchool of Science and Health, Western Sydney University, Locked Bag1797, Penrith, NSW 2571, Australia. P.Ghimire@westernsydney.edu.au.ORCID 0000-0003-2816-0463
Kingsley E AghoSchool of Science and Health, Western Sydney University, Locked Bag1797, Penrith, NSW 2571, Australia. K.Agho@westernsydney.edu.au.
Osita Kingsley EzehSchool of Science and Health, Western Sydney University, Locked Bag1797, Penrith, NSW 2571, Australia. ezehosita@yahoo.com.ORCID 0000-0002-2839-2056
Andre M N RenzahoSchool of Social Sciences and Psychology, Western Sydney University, Locked Bag1797, Penrith, NSW 2751, Australia. andre.renzaho@westernsydney.edu.au.
Michael DibleySydney School of Public Health, The University of Sydney, Edward Ford Building (A27), Sydney, NSW 2006, Australia. michael.dibley@sydney.edu.au.ORCID 0000-0002-1554-5180
Camille Raynes-GreenowSydney School of Public Health, The University of Sydney, Edward Ford Building (A27), Sydney, NSW 2006, Australia. camille.raynes-greenow@sydney.edu.au.ORCID 0000-0002-8802-6226

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Child mortality in Nepal has reduced, but the rate is still above the Sustainable Development Goal target of 20 deaths per 1000 live births. This study aimed to identify common factors associated with under-five mortality in Nepal. Survival information of 16,802 most recent singleton live births from the Nepal Demographic and Health Survey for the period (2001⁻2016) were utilized. Survey-based Cox proportional hazard models were used to examine factors associated with under-five mortality. Multivariable analyses revealed the most common factors associated with mortality across all age subgroups included: mothers who reported previous death of a child [adjusted hazard ratio (aHR) 17.33, 95% confidence interval (CI) 11.44, 26.26 for neonatal; aHR 13.05, 95% CI 7.19, 23.67 for post-neonatal; aHR 15.90, 95% CI 11.38, 22.22 for infant; aHR 16.98, 95% CI 6.19, 46.58 for child; and aHR 15.97, 95% CI 11.64, 21.92 for under-five mortality]; nonuse of tetanus toxoids (TT) vaccinations during pregnancy (aHR 2.28, 95% CI 1.68, 3.09 for neonatal; aHR 1.86, 95% CI 1.24, 2.79 for post-neonatal; aHR 2.44, 95% CI 1.89, 3.15 for infant; aHR 2.93, 95% CI 1.51, 5.69 for child; and aHR 2.39, 95% CI 1.89, 3.01 for under-five mortality); and nonuse of contraceptives among mothers (aHR 1.69, 95% CI 1.21, 2.37 for neonatal; aHR 2.69, 95% CI 1.67, 4.32 for post-neonatal; aHR 2.01, 95% CI 1.53, 2.64 for infant; aHR 2.47, 95% CI 1.30, 4.71 for child; and aHR 2.03, 95% CI 1.57, 2.62 for under-five mortality). Family planning intervention as well as promotion of universal coverage of at least two doses of TT vaccine are essential to help achieve child survival Sustainable Development Goal (SDG) targets of <20 under-five deaths and <12 neonatal deaths per 1000 births by the year 2030.

Indexed as

Child MortalityHealth SurveysInfant MortalityChild, PreschoolFemaleHumansInfantInfant, NewbornMothersNepalProportional Hazards Modelschild mortalityinfantsmortality ratesNepalrisk factors

Identifiers

PMID30965556
PMCPMC6479835

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.