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Determinants of Child Mortality in South-West Uganda

Published online by Cambridge University Press:  31 July 2008

Venanzio Vella ,
Andrew Tomkins ,
John Nidku  and
Tom Marshall
Venanzio Vella
Affiliation:
Centre for Human Nutrition, London School of Hygiene and Tropical Medicine
Andrew Tomkins
Affiliation:
Centre for Human Nutrition, London School of Hygiene and Tropical Medicine
John Nidku
Affiliation:
Uganda Ministry of Health, Entebbe, Uganda
Tom Marshall
Affiliation:
Medical Statistics Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London
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Summary

Anthropometric and sociodemographic variables were taken from 4320 children in a baseline survey carried out in March–April 1988 in the district of Mbarara, south-west Uganda. After 12 months a follow-up survey assessed the mortality of the children during the preceding year. Lack of ownership of cattle, recent arrival in the village, using candles for lighting, being of birth order higher than 5 and having a father with less than 8 years of schooling were significantly associated with child mortality. The addition of mid-upper arm circumference significantly improved the logistic model of socioeconomic variables and mortality and did not diminish the predictive power of socioeconomic variables in relation to increased mortality. This suggests that nutritional status and specific socioeconomic factors are both, independently, important predictors of child mortality.

Type
Research Article
Information
Journal of Biosocial Science , Volume 24 , Issue 1 , January 1992 , pp. 103 - 112
Copyright
Copyright © Cambridge University Press 1992

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References

Bailey, M. (1988) Factors affecting infant and child mortality in rural Sierra Leone. J. trop. Pediatr. 34, 165.CrossRefGoogle ScholarPubMed
Caldwell, J. (1979) Education as a factor in mortality decline. An examination of Nigerian data. Popul. Stud. 33, 395.CrossRefGoogle Scholar
Cantrelle, P. & Leridon, H. (1971) Breastfeeding, mortality and fertility in a rural zone in Senegal. Popul. Stud. 25, 505.CrossRefGoogle Scholar
Charlton, J. R. H. & Ramon, V. (1986) Some international comparisons of mortality amenable to medical intervention. Br. med. J. 292, 295.CrossRefGoogle ScholarPubMed
Chen, L. C., Mizamur, R. & Sarder, A. M. (1980) Epidemiology and cause of death among children in a rural area of Bangladesh. Int. J. Epidemiol. 9, 25.CrossRefGoogle Scholar
Cleland, J. C. & Sathar, Z. A. (1984) The effect of birth spacing on childhood mortality in Pakistan. Popul. Stud. 38, 401.CrossRefGoogle ScholarPubMed
DaVanzo, J., Butz, W. P. & Habicht, J. P. (1983) How biological and behavioural influences on mortality in Malaysia vary during the first year of life. Popul. Stud. 37, 381.CrossRefGoogle Scholar
Davis, K. (1956) The amazing decline of mortality in underdeveloped areas. Am. econ. Rev. 46, 305.Google Scholar
Frenzen, P. & Hogan, D. (1982) The impact of class, education and health care on infant mortality in a developing society: the case of rural Thailand. Demography, 19, 391.CrossRefGoogle Scholar
Grant, J. P. (Ed.) (1990) The State of the World's Children, p. 76. UNICEF, New York.Google Scholar
Gwatkin, D. R. (1980) Indications of change in developing country mortality trends. The end of an era? Popul. Dev. Rev. 6, 615.CrossRefGoogle Scholar
Haines, M. R. & Avery, R. C. (1982) Differential infant and child mortality in Costa Rica. Popul. Stud. 36, 31.Google Scholar
Handanjani, T. M., Hull, V. & Rohde, J. E. (1983) Child mortality in a rural Javanese village. A prospective study. Int. J. Epidemiol. 12, 88.CrossRefGoogle Scholar
Heady, J. A., Daly, C. & Morris, J. N. (1955) Social and biological factors in infant mortality. II. Variation of mortality with mother's age and parity. Lancet, i, 395.CrossRefGoogle Scholar
Hobcraft, J. N., McDonald, J. W. & Rutstein, S. O. (1984) Socioeconomic factors in infant and child mortality a cross-national comparison. Popul. Stud. 38, 193.CrossRefGoogle ScholarPubMed
Horwitz, A. (1960) Recent developments in maternal and child health in the Americas. Am. J. publ. Hlth, 50, 20.CrossRefGoogle Scholar
Illich, I. (Ed.) (1975) The Expropriation of Health. Calder & Boyars, London.Google ScholarPubMed
Kitagawa, E. M. & Hauser, P. M. (1968) Education differentials in mortality as cause of death: United States 1960. Demography, 5, 318.CrossRefGoogle Scholar
Kune, J. B. (1980) Some factors influencing the mortality of under fives in a rural area of Kenya: a multivariate analysis. J. trop. Pediatr. 26, 114.CrossRefGoogle Scholar
Martin, L. G., Trussell, J., Salvail, F. R. & Shah, N. M. (1983) Covariates of child mortality in the Philippines, Indonesia and Pakistan: an analysis based on hazard models. Popul. Stud. 37, 417.CrossRefGoogle Scholar
Mckeown, T. (Ed.) (1980) The Role of Medicine: Dream Mirage or Nemesis? Princeton University Press, New Jersey.CrossRefGoogle Scholar
Merrick, T. W. (1985) The effect of piped water on early childhood mortality in urban Brazil 1970 to 1976. Demography, 22, 1.CrossRefGoogle ScholarPubMed
Mosley, W. H. (1984) Child survival: research and policy. Popul. Dev. Rev. Suppl. 10, 3.CrossRefGoogle Scholar
Oni, G. A. (1988) Child mortality in a Nigerian city: its levels and socioeconomic differentials. Social Sci. Med. 27, 607.CrossRefGoogle Scholar
Osborn, J. (1972) A Statistical Investigation into the Effect of Maternal Age, Parity and Birth Concentration on Stillbirth and Infant Mortality Rates. PhD thesis. London School of Hygiene and Tropical Medicine, University of London.Google Scholar
Pebley, A. R. & Stupp, P. W. (1987) Reproductive patterns and child mortality in Guatemala. Demography, 24, 43.CrossRefGoogle ScholarPubMed
Puffer, R. R & Serrano, C. V. (Eds) (1973) Patterns of Mortality in Childhood. Scientific Publication No. 262, Pan. American Health Organisation, Washington.Google Scholar
Snyder, J. D. & Merson, M. H. (1982) The magnitude of the global problem of acute diarrhoeal disease: a review of active surveillance data. Bull. Wld Hlth Org. 60, 605.Google ScholarPubMed
Stolnitz, G. (1985) Recent mortality trends in Latin America, Asia and Africa. Popul. Stud. 19, 117.Google Scholar
Sweemer, C. D. (1984) The influence of child spacing on child survival. Popul. Stud. 38, 47.CrossRefGoogle ScholarPubMed
Tawrah, E. O. (1989) Child mortality differentials in Ghana: a preliminary report. J. biosoc. Sci. 21, 349.CrossRefGoogle Scholar
Teckce, B. & Shorter, F. C. (1984) Determinants of child mortality: a study of squatter settlements in Jordan. Popul. Dev. Rev. Suppl. 10, 257.CrossRefGoogle Scholar
Thapa, S. & Retherford, R. D. (1982) Infant mortality estimates based on the 1976 Nepal fertility survey. Popul. Stud. 36, 61.CrossRefGoogle Scholar
Trussell, J. & Hammerslough, C. (1983) A hazard model analysis of the covariates of infant and child mortality in Sri Lanca. Demography, 20, 1.CrossRefGoogle Scholar
Ware, H. (1984) Effects of maternal education, women's roles and child care on child mortality. Pop. Devel. Rev. Suppl. 10, 191.CrossRefGoogle Scholar
Wolfers, D. & Scrimshaw, S. (1975) Child survival and interval between pregnancies in Guayaquil Ecuador. Popul. Stud. 29, 479.CrossRefGoogle ScholarPubMed
Yerushalmy, J. (1938) Neonatal mortality by birth order and age of parents. Am. J. Hyg. 28, 244.Google ScholarPubMed