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Women's involvement in household decision-making and strengthening social capital-crucial factors for child survival in Ethiopia.

Fantahun M, Berhane Y, Wall S, Byass P, Högberg U - Acta Paediatr. (2007)

Bottom Line: Matched case control analysis investigated the effect of risk factors on mortality and the presence of avoidable factors was assessed for each death.Low decision making capacity of women (adjusted OR=3.2 95% CI 2.0, 5.0) and low social capital scores (adjusted OR=1.9 95% CI 1.1, 3.5) were also related to high under-five mortality in multivariate analyses.Potentially avoidable household and health facility factors were identified, respectively in 71% and 40% of the deaths.

View Article: PubMed Central - PubMed

Affiliation: Department of Community Health, Addis Ababa University, PO Box 24762, Code 1000 Addis Ababa University, Addis Ababa, Ethiopia. mesganaw_f@yahoo.com

ABSTRACT

Aims: To assess the influence of household decision making, social capital, socio-economic factors and health service use on under-five mortality.

Setting: Butajira Demographic Surveillance Site, Ethiopia.

Methods: A prospective case-referent design with a total of 209 under-five year old deaths occurring in an 18-month period, together with 627 referents matched for age, sex and community of residence were included. Questionnaires were administered to mothers or caretakers. Matched case control analysis investigated the effect of risk factors on mortality and the presence of avoidable factors was assessed for each death.

Results: Lack of immunization was strongly associated with mortality (adjusted OR=9.8, 95% CI 5.9, 16.1). Low decision making capacity of women (adjusted OR=3.2 95% CI 2.0, 5.0) and low social capital scores (adjusted OR=1.9 95% CI 1.1, 3.5) were also related to high under-five mortality in multivariate analyses. Potentially avoidable household and health facility factors were identified, respectively in 71% and 40% of the deaths.

Conclusion: Combined efforts to improve women's involvement in household decision making, social capital and immunization may decrease the high child mortality in this setting where the level of poverty is high and no appreciable trend in child mortality decline has been noted over the years.

Show MeSH
Percentage distribution of cases (n = 209) and referents (n = 627) by vaccination status and potential determinants of childhood mortality in Butajira, Ethiopia. August 2003–July 2004.
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fig02: Percentage distribution of cases (n = 209) and referents (n = 627) by vaccination status and potential determinants of childhood mortality in Butajira, Ethiopia. August 2003–July 2004.

Mentions: As shown in Figure 2, the proportion of vaccinated cases was higher for those with high decision making scores, high social capital, and better economic status. Conversely the proportion of vaccinated referents was higher for low decision making and social capital scores and low economic status.


Women's involvement in household decision-making and strengthening social capital-crucial factors for child survival in Ethiopia.

Fantahun M, Berhane Y, Wall S, Byass P, Högberg U - Acta Paediatr. (2007)

Percentage distribution of cases (n = 209) and referents (n = 627) by vaccination status and potential determinants of childhood mortality in Butajira, Ethiopia. August 2003–July 2004.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2049066&req=5

fig02: Percentage distribution of cases (n = 209) and referents (n = 627) by vaccination status and potential determinants of childhood mortality in Butajira, Ethiopia. August 2003–July 2004.
Mentions: As shown in Figure 2, the proportion of vaccinated cases was higher for those with high decision making scores, high social capital, and better economic status. Conversely the proportion of vaccinated referents was higher for low decision making and social capital scores and low economic status.

Bottom Line: Matched case control analysis investigated the effect of risk factors on mortality and the presence of avoidable factors was assessed for each death.Low decision making capacity of women (adjusted OR=3.2 95% CI 2.0, 5.0) and low social capital scores (adjusted OR=1.9 95% CI 1.1, 3.5) were also related to high under-five mortality in multivariate analyses.Potentially avoidable household and health facility factors were identified, respectively in 71% and 40% of the deaths.

View Article: PubMed Central - PubMed

Affiliation: Department of Community Health, Addis Ababa University, PO Box 24762, Code 1000 Addis Ababa University, Addis Ababa, Ethiopia. mesganaw_f@yahoo.com

ABSTRACT

Aims: To assess the influence of household decision making, social capital, socio-economic factors and health service use on under-five mortality.

Setting: Butajira Demographic Surveillance Site, Ethiopia.

Methods: A prospective case-referent design with a total of 209 under-five year old deaths occurring in an 18-month period, together with 627 referents matched for age, sex and community of residence were included. Questionnaires were administered to mothers or caretakers. Matched case control analysis investigated the effect of risk factors on mortality and the presence of avoidable factors was assessed for each death.

Results: Lack of immunization was strongly associated with mortality (adjusted OR=9.8, 95% CI 5.9, 16.1). Low decision making capacity of women (adjusted OR=3.2 95% CI 2.0, 5.0) and low social capital scores (adjusted OR=1.9 95% CI 1.1, 3.5) were also related to high under-five mortality in multivariate analyses. Potentially avoidable household and health facility factors were identified, respectively in 71% and 40% of the deaths.

Conclusion: Combined efforts to improve women's involvement in household decision making, social capital and immunization may decrease the high child mortality in this setting where the level of poverty is high and no appreciable trend in child mortality decline has been noted over the years.

Show MeSH