ArticleBMJ global health2019
Understanding the determinants of infant and under-five mortality rates: a multivariate decomposition analysis of Demographic and Health Surveys in Ghana, 2003, 2008 and 2014.
Article in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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23 citing papers in PubMed, 45 citations in OpenAlex.
- Trends, sex and socioeconomic inequalities, and future projections of under-five mortality in Ghana from 1992 to 2035.Scientific reports · 2026Article
- A multivariate decomposition analysis of drivers of overweight and obesity among Ghanaian women.Communications medicine · 2026Article
- Infant mortality rates in Ghana: progress toward sustainable development goal 3.BMC public health · 2025Article
- Decomposing the gap in under-five mortality determinants between the low- and high-risk regions of Nigeria.Scientific reports · 2025Article
- Sharp drop in under-five mortality and associated factors in Burkina Faso from 2010 to 2021: is it a composition or performance effect?Frontiers in public health · 2025Article
- Effect of maternal migration on under-five mortality in the Navrongo HDSS area.BMC public health · 2024Article
- Modeling time to death for under-five children in Malawi using 2015/16 Demographic and Health Survey: a survival analysis.Journal of health, population, and nutrition · 2024Article
- Infant mortality in Ghana: investing in health care infrastructure and systems.Health affairs scholar · 2024Article
- Understanding correlates of infant mortality in Ethiopia using 2019 Ethiopian mini demographic and health survey data.Annals of medicine and surgery (2012) · 2023Article
- Determinants of under-five mortality in Sri Lanka: A multilevel analysis of 2016 Sri Lankan DHS data.PloS one · 2023Article
- Machine Learning Algorithms for understanding the determinants of under-five Mortality.BioData mining · 2022Article
- Determinant factors of under-five mortality in rural Ethiopia.Annals of medicine and surgery (2012) · 2022Article
- Assessing Individual- and Community-Level Variability in Predictors of Neonatal, Infant, and Under-Five Child Mortality in Ethiopia Using a Multilevel Modeling Approach.Children (Basel, Switzerland) · 2022Article
- Article
- Determinant factors of under-five mortality in Southern Nations, Nationalities and People's region (SNNPR), Ethiopia.Italian journal of pediatrics · 2021Article
- Are maternal and child health initiatives helping to reduce under-five mortality in Ghana? Results of a quasi-experimental study using coarsened exact matching.BMC pediatrics · 2021Article
- Revisit the correlates of infant mortality in Bangladesh: findings from two nationwide cross-sectional studies.BMJ open · 2021Article
- The impact of child health interventions and risk factors on child survival in Kenya, 1993-2014: a Bayesian spatio-temporal analysis with counterfactual scenarios.BMC medicine · 2021Article
- Sex differences and factors associated with disability among Ghana's workforce: a nationally stratified cross-sectional study.BMJ open · 2021Article
- Intimate partner violence, contextual factors and under-5 mortality: a multilevel analysis of cross-sectional surveys from 20 Sub-Saharan African countries.BMJ global health · 2020Article
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Authors and funding
6 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
introductionDespite the decline in infant and under-five mortality rates since the last decade, Ghana did not meet the millennium development goal (MDG) 4 target. To implement effective interventions that could fast-track progress towards achieving the sustainable development goal 3 in 2030, factors contributing to the decline in child mortality throughout the MDG period and which factor(s) has/have been consistent in affecting child survival in the last decade need to be understood.
methodsThis study used Demographic and Health Surveys (DHS) from 2003, 2008 and 2014 and data from World Bank Development Indicators (2000-2018). We employed modified Poisson with robust SE and multivariate decomposition approach to assess risk factors of child mortality using DHS data from 2003, 2008 and 2014. Penalised regression was used assess the effect of 25 country-level contextual factors on child survival.
resultsThe risk of infant mortality is approximately five times higher among mothers who had multiple births compared with mothers who had single birth over the last decade (adjusted relative risk 4.6, 95% CI 3.2 to 6.6, p<0.001). An increase in the annual percentage of female labour force participation (FLFP) is associated with the reduction of approximately 10 and 18 infant and under-five annual deaths per 1000 live births, respectively.
conclusionsThis study found that multiple births and shorter birth spacing are associated with increased risk of infant and under-five deaths over the last decade. Increased in FLFP, and the proportion of children sleeping under bed-net are associated with reduced risk of both infants and under-five deaths.
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