ArticlePloS one2023
Geographic disparities in the time to under-five mortality in Ghana.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Trends, sex and socioeconomic inequalities, and future projections of under-five mortality in Ghana from 1992 to 2035.Scientific reports · 2026Article
- Spatiotemporal modeling of Under-Five Pneumonia (U-5P) risk in Ghana using Integrated Nested Laplace Approximations, 2018-2022.BMC public health · 2026Article
- Rural-urban disparities in child nutrition in Tabora, Tanzania: a socioeconomic decomposition and implications for food security policy.Frontiers in nutrition · 2026Article
- Spatial analysis of under-five children mortality and associated determinants in Ghana: Mapping regional disparities for targeted interventions.PLOS global public health · 2026Article
- Water, sanitation, and hygiene and nutritional status of children under-5 years born to young mothers in Ghana: a spatial inequality analysis.Frontiers in nutrition · 2026Article
- Infant mortality rates in Ghana: progress toward sustainable development goal 3.BMC public health · 2025Article
- Appropriateness of Antibiotic Prescription Among Children Under 5 Years: A Cross-Sectional Study in a Ghanaian Regional Hospital.Health science reports · 2025Article
- Survival analysis of under-five mortality and associated risk factors using survival analysis approaches.PLOS global public health · 2025Article
- Article
- Investigation of Factors Influencing Infant Mortality at Greater Accra Regional Hospital, Ghana.BioMed research international · 2024Article
- The Effects of Ghana's Free Maternal and Healthcare Policy on Maternal and Infant Healthcare: A Scoping Review.Health services insights · 2024Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Globally, there has been tremendous advancement in medicine and child healthcare with increased life expectancy. That notwithstanding, the risk of under-five mortality ─ children dying before their fifth birthday remains relatively high in countries in Sub-Saharan Africa such as Ghana. In Ghana, under-five mortality remains a major public health problem that requires significant policy interventions. Using data from the 2017 Maternal Health Survey (n = 4785), we examined the geographic disparities in the time to under-five mortality in Ghana. The Kaplan Meier estimator showed significant (Log-rank: p< 0.001) rural-urban differences in the time to under-five mortality in Ghana. A disaggregated cox proportional hazards analysis showed that despite wide consensus that children in urban areas have a high survival rate, children in urban areas in northern regions of Ghana, especially the Upper West (HR = 4.40, p < 0.05) and Upper East (HR = 5.37, p < 0.01) Regions were significantly at increased risk of dying before the age of five compared to children in urban areas in the Greater Accra Region. A rural-urban comparison showed that children born in rural areas in all the other regions of Ghana were at a higher risk of dying before the age of five when compared to their counterparts in the rural areas of Greater Accra Region. Other factors such as sex of child, mothers' age and use of the internet, number of household members, ethnicity and household wealth were significantly associated with the timing of under-five mortality in Ghana. Healthcare policies and programs such as immunizations and affordable child healthcare services should be prioritized especially in rural areas of regions with a high risk of child mortality. Also, there is a need to improve healthcare delivery in urban areas, particularly in northern Ghana, where deplorable healthcare service infrastructure and delivery coupled with high poverty rates put children at risk of dying before their fifth birthday.
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