Affiliation:
1. Universitas Indonesia, Indonesia
2. Universitas Muhammadiyah Jakarta, Indonesia
3. Universitas Gadjah Mada, Indonesia
Abstract
Abstract Objectives: the first five years of life are critical for children’s physical and intellectual development. However, the under-five mortality rate in South Asia and ASEAN is relatively high, caused by complex etiologies. This paper identifies maternal high-risk fertility behaviors and healthcare services utilization and examines predictors of under-five mortality (U5M) in 7 Asian (South Asia - ASEAN) developing countries (Indonesia, Myanmar, Cambodia, Philippines, Bangladesh, Nepal, and Pakistan). Methods: a multivariate logistic regression model with a complex survey was used to examine predictors of U5M on the frequency of U5M adjusted for comorbidities. Results: according to multivariate models (model 2), U5M was 2.99 times higher in mothers with low weight at birth infants than in mothers without low weight at birth infants (aOR= 2.99; CI95%=2.49-3.58); Mothers without antenatal care contacts were 3.37 times more likely (aOR= 3.37; CI95%=2.83-4.00) to have a U5M than mothers with eight or more antenatal care contacts; U5M in Indonesia was 2.34 times higher (aOR= 2.34; CI95%= 1.89-2.89). It is investigated that antenatal care serves as a predictor in decreasing U5MR. Conclusions: in order to achieve significant U5MR reduction, intervention programs that encourage antenatal care consultations should be implemented.
Subject
Public Health, Environmental and Occupational Health,Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health
Reference30 articles.
1. Levels & Trends in Child Mortality. Report 2018: Estimates developed by the UN Inter-agency Group for Child Mortality Estimation,2018
2. Determinants of under-five mortality in the high mortality regions of Ethiopia: mixed-effect logistic regression analysis;Worku MG;Arch Public Health,2021
3. The Main Determinants of Under-5 Mortality Rate (U5MR) in OECD Countries: A Cross-sectional Study;Karyani AK;Int J Pediatr,2015
4. Levels & Trends in Child Mortality. Report 2019: Estimates developed by the UN Inter-agency Group for Child Mortality Estimation,2019
5. Reducing Newborn Mortality in South Asia : A Results-Based Management Approach to Improving Knowledge and Accelerating Results,2016