ArticleBMC public health2019
Decomposing the rural-urban gap in the factors of under-five mortality in sub-Saharan Africa? Evidence from 35 countries.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 1 of them a synthesis that pooled it.
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Who cites it
82 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Factors Associated with Under-Five Child Mortality.BioMed research international · 2022Pooled it
- Approximation of the Cox survival regression model by MCMC Bayesian Hierarchical Poisson modelling of factors associated with childhood mortality in Nigeria.Scientific reports · 2021Trial
- Comparative machine learning survival models for under-five mortality in Southern Africa with frailty modelling.Dialogues in health · 2026Article
- Analysis of under-five mortality rate and healthcare utilization equity in Hunan Province, China, 2020-2024.Preventive medicine reports · 2026Article
- Article
- Applying Machine learning to analyze the utilization of insecticide-treated nets among rural under-five children in East Africa.Parasite epidemiology and control · 2026Review
- Prediction of under-five mortality using supervised machine learning algorithms in the 23 sub-Sharan African countries.Scientific reports · 2026Article
- Where Women Give Birth Is Changing in Sub-Saharan Africa: Evidence From 30 Countries Using DHS Data.Journal of pregnancy · 2026Article
- Infant mortality rates in Ghana: progress toward sustainable development goal 3.BMC public health · 2025Article
- Modeling determinants of accessibility for healthcare services in rural and urban areas of Dodoma, Tanzania.BMC public health · 2025Article
- Exploring the Factors Underlying the Narrowing Urban Advantage in Child Mortality in Sub-Saharan Africa: A Scoping Review.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Influence of paternal education on maternal and child health outcomes in Sub-Saharan Africa: evidence from demographic and health surveys.Reproductive health · 2025Article
- Rural-urban differentials in women empowerment and experience of under-five mortality among mothers in Nigeria: a Multiple Indicator Survey analysis.BMC public health · 2025Article
- Analysis of travel-time to HIV treatment in sub-Saharan Africa reveals inequities in access to antiretrovirals.Communications medicine · 2025Article
- Decomposing the effect of women's educational status on fertility across the six geo-political zones in Nigeria: 2003-2018.BMC women's health · 2025Article
- Under-five mortality and its associated factors in sub-Saharan Africa: a multilevel analysis of recent demographic and health surveys data based on Bayesian approach.BMC pediatrics · 2025Article
- Using Human-Centered Design to Bridge Zero-Dose Vaccine Gap: A Case Study of Ilala District in Tanzania.Vaccines · 2025Article
- Antibiotic prescription sources and use among under-5 children with fever/cough in sub-Saharan Africa.International health · 2025Article
- What are the factors associated with rural-urban inequality in under-5 deaths in low- and middle-income countries? A Fairlie decomposition analysis.PLOS global public health · 2025Article
- Measuring the strength of maternal, newborn and child health care implementation and its association with childhood mortality risk in three rural districts of Tanzania.PLOS global public health · 2025Article
22 more citing papers are in PubMed but not listed here.
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4 authors.
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Abstract
backgroundUnderstanding urban-rural gap in childhood survival is essential for health care interventions and to explain disparities in the determinants of Under-5 mortality. There is dearth of information about the factors explaining differentials in urban-rural Under-5 mortality especially in sub-Saharan Africa (SSA). In this study, we sought to quantify the contributions of bio-demographic, socioeconomic and proximate factors in explaining the urban-rural gap in Under-5 mortality in SSA.
methodsThis study utilized secondary data from Demographic and Health Survey (DHS) in 35 sub-Saharan countries conducted between 2006 and 2016. Child (aged 0 and 59 months) death was the outcome variable in this study. Oaxaca-Blinder decomposition was used to decipher urban-rural gap in the factors of Under-5 mortality.
resultsSignificant urban-rural differentials were observed in Under-5 mortality across bio-demographic, socioeconomic and proximate factors. In the decomposition model, about 44.27% of urban group and 74.71% of rural group had Under-5 mortality in sub-Saharan countries. Maternal age, education, use of newspaper, TV, wealth index, total children ever born, size of baby and age at first birth contributed towards explaining urban-rural gap inUnder-5 mortality.
conclusionThese findings could be contributory to health care system improvement and socioeconomic developmental plans to address under-5 mortality in SSA. Strengthening maternal and child health (MCH) programmes, specifically in rural areas and improving health care services would help to ensure overall child survival.
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