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Determinants of under-Five Mortality: A Comparative Study of Egypt and Kenya

DOI: 10.4236/oalib.1107889, PP. 1-23

Subject Areas: Sociology

Keywords: Under-Five Mortality, EDHS 2014, KDHS 2014, Comparative Study, Determinants, Egypt, Kenya

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Abstract

Introduction: Despite remarkable progress in childhood survival, sub-Saharan Africa still experiences the highest under-five mortality globally. Indeed, the risk of childhood death is 14 times higher in low income countries compared to high income countries. Egypt and Kenya are both low middle-income countries with varied under-five mortality experiences. While Egypt has reached the Sustainable Development Goal target, Kenya is still lagging behind. Objective: This study aimed to identify and compare the key determinants of under-five mortality in the context of socio-demographic and behavioural characteristics of the mother as well as demographic characteristics of the new born in Egypt and Kenya. Method: The data source for this study was the 2014 Egypt and Kenya Demographic and Health Surveys. Descriptive and inferential statistics were used for data analysis. Binary logistic regression analysis showed statistical significance of p-value < 0.01 for both countries. Also, the model could correctly predict 99% and 98% of cases in Egypt and Kenya respectively. Results: A total sample of 7576 and 9713 births in Egypt and Kenya, respectively was drawn from women who reported their last birth within the five years preceding the survey. Under-five mortality was reported at 1% and 2% in Egypt and Kenya respectively. In the final model, richer women in Egypt (OR = 3.375); older mothers 25 - 39 (OR = 1.592 Kenya, OR = 1.916 Egypt); those aged 40 - 49 (OR = 3.043 Kenya, OR = 5.191 Egypt); mother’s higher education (OR = 0.342 Kenya, OR = 0.194 Egypt); being female (OR = 0.717 Kenya); contraceptive use (OR = 1.992 Kenya, OR = 4.241 Egypt) showed significant association with under-five mortality compared to their counterparts. Conclusion: Under-five mortality was significantly associated with mother’s age, education and contraceptive use. Educated women are best placed to use contraception to space and limit births as well as promote campaigns against risky old age childbearing thereby reducing childhood mortality.


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Hussein, M. A. , Mwaila, M. and Helal, D. (2021). Determinants of under-Five Mortality: A Comparative Study of Egypt and Kenya. Open Access Library Journal, 8, e7889. doi: http://dx.doi.org/10.4236/oalib.1107889.

References

[1]  UN General Assembly (1989) Convention on the Rights of the Child. United Nations, Treaty Series, Vol. 1577, 3.
[2]  World Health Organization (2018) World Health Statistics 2018: Monitoring Health for the SDGs, Sustainable Development Goals. Geneva.
[3]  Kanmiki, E.W., Bawah, A.A., Agorinya, I., Achana, F.S., Awoonor-Williams, J.K., Oduro, A.R., Akazili, J., et al. (2014) Socio-Economic and Demographic Determinants of Under-Five Mortality in Rural Northern Ghana. BMC International Health and Human Rights, 14, 24. https://doi.org/10.1186/1472-698X-14-24
[4]  Casterline, J.B., Cooksey, E.C. and Ismail, A.F. (1992) Infant and Child Mortality in Rural Egypt. Journal of Biosocial Science, 24, 245-260. https://doi.org/10.1017/S0021932000019763
[5]  Ettarh, R. and Kimani, J. (2012) Determinants of Under-Five Mortality in Rural and Urban Kenya. https://doi.org/10.22605/RRH1812
[6]  Nattey, C., Masanja, H. and Klipstein-Grobusch, K. (2013) Relationship between Household Socio-Economic Status and Under-Five Mortality in Rufiji DSS, Tanzania. Global Health Action, 6, 19278. https://doi.org/10.3402/gha.v6i0.19278
[7]  UNICEF (2019) Child Survival and the SDGs.
[8]  National Foreign Assessment Center (U.S.) and United States (1981) The World Factbook. Central Intelligence Agency, Washington DC. https://doi.org/10.5812/ijp.10485
[9]  Kenya National Bureau of Statistics (2019) The 2019 Kenya Population and Housing Census. Nairobi.
[10]  PRB (2021) Population Reference Bureau Datasheet.
[11]  Ministry of Health and Population [Egypt], El-Zanaty and Associates [Egypt], and ICF International (2015) Egypt Health Issues Survey 2015. Ministry of Health and Population and ICF International, Cairo, and Rockville.
[12]  Kenya National Bureau of Statistics, Ministry of Health/Kenya, National AIDS Control Council/Kenya, Kenya Medical Research Institute, National Council for Population and Development/Kenya and ICF (2017) 2014 Kenya Demographic and Health Survey KDHS County-Level KDHS Data: Outputs from a DHS Workshop. Ministry of Health Kenya, Nairobi.
[13]  United Nations Inter-Agency Group for Child Mortality Estimation (UN IGME) (2019) Levels & Trends in Child Mortality: Report, Estimates Developed by the United Nations Inter-Agency Group for Child Mortality Estimation. United Nations Children’s Fund, New York.
[14]  Lara, G.J. and Pullum, T.W. (2005) Infant Mortality in Egypt: Exploring the Role of Prenatal Care, and Implications for Public Policy. Population Association of America, Alexandria.
[15]  Mansour, E., Eissa, A.N., Nofal, L.M., Kharboush, I. and Reda, A.A. (2005) Morbidity and Mortality of Low-Birth-Weight Infants in Egypt.
[16]  Yasin, S. K. (2008) Socioeconomic and Bio-Demographic Determinants of Infant Mortality in Egypt. Doctoral Dissertation.
[17]  Sultan, E.A., Shokair, N.F. and Teba, K.M. (2018) Prevalence, Determinants, and Health Service Utilization of “At Risk” Under-Five Children Attending a Family Health Center, Egypt 2017. Alexandria Journal of Pediatrics, 31, 34.
[18]  Al-Shahethi, A.H., Bulgiba, A., Zaki, R.A., Al-Dubai, S.A.R., Al-Surimi, K.M. and Al-Serouri, A.A. (2018) Neonatal Mortality in the Eastern Mediterranean Region: Socio-Demographic, Economic and Perinatal Factors, 1990-2013. Iranian Journal of Pediatrics, 28, e10485.
[19]  Yassin, K.M. (2000) Indices and Sociodemographic Determinants of Childhood Mortality in Rural Upper Egypt. Social Science & Medicine, 51, 185-197. https://doi.org/10.1016/S0277-9536(99)00459-1
[20]  Machio, P.M. (2018) Determinants of Neonatal and Under-Five Mortality in Kenya: Do Antenatal and Skilled Delivery Care Services Matter? Journal of African Development, 20, 59-67.
[21]  Chepkwony, K.G. (2019) Factors Associated with Urban and Rural under Five Mortality Differentials in Kenya. Doctoral Dissertation, University of Nairobi, Nairobi.
[22]  Ikamari, L.D. (2013) Regional Variation in Neonatal and Post-Neonatal Mortality in Kenya. African Population Studies, 27, 4-24. https://doi.org/10.11564/27-1-4
[23]  Kirika, L. (2017) Determinants of Under-Five Mortalities among the Pastoralists in Kajiado, Kenya. European Journal of Research in Medical Sciences, 5, 13.
[24]  Chowdhury, A.H. (2013) Determinants of Under-Five Mortality in Bangladesh. https://doi.org/10.4236/ojs.2013.33024
[25]  Negera, A., Abelti, G., Bogale, T., Gebreselassie, T. and Pearson, R. (2013) An Analysis of the Trends, Differentials and Key Proximate Determinants of Infant and Under-Five Mortality in Ethiopia. ICF International, Calverton.
[26]  Bado, A.R. and Susuman, A.S. (2016) Women’s Education and Health Inequalities in Under-Five Mortality in Selected Sub-Saharan African Countries, 1990-2015. PLoS ONE, 11, e0159186. https://doi.org/10.1371/journal.pone.0159186
[27]  Abate, M.G., Angaw, D.A. and Shaweno, T. (2020) Proximate Determinants of Infant Mortality in Ethiopia, 2016 Ethiopian Demographic and Health Surveys: Results from a Survival Analysis. Archives of Public Health, 78, Article No. 4. https://doi.org/10.1186/s13690-019-0387-4
[28]  Al Mazrou, Y.Y., Khan, M.U. and Aziz, K.M.S. (1997) Determinants of Under-Five Mortality in Saudi Arabia. Saudi Medical Journal, 18, 31-36.
[29]  Ali, M. (2020) Lecture Notes on Logistic Regression. Cairo Demographic Centre, Cairo.
[30]  Hill, K. (2003) Frameworks for Studying the Determinants of Child Survival. Bulletin of the World Health Organization, 81, 138-139.

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