Household factors and under-five mortality in Bankass, Mali: results from a cross-sectional survey
dc.contributor.author | Boettiger, David C. | |
dc.contributor.author | Treleaven, Emily | |
dc.contributor.author | Kayentao, Kassoum | |
dc.contributor.author | Guindo, Mahamadou | |
dc.contributor.author | Coumaré, Mama | |
dc.contributor.author | Johnson, Ari D. | |
dc.contributor.author | Whidden, Caroline | |
dc.contributor.author | Koné, Naimatou | |
dc.contributor.author | Cissé, Amadou B. | |
dc.contributor.author | Padian, Nancy | |
dc.contributor.author | Liu, Jenny | |
dc.date.accessioned | 2022-08-10T18:04:25Z | |
dc.date.available | 2022-08-10T18:04:25Z | |
dc.date.issued | 2021-01-29 | |
dc.identifier.citation | BMC Public Health. 2021 Jan 29;21(1):244 | |
dc.identifier.uri | https://doi.org/10.1186/s12889-021-10242-9 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/173490 | en |
dc.description.abstract | Abstract Background Rural parts of Mali carry a disproportionate burden of the country’s high under-five mortality rate. A range of household factors are associated with poor under-five health in resource-limited settings. However, it is unknown which most influence the under-five mortality rate in rural Mali. We aimed to describe household factors associated with under-five mortality in Bankass, a remote region in central Mali. Methods We analysed baseline household survey data from a trial being conducted in Bankass. The survey was administered to households between December 2016 and January 2017. Under-five deaths in the five years prior to baseline were documented along with detailed information on household factors and women’s birth histories. Factors associated with under-five mortality were analysed using Cox regression. Results Our study population comprised of 17,408 under-five children from 8322 households. In the five years prior to baseline, the under-five mortality rate was 152.6 per 1000 live births (158.8 and 146.0 per 1000 live births for males and females, respectively). Living a greater distance from a primary health center was associated with a higher probability of under-five mortality for both males (adjusted hazard ratio [aHR] 1.53 for ≥10 km versus < 2 km, 95% confidence interval [CI] 1.25–1.88) and females (aHR 1.59 for ≥10 km versus < 2 km, 95% CI 1.27–1.99). Under-five male mortality was additionally associated with lower household wealth quintile (aHR 1.47 for poorest versus wealthiest, 95%CI 1.21–1.78), lower reading ability among women of reproductive age in the household (aHR 1.73 for cannot read versus can read, 95%CI 1.04–2.86), and living in a household with access to electricity (aHR 1.16 for access versus no access, 95%CI 1.00–1.34). Conclusions U5 mortality is very high in Bankass and is associated with living a greater distance from healthcare and several other household factors that may be amenable to intervention or facilitate program targeting. | |
dc.title | Household factors and under-five mortality in Bankass, Mali: results from a cross-sectional survey | |
dc.type | Journal Article | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/173490/1/12889_2021_Article_10242.pdf | |
dc.identifier.doi | https://dx.doi.org/10.7302/5221 | |
dc.language.rfc3066 | en | |
dc.rights.holder | The Author(s) | |
dc.date.updated | 2022-08-10T18:04:24Z | |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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