ArticleBMC pediatrics2022
Trends of under-five mortality and associated risk factors in Zambia: a multi survey analysis between 2007 and 2018.
Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 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
- Determinants of under-five mortality in Africa: evidence from a two-decade panel analysis for public health policy.Archives of public health = Archives belges de sante publique · 2026Article
- Determinants of multiple modes of failure in child mortality in Bangladesh: fine and gray modeling approach.Journal of health, population, and nutrition · 2026Article
- Forecasting Under-5 Mortality Rate in Somalia to 2030: a comparative analysis of univariate and multivariate ARIMAX models.Frontiers in public health · 2026Article
- Spatial patterns and determinants of under-five mortality in Sub-Saharan Africa: a spatial and multilevel analysis.Archives of public health = Archives belges de sante publique · 2025Article
- Disaggregated level child morbidity in Zambia: an application of small area estimation method.Population health metrics · 2025Article
- Article
- Sociodemographic and maternal health-related factors associated with mortality among children under three in Bangladesh: an analysis of data from Bangladesh Demographic and Health Survey 2017-18.BMC public health · 2024Article
- Association between maternal health service utilization and under-five mortality rate in China and its provinces, 1990-2017.BMC pregnancy and childbirth · 2024Article
- Time to death and its determinants of under-five children in rural Ethiopia by using shared frailty.Scientific reports · 2024Article
- Childhood mortality and associated factors in Migori County, Kenya: evidence from a cross-sectional survey.BMJ open · 2023Observational
- How Zambia reduced inequalities in under-five mortality rates over the last two decades: a mixed-methods study.BMC health services research · 2023Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMortality at a young age is key to public health measures. This study aims to describe the burden, trend, and associated factors of under-five mortality rate (U5MR) in Zambia from 2007-to-2018.
methodA sample of 29,274 children under-five were analyzed from the Zambia demographic and health survey (ZDHS). Univariate and bivariate analysis were used to identify factors influencing U5M.
resultPooled prevalence of U5MR in Zambia was 84.4/ 1000 live-births. Over 15 years, U5M has declined by 49% (from 118.7 to 60.5/1000 live-births). Compared to children of teenage (≤19 years) mothers the likelihood of U5M was lower by 24 to 37% among children of 20 to 34 years old mothers. The likelihood of U5M was lower by 23% (AOR, 0.77 95%CI, 0.58-1.04) for poorest, 27% (AOR, 0.73 95%CI, 0.55-0.98) for poorer, and 19% (AOR, 0.81 95%CI, 0.62-1.07) for middle as compared to the richest households. The likelihood of U5M was 21% (AOR, 0.79 95%CI, 0.67-0.93) lower among rural residents. Multiple-born children died 2.54 times (95%CI, 1.95-3.98) higher than the single-born. Male children (AOR, 1.28, 95% CI, 1.23-1.46), smaller than average birth size (AOR, 1.78; 95% CI, 1.52-2.09), and no ANC visit (AOR, 3.17, 95% CI, 2.74-3.67) were associated with U5M. The likelihoods of U5M were significantly higher in the Eastern, Luapula, and Muchinga regions than in the Central.
conclusionThis study revealed that Zambia has made a gain on child survival. Further efforts targeting mothers, children, and provinces are needed to scale up the decline and achieve the SDG3.
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