ArticleBMC pediatrics2021
Time to death and its determinants among under-five children in Sub-Saharan Africa using the recent (2010-2018) demographic and health survey data: country-based shared frailty analyses.
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 20 papers.
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20 citing papers in PubMed.
- Comparative machine learning survival models for under-five mortality in Southern Africa with frailty modelling.Dialogues in 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
- Assessment of knowledge and practice of childhood vaccination among mothers of under five year children in Jimma city government health facilities, South-West Oromia, Ethiopia.Scientific reports · 2026Article
- Article
- Survival probability and under-five mortality predictors in Western Kenya between 2015 and 2020.BMC public health · 2025Article
- Influence of paternal education on maternal and child health outcomes in Sub-Saharan Africa: evidence from demographic and health surveys.Reproductive health · 2025Article
- Ubuntu philosophy as a strategy to promote access to under-five child healthcare services.Curationis · 2025Review
- Connecting the Dots: Mass Media, Maternal Exposure, and Child Health Outcomes in Benin.Public health challenges · 2025Article
- Article
- Article
- 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
- Identifying determinants of under-five child mortality in northern Togo.Journal of global health · 2024Article
- Impact of health system strengthening interventions on child survival in sub-Saharan Africa: a systematic review protocol.Systematic reviews · 2024Article
- Predictors of mortality among under-five children in rural Ethiopia: a cross sectional study.BMC pediatrics · 2023Article
- Understanding correlates of infant mortality in Ethiopia using 2019 Ethiopian mini demographic and health survey data.Annals of medicine and surgery (2012) · 2023Article
- Effects of household access to water, sanitation, and hygiene services on under-five mortality in Sub-Saharan Africa.Frontiers in public health · 2023Article
- Current situation of fungal diseases in Eritrea.Mycoses · 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
- Time to Death and Its Determinants of Under-Five Children in Somaliland: Utilization of Cox Proportional Hazards Model.Sage open pediatricsArticle
- Determinants of Under-Five Mortality in Mozambique: Insights From the Demographic and Health Survey 2022/23.Sage open pediatricsArticle
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8 authors.
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Abstract
backgroundSubstantial global progress has been made in reducing under-five mortality since 1990, yet progress is insufficient to meet the sustainable development goal of 2030 which calls for ending preventable child deaths. There are disproportional survivals among children in the world. Therefore, the study aimed to assess the Survival status of under-five mortality and determinants in Sub-Saharan African Countries using the recent DHS data.
methodsThe data was retrieved from the birth record file from the standard Demographic and Health Survey dataset of Sub-Saharan Africa countries. Countries that have at least one survey between 2010 and 2018 were retrieved. Parametric shared frailty survival analysis was employed.
resultsA total of 27,221 (7.35%) children were died before celebrating their fifth birthday. Children at an early age were at higher risk of dying and then decrease proportionally with increased age. The risk of death among rich and middle family were lowered by 18 and 8% (AHR =0.82, 95% CI: 0.77-0.87) and (AHR = 0.92, 95% CI: 0.87-0.97) respectively, the hazard of death were 11, 19, 17, 90 and 55% (AHR = 1.06, 95% CI: 1.00-1.12), (AHR = 1.11,95%CI:1.04-1.19), (AHR = 1.17, 95% CI:1.12-1.23), (AHR = 1.90, 95%CI: 1.78-2.04) and (AHR = 1.55, 95% CI:1.47-1.63) higher than among children in rural, use unimproved water, delivered at home, born less than 18 months and between 18 and 23 months birth intervals respectively. The hazard of death was 7% among females and low birth weights (AHR = 0.93, 95%CI: 0.90 - 0.97) and (AHR = 0.93 95%CI: 0.89-0.97) respectively. There was also a significant association between multiple births and birth orders (AHR = 2.11, 95%CI: 2.51 - 2.90), (AHR = 3.01, 95%CI: 2.85-3.19) respectively.
conclusionsDeath rate among under-five children was higher at an early age then decreases as age advanced. Wealth status, residence, water source, place of delivery, sex of the child, plurality, birth size, preceding birth interval, and birth order were the most predictor variables. The health care program should be designed to encourage a healthy family structure. The health care providers should intervene in the community to inspire maternal health services.
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