DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20160283

Socioeconomic determinants of infant and under - five mortality, in wad-madani pediatric teaching hospital- Gezira State, Sudan

Osama B. Albasheer

Abstract


Background: Infant and child mortality constitute the highest rate in the developing world, compared to the mortality of other age groups. Sudan is one of the countries were infant and children are under risk. This study was done in Wad-Madani Pediatric Teaching Hospital, to determine the association between the socio-economic factors and basic life services differences and high level of infant and under- five mortality.

Methods: The study utilized cross sectional, hospital based study. The data were collected by using structured questionnaire addressed to 96 mothers in their reproductive age (15- 49 years), experienced infant and under- five death in the hospital in the study period. The data were analyzed descriptively and then by statistical test based on chi- squire conducted to determine the relationship between death of infant and children and socio- economic factors.

Results: Our study revealed, differences in mortality levels are related to community differences and differences in living condition. Infant mortality was higher than child mortality. Indicators like birth order, birth interval, mother education, and distance for health services, have great impacts on infant and under- five mortality.

Conclusions: The study recommended that there is a real need to continue sensitizing the public about dangers associated with early child bearing, short birth interval, and hence stress upon family planning. Increasing level of education of the parents was recommended for further utilization of health services, good antenatal care, and self learning about family planning, nutrition during pregnancy and breast feeding.


Keywords


Infant mortality, Under- five mortality, Socioeconomic factors, Mother education, Wad-madani, Sudan

Full Text:

PDF

References


Bicego, GT, Ahmed OB. Infant and Child Mortality. Calverton, Mary land. (Demographic and health survey comparative studies. macro Int. 1996;20:65.

Mosely WH, Chen LC. An analytical framework for the study on child survival in developing countries.1984. Bull World Heal Organ. 2003;81(2):140-5.

Pebley AR, Stupp PW. Reproductive patterns and child mortality in Guatemala. Demography. 1987;24(1):43.

Sudan. Maktab Taʻdād al-Sukkān. Population census of Sudan 1993: provisional results. The Office. 1993;5.

Statistics D of, Planning M of E and N, Khartoum S, Institute for Resource Development/Macro International I, Columbia MU. Sudan demographic health survey. 1991.

Haroun HM, Mahfouz MS. Khi. Level and determinants of infant and under-five mortality in wad-medani town, Sudan. J Fam Community Med. 2007;14(2):65-9.

Flegg AT. Inequality of income, illiteracy, and medical care as determinant of infant mortality in underdeveloped countries. Popul Stud A J Demogr. 1982;36(3):441-58.

Roth EA, Kurup KB. Child mortality levels and survival patterns from southern Sudan. 1990;22(3):365-72.

Zabin LS KK. The Health Consequences of Adolescent Sexual and Fertility Behavior in Sub- Saharan Africa. Stud Fam Plann. 1998;8(2):210-32.

Rustein SO. Infant and child mortality: level, trend, and demographic differential. Voonburg, Netherlands, international statistical institute. World fertility survey comparative studies. Cross Natl Summ. 1983;43:78.

De Sweemer C. The influence of child spacing on child survival. Popul Stud (NY). 1984;38(1):47-72.

Igbedioh SO. Influence of mother’s occupation and education on breast-feeding and weaning in infants and children in Makurdi, Nigeria. Nutr Heal. 1994;9(4):289-302.