ArticleBMC pediatrics2025
Under-five mortality and its associated factors in sub-Saharan Africa: a multilevel analysis of recent demographic and health surveys data based on Bayesian approach.
Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Mortality among Children Aged 1-59 Months in India: Evidence from a Systematic Review and Meta-Analysis (2009-2024).Journal of epidemiology and global health · 2026Pooled it
- Pooled it
- Empirical vulnerability strata in under-five mortality in Cameroon: Evidence from DHS data.SSM - population health · 2026Article
- Admission photoplethysmography-based mortality prediction in hospitalized Ugandan children with suspected or confirmed infection: A feasibility study.PLOS digital health · 2026Article
- Modeling and forecasting neonatal mortality in Ethiopia: a comparative study using statistical, machine learning, and deep learning approaches.Archives of public health = Archives belges de sante publique · 2026Article
- Socioeconomic and geographic disparities in institutional delivery in Bangladesh: a Bayesian multilevel modelling framework.BMC public health · 2026Article
- Determinants of antenatal care service satisfaction among pregnant women at Kawaala Health Centre IV, Kampala City: a cross-sectional analytical study.Frontiers in reproductive health · 2026Article
- Quantifying the attributable burden of economic inequality on under-five mortality across ten African countries: a WHO HEAT-based analysis.BMC public health · 2025Article
- Time-to-death and its predictors among under five children in the developing regions of ethiopia: a cross sectional study.BMC pediatrics · 2025Article
- Child Mortality and Nutritional Risks in Rural Chad: A Community-Based Cross-Sectional Study in Béré.International journal of environmental research and public health · 2025Article
- Determinants of Under-five Mortality in Vietnam: Evidence From a Nationwide Survey.Sage open pediatricsArticle
- Determinants of Under-Five Mortality in Mozambique: Insights From the Demographic and Health Survey 2022/23.Sage open pediatricsArticle
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4 authors.
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Abstract
backgroundAn estimated 75.8 under-five deaths per 1000 live births occurred in sub-Saharan Africa. This study aimed to investigate the prevalence and factors associated with under-five mortality in Sub-Saharan Africa.
methodsThis study was based on secondary data sources from 33 Sub-Saharan countries' recent Demography and Health surveys from 2010 to 2020. A weighted sample of 360,397 under-five children was included in the study. Bayesian multilevel binary logistic regression was fitted using the brms R package. Besides, leave one out information criteria was used for model comparison. The adjusted odds ratio (AOR) and its 95% credible interval (CrI) were reported for significant factors associated with under-five mortality. CLINICAL TRIAL NUMBER: not applicable.
resultsThe prevalence of under-five mortality in sub Saharan Africa was 62 per 1000 live births (95%CI (56.29, 68.29). In sub region of SSA, it was 65 in central, 52 in eastern, 50 in southern and 73 in western region per 1000 live births. Multiple birth (AOR = 5.27; 95%CrI: 4.72, 5.87), number of under-five children 3 to 5 (AOR = 3.31; 95%CrI: 3.01, 3.60), caesarean section delivery (AOR = 1.64; 95%CrI: 1.47, 1.83), being unmarried (AOR = 1.16; 95%CrI 1.08, 1.26), using unimproved toilet (AOR = 1.08;95%CrI: 1.02, 1.16), birth order of 4th to 6th (AOR = 1.18; 95%CrI:1.1, 1.25),were risk factors of under-five mortality. Whereas, being female (AOR = 0.86; 95%CrI: 0.82, 0.91), preceding birth interval of 24-35 months (AOR = 0.61; 95%CrI: 0.57, 0.65) and above 36 months (AOR = 0.48; 95%CrI: 0.43, 0.49), ANC visit (AOR = 0.80; 95%CrI: 0.74 0.86), contraceptive use (AOR = 0.57; 95%CrI: 0.53, 0.61), were preventive factors of under-five mortality.
conclusionUnder-five mortality remains the highest in sub-Saharan Africa. Most of the risk factors of under-five mortality were found to be preventable. Policymakers and other stakeholders should enhance maternal education, lengthen birth interval, ANC visit, improved toilet facilities and, giving special attention to small size child and cesarean section delivery to reduce under-five mortality.
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