ArticleBMC pediatrics2021
Time to death and its associated factors among infants in sub-Saharan Africa using the recent demographic and health surveys: shared frailty survival analysis.
Article in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Causes of mortality and severe morbidity in young children in Sierra Leone: a prospective cohort study.The Lancet. Global health · 2026Article
- Survival analysis of under-five mortality predictors: evidence from the 2011 and 2022/23 mozambique demographic and health surveys.BMC public health · 2026Article
- Infant mortality rate and time to death determinants in East Africa: A Bayesian spatial frailty analysis of DHS data (2015-2022).PloS one · 2026Article
- Article
- Spatial analysis of under-five children mortality and associated determinants in Ghana: Mapping regional disparities for targeted interventions.PLOS global public health · 2026Article
- Comparisons of cox semi-parametric and parametric shared frailty models: application for under-five children survival in sub-Saharan Africa.BMC public 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
- Survival analysis of under-five mortality and associated risk factors using survival analysis approaches.PLOS global public health · 2025Article
- Factors associated with the admission of moderate to late preterm and term neonates within 72 hours of birth at Dedza and Mangochi District Hospitals, Malawi: a matched case-control study.BMC pediatrics · 2024Article
- Identifying determinants of under-five child mortality in northern Togo.Journal of global health · 2024Article
- Infant mortality in Ghana: investing in health care infrastructure and systems.Health affairs scholar · 2024Article
- Integrating Maternal and Child Health Into Climate Change: A Holistic Approach.Public health reviews · 2024Review
- Predictors of mortality among under-five children in rural Ethiopia: a cross sectional study.BMC pediatrics · 2023Article
- Determinants of infant mortality in Oromia region, Ethiopia.Annals of medicine and surgery (2012) · 2023Article
- Analysis of regional heterogeneity and determinants of perinatal mortality in Ethiopia: review.Annals of medicine and surgery (2012) · 2023Article
- Time to Death and Its Predictors Among Infants in Ethiopia: Multilevel Mixed-Effects Parametric Survival Analysis Using the 2019 Ethiopian Mini Demographic Health Survey.Pediatric health, medicine and therapeutics · 2023Article
- Epidemiological Profile and Spatio-Temporal Pattern of Infant Deaths in a District of North India during 2016-2019.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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3 authors.
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Abstract
backgroundGlobally, approximately 4.1 million infants died, accounting for 75% of all under-five deaths. In sub-Saharan Africa (SSA), infant mortality was 52.7/1000 live births in 2018 This study aimed to assess the pooled estimate of infant mortality rate (IMR), time to death, and its associated factors in SSA using the recent demographic and health survey dataset between 2010 and 2018.
methodsData were retrieved from the standard demographic and health survey datasets among 33 SSA countries. A total of 93,765 samples were included. The data were cleaned using Microsoft Excel and STATA software. Data analysis was done using R and STATA software. Parametric shared frailty survival analysis was employed. Statistical significance was declared as a two-side P-value < 0.05.
resultsThe pooled estimate of IMR in SSA was 51 per 1000 live births (95% Confidence Interval (CI): 46.65-55.21). The pooled estimate of the IMR was 53 in Central, 44 in Eastern, 44 in Southern, and 57 in Western Africa per 1000 live births. The cumulative survival probability at the end of 1 year was 56%. Multiple births (Adjusted Hazard ratio (AHR) = 2.68, 95% CI: 2.54-2.82), low birth weight infants (AHR = 1.28, 95% CI: 1.22-1.34), teenage pregnancy (AHR = 1.19, 95 CI: 1.10-1.29), preceding birth interval < 18 months (AHR = 3.27, 95% CI: 3.10-3.45), birth order ≥ four (AHR = 1.14, 95% CI:1.10-1.19), home delivery (AHR = 1.08, 95% CI: 1.04-1.13), and unimproved water source (AHR = 1.07, 95% CI: 1.01-1.13), female sex (AHR = 0.86, 95% CI: 0.83-0.89), immediately breastfeed (AHR = 0.24, 95% CI: 0.23-0.25), and educated mother (AHR = 0.88, 95% CI: 0.82-0. 95) and educated father (AHR = 0.90, 95% CI: 0.85-0.96) were statistically significant factors for infant mortality.
conclusionSignificant number of infants died in SSA. The most common cause of infant death is a preventable bio-demographic factor. To reduce infant mortality in the region, policymakers and other stakeholders should pay attention to preventable bio-demographic risk factors, enhance women education and improved water sources.
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