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Determinants of death among under-5 children in Bangladesh

Rahman, Md. Sazedur and Rahman, Md. Saidur and Rahman, Md. Ashfikur (2019): Determinants of death among under-5 children in Bangladesh. Published in: Journal of Research and Opinion , Vol. 3, No. 6 (11 March 2019): pp. 2294-2302.

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Background It is well established that improving human health has direct obvious payoff on enhancing life expectancy along with economic growth. Under-5 child mortality deliberately used to understand a countries overall public health status. In Bangladesh, child mortality remains a significant public health problem. Therefore, the chief intention of this undertaken study was to ascertain the best possible important factors of pre-school child mortality in Bangladesh.

Methods This study was based on large dataset of Bangladesh Demographic and Health Survey, 2014 (BDHS-2014). Based on an extensive literature review thirteen covariates were selected. Chi-square test was accomplished to find out the association with under-5 deaths. The factors which achieved statistical significance (p<0.05) were put into binary logistic model for multilevel adjustment.

Results Obtained results described different geo-spatial, socioeconomic, demographic and health factors i.e. division, parents’ education, fathers’ occupation, wealth index of family, type of toilet, birth status (single or multiple birth), vitamin A and antenatal care visit during pregnancy were significantly associated with under-5 child mortality. Results of the binary logistic regression revealed that lower level of father’s education, multiple birth and not receiving vitamin A dose were found the strong predictors of influencing early childhood mortality.

Conclusion A nationally representative data had been used to reflect the recent mortality pattern in this country. Different socioeconomic, health and demographic factors are associated with U5CM. This evidence based empirical study suggests that more attention needs regarding to stall all kinds of child mortality in Bangladesh.

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