Predictive model and determinants of under-five child mortality: Evidence from the 2014 Ghana demographic and health survey

BMC Public Health

Volumn 19, Issue 1, 2019, Pages

  Aheto, Justice Moses K ^a  

^a UNIVERSITY OF GHANA   (Ghana)

Author keywords

Child deaths; Developing countries; Ghana; Multilevel logistic regression; Odds ratio; Predictive model; Risk factors; ROC curve; Sub Saharan Africa; Under five mortality

Indexed keywords

ADOLESCENT; ADULT; CHILD DEATH; CHILDHOOD MORTALITY; CONTRACEPTIVE BEHAVIOR; DEMOGRAPHY; EDUCATIONAL STATUS; EPIDEMIOLOGY; ETIOLOGY; FAMILY SIZE; FEMALE; GHANA; HEALTH SURVEY; HUMAN; INFANT; INFANT MORTALITY; MALE; MIDDLE AGED; MOTHER; MULTIPLE BIRTH OFFSPRING; NEWBORN; PRESCHOOL CHILD; RISK FACTOR; SEX FACTOR; STATISTICAL MODEL; YOUNG ADULT;

ADOLESCENT; ADULT; CHILD MORTALITY; CHILD, PRESCHOOL; CONTRACEPTION BEHAVIOR; EDUCATIONAL STATUS; FAMILY CHARACTERISTICS; FEMALE; GHANA; HEALTH SURVEYS; HUMANS; INFANT; INFANT DEATH; INFANT MORTALITY; INFANT, NEWBORN; LOGISTIC MODELS; MALE; MIDDLE AGED; MOTHERS; MULTIPLE BIRTH OFFSPRING; RESIDENCE CHARACTERISTICS; RISK FACTORS; SEX FACTORS; YOUNG ADULT;

EID: 85059945879     PISSN: None     EISSN: 14712458     Source Type: Journal    
DOI: 10.1186/s12889-019-6390-4     Document Type: Review

References (40)

1. UNICEF. Levels & trends in child mortality: estimates developed by the UN inter-agency group for child mortality estimation. New York: UN Inter-agency Group for Child Mortality Estimation; 2017.
2. GBD 2017 SDG Collaborators. Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related sustainable development goals for 195 countries and territories: a systematic analysis for the global burden of disease study 2017. Lancet. 2018;392:2091-138.
3. GBD 2017 Mortality Collaborators. Global, regional, and national age-sex-specific mortality and life expectancy, 1950-2017: a systematic analysis for the global burden of disease study 2017. Lancet. 2018;392:1684-735.
4. Ghana Statistical Service, Ghana Health Service, ICF International. Ghana demographic and health survey 2014. Rockville: GSS, GHS, and ICF International; 2015.
5. Ministry of Health. Under five's child health policy: 2007-2015. Accra: Ministry of Health, Ghana; 2007.
6. Blanchet NJ, Fink G, Osei-Akoto I. The effect of Ghana's National Health Insurance Scheme on health care utilisation. Ghana Med J. 2012;46(2):76-84.
7. Kipp AM, Blevins M, Haley CA, Mwinga K, Habimana P, Shepherd BE, Aliyu MH, Ketsela T, Vermund SH. Factors associated with declining under-five mortality rates from 2000 to 2013: an ecological analysis of 46 African countries. BMJ Open. 2016;6(1):e007675.
8. Tette EMA, Nyarko MY, Nartey ET, Neizer ML, Egbefome A, Akosa F, Biritwum RB. Under-five mortality pattern and associated risk factors: a case-control study at the Princess Marie Louise Children's Hospital in Accra, Ghana. BMC Pediatr. 2016;16(1):148.
9. Osei-Kwakye K, Otupiri E, Owusu Dabo E, Browne ENL, Adjuik M. Determinants of under-five mortality in Builsa District, upper east region, Ghana. J Sci Technol. 2010;30(1):45-53.
10. Measure DHS. The DHS program: demographic and health surveys. Rockville: ICF Macro. Available at https://dhsprogram.com/data/available-datasets.cfm. Accessed 21 Apr 2018.
11. Aheto JMK, Keegan TJ, Taylor BM, Diggle PJ. Childhood malnutrition and its determinants among under-five children in Ghana. Paediatr Perinat Epidemiol. 2015;29:552-61.
12. Mensah J, Oppong JR, Schmidt CM. Ghana's National Health Insurance Scheme in the context of the health MDGs: an empirical evaluation using propensity score matching. Health Econ. 2010;19(Suppl):95-106.
13. Blanchet NJ, Fink G, Osei-Akoto I. The effect of Ghana's National Health Insurance Scheme on health care utilisation. Ghana Med J. 2012;46(2):76-84.
14. Aheto JMK, Taylor BM, Keegan TJ, Diggle PJ. Modelling and forecasting spatio-temporal variation in the risk of chronic malnutrition among under-five children in Ghana. Spat Spatiotemporal Epidemiol. 2017;21:37-46.
15. Kayode GA, Adekanmbi VT, Uthman OA. Risk factors and a predictive model for under-five mortality in Nigeria: evidence from Nigeria demographic and health survey. BMC Pregnancy Childbirth. 2012;12:10.
16. Ezeh OK, Agho KE, Dibley MJ, Hall JJ, Page AN. Risk factors for postneonatal, infant, child and under-5 mortality in Nigeria: a pooled cross-sectional analysis. BMJ Open. 2015;5(3):e006779.
17. Dedefo M, Oljira L, Assefa N. Small area clustering of under-five children's mortality and associated factors using geo-additive Bayesian discrete-time survival model in Kersa HDSS, Ethiopia. Spat Spatiotemporal Epidemiol. 2016;16:43-9.
18. Abir T, Agho KE, Page AN, Milton AH, Dibley MJ. Risk factors for under-5 mortality: evidence from Bangladesh demographic and health survey, 2004-2011. BMJ Open. 2015;5:e006722. https://doi.org/10.1136/bmjopen-2014-006722.
19. Fox J, Monette G. Generalized collinearity diagnostics. JASA. 1992;87:178-83.
20. Hair JFJ, Anderson RE, Tatham RL, Black WC. Multivariate data analysis. 3rd ed. New York: Macmillan; 1995.
21. R Core Team. R: a language and environment for statistical computing. Vienna: R Foundation for Statistical Computing; 2018. (Available at URL: https://www.R-project.org/)
22. Adekanmbi VT, Kayode GA, Uthman OA. Individual and contextual factors associated with childhood stunting in Nigeria: a multilevel analysis. Matern Child Nutr. 2013;9(2):244-59.
23. Lartey ST, Khanam R, Takahashi S. The impact of household wealth on child survival in Ghana. J Health Popul Nutr. 2016;35(1):38.
24. Nasejje JB, Mwambi HG, Achia TNO. Understanding the determinants of under-five child mortality in Uganda including the estimation of unobserved household and community effects using both frequentist and Bayesian survival analysis approaches. BMC Public Health. 2015;15(1):1003.
25. Amoroso CL, Nisingizwe MP, Rouleau D, Thomson DR, Kagabo DM, Bucyana T, Drobac P, Ngabo F. Next wave of interventions to reduce under-five mortality in Rwanda: a cross-sectional analysis of demographic and health survey data. BMC Pediatr. 2018;18(1):27.
26. Adebowale SA, Morakinyo OM, Ana GR. Housing materials as predictors of under-five mortality in Nigeria: evidence from 2013 demographic and health survey. BMC Pediatr. 2017;17(1):30.
27. Yaya S, Ekholuenetale M, Tudeme G, Vaibhav S, Bishwajit G, Kadio B. Prevalence and determinants of childhood mortality in Nigeria. BMC Public Health. 2017;17(1):485.
28. Boerma JT, Bicego GT. Preceding birth intervals and child survival: searching for pathways of influence. Stud Fam Plan. 1992;23(4):243-56.
29. Rafalimanana H, Westoff CF. Gap between preferred and actual birth intervals in sub-Saharan Africa: implications for fertility and child health. In: DHS Analytical Studies No 2. Calverton: ORC Macro; 2001.
30. Madise N, Mpoma M. Child malnutrition and feeding practices in Malawi. Food Nutr Bull. 1997;18(2):190-201.
31. Greenaway ES, Leon J, Baker DP. Understanding the association between maternal education and use of health services in Ghana: exploring the role of health knowledge. J Biosoc Sci. 2012;44(6):733-47.
32. Buor D. Mothers' education and childhood mortality in Ghana. Health Policy. 2003;64(3):297-309.
33. Marmot M, Bell R. Fair society, healthy lives. Public Health. 2012;126(Suppl 1):S4-10.
34. Yawson AE, Bonsu G, Senaya LK, Yawson AO, Eleeza JB, Awoonor-Williams JK, Banskota HK, Agongo EEA. Regional disparities in immunization services in Ghana through a bottleneck analysis approach: implications for sustaining national gains in immunization. Arch Public Health. 2017;75:10.
35. Katherine EB, Cathryn S. Improving maternal, neonatal, and child health in Ghana. Washington DC: Center for Strategic and International Studies; 2014.
36. GSS. Health of Children and Women in Ghana: Evidence from the Demographic and Health Surveys. Accra: Ghana Statistical Service; 2016.
37. Cooke E, Hague S, McKay A. The Ghana poverty and inequality report: using the 6th Ghana living standards survey 2016: UNICEF Ghana, University of Sussex UK, Ashesi University College Ghana (URL: https://www.unicef.org/ghana/Ghana-Poverty-and-Inequality-Analysis-FINAL-Match-2016(1).pdf).
38. GSS. Ghana Poverty Mapping Report. Accra: Ghana Statistical Service; 2015.
39. Feed the Future. Ghana Country Profile. 2015. (http://www.feedthefuture.gov/country/ghana). [Last accessed Oct 2015].
40. Kayode GA, Grobbee DE, Koduah A, Amoakoh-Coleman M, Agyepong IA, Ansah E, van Dijk H, Klipstein-Grobusch K. Temporal trends in childhood mortality in Ghana: impacts and challenges of health policies and programs. Glob Health Action. 2016;9:31907.