Determinants of trends in neonatal, post-neonatal, infant, child and under-five mortalities in Tanzania from 2004 to 2016

Under-five mortality is still a major health issue in many developing countries like Tanzania. To achieve the Sustainable Development Goal target of ending preventable child deaths in Tanzania, a detailed understanding of the risk factors for under-five deaths is essential to guide targeted interven...

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Published in:BMC public health 2019-09, Vol.19 (1), p.1243-1243, Article 1243
Main Authors: Ogbo, Felix Akpojene, Ezeh, Osita Kingsley, Awosemo, Akorede O, Ifegwu, Ifegwu K, Tan, Lawrence, Jessa, Emmanuel, Charwe, Deborah, Agho, Kingsley Emwinyore
Format: Article
Language:English
Subjects:
Age
Babies
Birth
Cesarean section
Child
Child mortality
Child Mortality - trends
Child, Preschool
Children & youth
Childrens health
Clustering
Demographics
Developing countries
Fatalities
Female
Forecasts and trends
Households
Humans
Infant
Infant mortality
Infant Mortality - trends
Infant, Newborn
Infants
LDCs
Low income groups
Male
Maternal & child health
Mortality
Mortality, Tanzania
Multiple births
Neonatal
Neonates
Newborn babies
Newborn infants
Outdoor air quality
Pregnancy
Principal components analysis
Public health
Questionnaires
Regression analysis
Regression models
Risk analysis
Risk Factors
Socioeconomic factors
Studies
Survival
Sustainable development
Tanzania - epidemiology
Trends
Under-five
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Agho, Kingsley Emwinyore
description Under-five mortality is still a major health issue in many developing countries like Tanzania. To achieve the Sustainable Development Goal target of ending preventable child deaths in Tanzania, a detailed understanding of the risk factors for under-five deaths is essential to guide targeted interventions. This study aimed to investigate trends and determinants of neonatal, post-neonatal, infant, child and under-five mortalities in Tanzania from 2004 to 2016. The study used combined data from the 2004-2005, 2010 and 2015-2016 Tanzania Demographic and Health Surveys, with a sample of 25,951 singletons live births and 1585 under-five deaths. We calculated age-specific mortality rates, followed by an assessment of trends and determinants (community, socioeconomic, individual and health service) of neonatal, postneonatal, infant, child and under-five mortalities in Cox regression models. The models adjusted for potential confounders, clustering and sampling weights. Between 2004 and 2016, we found that neonatal mortality rate remained unchanged, while postneonatal mortality and child mortality rates have halved in Tanzania. Infant mortality and under-five mortality rates have also declined. Mothers who gave births through caesarean section, younger mothers (
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To achieve the Sustainable Development Goal target of ending preventable child deaths in Tanzania, a detailed understanding of the risk factors for under-five deaths is essential to guide targeted interventions. This study aimed to investigate trends and determinants of neonatal, post-neonatal, infant, child and under-five mortalities in Tanzania from 2004 to 2016. The study used combined data from the 2004-2005, 2010 and 2015-2016 Tanzania Demographic and Health Surveys, with a sample of 25,951 singletons live births and 1585 under-five deaths. We calculated age-specific mortality rates, followed by an assessment of trends and determinants (community, socioeconomic, individual and health service) of neonatal, postneonatal, infant, child and under-five mortalities in Cox regression models. The models adjusted for potential confounders, clustering and sampling weights. Between 2004 and 2016, we found that neonatal mortality rate remained unchanged, while postneonatal mortality and child mortality rates have halved in Tanzania. Infant mortality and under-five mortality rates have also declined. Mothers who gave births through caesarean section, younger mothers (&lt; 20 years), mothers who perceived their babies to be small or very small and those with fourth or higher birth rank and a short preceding birth interval (≤2 years) reported higher risk of neonatal, postneonatal and infant mortalities. Our study suggests that there was increased survival of children under-5 years in Tanzania driven by significant improvements in postneonatal, infant and child survival rates. 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source Publicly Available Content (ProQuest); PubMed
subjects Age
Babies
Birth
Cesarean section
Child
Child mortality
Child Mortality - trends
Child, Preschool
Children & youth
Childrens health
Clustering
Demographics
Developing countries
Fatalities
Female
Forecasts and trends
Households
Humans
Infant
Infant mortality
Infant Mortality - trends
Infant, Newborn
Infants
LDCs
Low income groups
Male
Maternal & child health
Mortality
Mortality, Tanzania
Multiple births
Neonatal
Neonates
Newborn babies
Newborn infants
Outdoor air quality
Pregnancy
Principal components analysis
Public health
Questionnaires
Regression analysis
Regression models
Risk analysis
Risk Factors
Socioeconomic factors
Studies
Survival
Sustainable development
Tanzania - epidemiology
Trends
Under-five
title Determinants of trends in neonatal, post-neonatal, infant, child and under-five mortalities in Tanzania from 2004 to 2016
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