Author:
Fenta Setegn Muche,Ayenew Girum Meseret,Fenta Haile Mekonnen,Biresaw Hailegebrael Birhan,Fentaw Kenaw Derebe
Abstract
AbstractThe infant mortality rate remains unacceptably high in sub-Saharan African countries. Ethiopia has one of the highest rates of infant death. This study aimed to identify individual-and community-level factors associated with infant death in the rural part of Ethiopia. The data for the study was obtained from the 2016 Ethiopian Demographic and Health Survey. A total of 8667 newborn children were included in the analysis. The multilevel logistic regression model was considered to identify the individual and community-level factors associated with new born mortality. The random effect model found that 87.68% of the variation in infant mortality was accounted for by individual and community level variables. Multiple births (AOR = 4.35; 95%CI: 2.18, 8.69), small birth size (AOR = 1.29; 95%CI: 1.10, 1.52), unvaccinated infants (AOR = 2.03; 95%CI: 1.75, 2.37), unprotected source of water (AOR = 1.40; 95%CI: 1.09, 1.80), and non-latrine facilities (AOR = 1.62; 95%CI: 1.20) were associated with a higher risk of infant mortality. While delivery in a health facility (AOR = 0.25; 95%CI: 0.19, 0.32), maternal age 35–49 years (AOR = 0.65; 95%CI: 0.49, 0.86), mothers receiving four or more TT injections during pregnancy (AOR = 0.043, 95% CI: 0.026, 0.071), and current breast feeders (AOR = 0.33; 95% CI: 0.26, 0.42) were associated with a lower risk of infant mortality. Furthermore, Infant mortality rates were also higher in Afar, Amhara, Oromia, Somalia, and Harari than in Tigray. Infant mortality in rural Ethiopia is higher than the national average. The government and other concerned bodies should mainly focus on multiple births, unimproved breastfeeding culture, and the spacing between the orders of birth to reduce infant mortality. Furthermore, community-based outreach activities and public health interventions focused on improving the latrine facility and source of drinking water as well as the importance of health facility delivery and received TT injections during the pregnancy.
Publisher
Springer Science and Business Media LLC
Reference45 articles.
1. Estimation, U.N.I.G.f.C.M., Levels & trends in child mortality: report 2017: estimates developed by the UN Inter-Agency Group for Child Mortality Estimation. 2017: United Nations Children's Fund.
2. Estimation, U.N.I.-a.G.f.C.M., et al., Levels & Trends in Child Mortality: Report 2018, Estimates Developed by the. 2018: United Nations Children's Fund.
3. Organization, W.H., World health statistics overview 2019: monitoring health for the SDGs, sustainable development goals. 2019, World Health Organization.
4. Fenta, S. M., Fenta, H. M. & Ayenew, G. M. The best statistical model to estimate predictors of under-five mortality in Ethiopia. J. Big Data 7(1), 1–14 (2020).
5. IGME, U., Levels & Trends in Child Mortality: Report,. Estimates Developed by the UN Inter-Agency Group for Child Mortality Estimation 2017 (United Nations Children’s Fund, 2017).