ArticleInternational health2020
Factors associated with under-5 mortality in three disadvantaged East African districts.
Article in International health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Under-five mortality and social determinants in africa: a systematic review.European journal of pediatrics · 2025Pooled it
- Trends and Inequities Related to Antenatal Care Utilization Among Pakistani Women From 1990 to 2019: An Insight From Demographic and Health Surveys.Journal of pregnancy · 2026Review
- Article
- Utilization and determinants of adequate quality antenatal care services in India: evidence from the National Family Health Survey (NFHS-5) (2019-21).BMC pregnancy and childbirth · 2023Article
- Effects of household access to water, sanitation, and hygiene services on under-five mortality in Sub-Saharan Africa.Frontiers in public health · 2023Article
- Article
- The Partial Least Squares Spline Model for Public Health Surveillance Data.Computational and mathematical methods in medicine · 2022Article
- Under-5 Mortality and Its Associated Factors in Northern Nigeria: Evidence from 22,455 Singleton Live Births (2013-2018).International journal of environmental research and public health · 2021Article
- Article
- Capacity to provide care for common childhood infections at low-level private health facilities in Western, Uganda.PloS one · 2021Article
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Authors and funding
5 authors at 3 institutions in 5 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe high rate of avoidable child mortality in disadvantaged communities in Africa is an important health problem. This article examines factors associated with mortality in children <5 y of age in three disadvantaged East African districts.
methodsPooled cross-sectional data on 9270 live singleton births from rural districts in Rwanda (Gicumbi), Uganda (Kitgum) and Tanzania (Kilindi) were analysed using logistic regression generalized linear latent and mixed models to adjust for clustering and sampling weights. Mortality outcomes were neonatal (0-30 d), post-neonatal (1-11 months), infant (0-11 months), child (1-4 y) and under-5 y (0-4 y).
resultsThe odds of post-neonatal and infant mortality were lower among children delivered by a health professional (adjusted odds ratio [AOR] 0.62 [95% confidence interval {CI} 0.47-0.81] for post-neonatal; AOR 0.60 [95% CI 0.46-0.79] for infant), mothers who had four or more antenatal care (ANC) visits during pregnancy (AOR 0.66 [95% CI 0.51-0.85]) and mothers who initiated breastfeeding within 1 h after birth (AOR 0.60 [95% CI 0.47-0.78]). Neonates not exclusively breastfed had higher mortality (AOR 3.88 [95% CI 1.58-9.52]). Children who lived >6 h away from the nearest health centre (6-23 h: AOR 1.66 [95% CI 1.4-2.0] and ≥24 h: AOR 1.43 [95% CI 1.26-1.72]) reported higher mortality rates in children <5 y of age.
conclusionsInterventions for reducing deaths in children ≤5 y of age in disadvantaged East African communities should be strengthened to target communities >6 h away from health centres and mothers who received inadequate ANC visits during pregnancy.
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