Geographical disparities and determinants of infant mortality in Ethiopia: mapping and spatial analysis using EDHS data

BMC Pediatrics

Research

Getasew Mulat Bantie¹  Gizachew Yismaw Wubetu¹  Berhanu Awoke Kefale²  Ashenafi Abate Woya³  Abay Kassa Tekile³ 

[1] Amhara National Regional State Public Health Institute, Bahir Dar, Ethiopia;Department of Statistics, College of Natural and Computational Science, Jinka University, Jinka, Ethiopia;Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Ethiopia;

关键词: Infant mortality;    Spatial analysis;    Multilevel;    Spatial effect;    GLMM;    Secondary data;   

DOI  :  10.1186/s12887-023-04043-9

 received in 2022-12-21, accepted in 2023-04-27,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundInfant mortality remains a public health challenge in Ethiopia. Exploring infant mortality will aid in tracking the progress toward achieving sustainable development goals.ObjectiveThe study aimed to explore the geographical variations and associated factors of infant mortality in Ethiopia.MethodA total of 11,023 infants from the 2016 Ethiopian Demographic and Health Survey (EDHS) data were extracted and included in the analysis. EDHS used a two-stage cluster sampling design with a census enumeration area as the primary sampling unit and households as the secondary sampling unit. Arc GIS software was used for spatial analysis using clusters for exploring geographical variations in infant mortality. A binary logistic regression was employed using R software to identify the significant determinants of infant mortality.ResultsThe study revealed that the spatial distribution of infant mortality was non-random in the country. Infants whose mothers not receiving ANC (AOR = 1.45; 95%CI: 1.17, 1.79), not breastfed status (AOR = 3.94; 95%CI: 3.19, 4.81), poor wealth index (AOR = 1.36; 95%CI: 1.04, 1.77), male infants (AOR = 1.59; 95%CI: 1.29, 1.95), birth order of six or above (AOR = 3.11; 95%CI: 2.08, 4.62), small birth size (AOR = 1.27; 95%CI: 1.26, 1.60), birth spacing [(≤ 24 months (AOR = 2.29; 95%CI: 1.79, 2.92), 25–36 months (AOR = 1.16; 95%CI: 1.12, 1.49)], multiple births (AOR = 6.82; 95%CI: 4.76, 10.81), rural residence (AOR = 1.63; 95%CI: 1.05, 2.77) and regions [Afar (AOR = 1.54; 95%CI: 1.01, 2.36), Harari (AOR = 1.56; 95%CI: 1.04, 2.56), and Somali (AOR = 1.52; 95%CI: 1.03, 2.39)] were the determinants of infant death in Ethiopia.ConclusionsThere is a great geographical disparity in infant mortality rates across regions. Afar, Harari, and Somali regions were verified as hot spot areas. ANC usage, breastfed status, wealth index, sex of the infant, birth order, birth size, birth spacing, birth type, residence, and region were the determinants of infant death in Ethiopia. Therefore, appropriate interventions need to be implemented in the hot spots to alleviate the risk factors for infant mortality.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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