Factors Associated with Infant Mortality in Malawi

Peter Austin Morton Ntenda, Kun Yang Chuang, Fentanesh Nibret Tiruneh, Ying Chih Chuang

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: Despite the large reduction in infant mortality rates in the last two decades, the burden of infant mortality is still high in Malawi. Because few studies have specifically addressed the determinants of infant mortality in Malawi, this exploratory study identified a series of distal, intermediate, and proximal factors related to infant mortality using a conceptual framework that explains the risk in developing countries. The objective of this study was to examine the effects of family and socioeconomic factors on the risk of an infant dying before the age of 12 months. Methods: In this study, we analyzed the 2004 and 2010 data of the Malawi Demographic and Health Surveys. This study adopted a cross-sectional study design involving 4,698 and 12,174 singleton births in the years 2004 and 2010, respectively. Multiple logistic regression models were used to estimate the effects of selected variables on infant mortality. Results: In the multivariate logistic regression analyses, women who resided in wealthy urban areas were 58% less likely to report infant deaths than those in rural areas [odds ratio (OR)=0.48]. Infants who were second or third in birth order were less likely to die before 12 months. However, cesarean section delivery was found to be a risk factor associated with infant mortality in the year 2004 (OR=1.95). By contrast, women who were in the highest 20% of household wealth, who resided in the northern region, and were in the 20-29 age group were less likely to report infant deaths. However, cesarean section delivery (OR=1.42), male infants (OR=1.26), and small size at birth (OR=1.63) were the significant predictors of infant mortality in the year 2010. Furthermore, the mother's education and household wealth were not significant predictors of infant mortality in Malawi. Conclusion: The present study shows that improving the quality of life in rural areas, evenly distributing health care delivery services and other social economic factors across the nation, and improving maternal health care, neonatal care, and nutrient intake could decrease infant mortality in Malawi.

Original languageEnglish
Pages (from-to)125-131
Number of pages7
JournalJournal of Experimental and Clinical Medicine(Taiwan)
Volume6
Issue number4
DOIs
Publication statusPublished - 2014

Fingerprint

Malawi
Infant Mortality
Odds Ratio
Logistic Models
Cesarean Section
Parturition
Delivery of Health Care
Birth Order
Social Work
Developing Countries
Age Groups
Cross-Sectional Studies
Regression Analysis
Economics
Mothers
Quality of Life
Demography
Education
Food

Keywords

  • Health service utilization
  • Infant mortality
  • Quality of life
  • Socioeconomic factors

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Factors Associated with Infant Mortality in Malawi. / Ntenda, Peter Austin Morton; Chuang, Kun Yang; Tiruneh, Fentanesh Nibret; Chuang, Ying Chih.

In: Journal of Experimental and Clinical Medicine(Taiwan), Vol. 6, No. 4, 2014, p. 125-131.

Research output: Contribution to journalArticle

Ntenda, Peter Austin Morton ; Chuang, Kun Yang ; Tiruneh, Fentanesh Nibret ; Chuang, Ying Chih. / Factors Associated with Infant Mortality in Malawi. In: Journal of Experimental and Clinical Medicine(Taiwan). 2014 ; Vol. 6, No. 4. pp. 125-131.
@article{d2680da598f74993ab556d60c65f5968,
title = "Factors Associated with Infant Mortality in Malawi",
abstract = "Objective: Despite the large reduction in infant mortality rates in the last two decades, the burden of infant mortality is still high in Malawi. Because few studies have specifically addressed the determinants of infant mortality in Malawi, this exploratory study identified a series of distal, intermediate, and proximal factors related to infant mortality using a conceptual framework that explains the risk in developing countries. The objective of this study was to examine the effects of family and socioeconomic factors on the risk of an infant dying before the age of 12 months. Methods: In this study, we analyzed the 2004 and 2010 data of the Malawi Demographic and Health Surveys. This study adopted a cross-sectional study design involving 4,698 and 12,174 singleton births in the years 2004 and 2010, respectively. Multiple logistic regression models were used to estimate the effects of selected variables on infant mortality. Results: In the multivariate logistic regression analyses, women who resided in wealthy urban areas were 58{\%} less likely to report infant deaths than those in rural areas [odds ratio (OR)=0.48]. Infants who were second or third in birth order were less likely to die before 12 months. However, cesarean section delivery was found to be a risk factor associated with infant mortality in the year 2004 (OR=1.95). By contrast, women who were in the highest 20{\%} of household wealth, who resided in the northern region, and were in the 20-29 age group were less likely to report infant deaths. However, cesarean section delivery (OR=1.42), male infants (OR=1.26), and small size at birth (OR=1.63) were the significant predictors of infant mortality in the year 2010. Furthermore, the mother's education and household wealth were not significant predictors of infant mortality in Malawi. Conclusion: The present study shows that improving the quality of life in rural areas, evenly distributing health care delivery services and other social economic factors across the nation, and improving maternal health care, neonatal care, and nutrient intake could decrease infant mortality in Malawi.",
keywords = "Health service utilization, Infant mortality, Quality of life, Socioeconomic factors",
author = "Ntenda, {Peter Austin Morton} and Chuang, {Kun Yang} and Tiruneh, {Fentanesh Nibret} and Chuang, {Ying Chih}",
year = "2014",
doi = "10.1016/j.jecm.2014.06.005",
language = "English",
volume = "6",
pages = "125--131",
journal = "Journal of Experimental and Clinical Medicine",
issn = "1878-3317",
publisher = "Elsevier Taiwan LLC",
number = "4",

}

TY - JOUR

T1 - Factors Associated with Infant Mortality in Malawi

AU - Ntenda, Peter Austin Morton

AU - Chuang, Kun Yang

AU - Tiruneh, Fentanesh Nibret

AU - Chuang, Ying Chih

PY - 2014

Y1 - 2014

N2 - Objective: Despite the large reduction in infant mortality rates in the last two decades, the burden of infant mortality is still high in Malawi. Because few studies have specifically addressed the determinants of infant mortality in Malawi, this exploratory study identified a series of distal, intermediate, and proximal factors related to infant mortality using a conceptual framework that explains the risk in developing countries. The objective of this study was to examine the effects of family and socioeconomic factors on the risk of an infant dying before the age of 12 months. Methods: In this study, we analyzed the 2004 and 2010 data of the Malawi Demographic and Health Surveys. This study adopted a cross-sectional study design involving 4,698 and 12,174 singleton births in the years 2004 and 2010, respectively. Multiple logistic regression models were used to estimate the effects of selected variables on infant mortality. Results: In the multivariate logistic regression analyses, women who resided in wealthy urban areas were 58% less likely to report infant deaths than those in rural areas [odds ratio (OR)=0.48]. Infants who were second or third in birth order were less likely to die before 12 months. However, cesarean section delivery was found to be a risk factor associated with infant mortality in the year 2004 (OR=1.95). By contrast, women who were in the highest 20% of household wealth, who resided in the northern region, and were in the 20-29 age group were less likely to report infant deaths. However, cesarean section delivery (OR=1.42), male infants (OR=1.26), and small size at birth (OR=1.63) were the significant predictors of infant mortality in the year 2010. Furthermore, the mother's education and household wealth were not significant predictors of infant mortality in Malawi. Conclusion: The present study shows that improving the quality of life in rural areas, evenly distributing health care delivery services and other social economic factors across the nation, and improving maternal health care, neonatal care, and nutrient intake could decrease infant mortality in Malawi.

AB - Objective: Despite the large reduction in infant mortality rates in the last two decades, the burden of infant mortality is still high in Malawi. Because few studies have specifically addressed the determinants of infant mortality in Malawi, this exploratory study identified a series of distal, intermediate, and proximal factors related to infant mortality using a conceptual framework that explains the risk in developing countries. The objective of this study was to examine the effects of family and socioeconomic factors on the risk of an infant dying before the age of 12 months. Methods: In this study, we analyzed the 2004 and 2010 data of the Malawi Demographic and Health Surveys. This study adopted a cross-sectional study design involving 4,698 and 12,174 singleton births in the years 2004 and 2010, respectively. Multiple logistic regression models were used to estimate the effects of selected variables on infant mortality. Results: In the multivariate logistic regression analyses, women who resided in wealthy urban areas were 58% less likely to report infant deaths than those in rural areas [odds ratio (OR)=0.48]. Infants who were second or third in birth order were less likely to die before 12 months. However, cesarean section delivery was found to be a risk factor associated with infant mortality in the year 2004 (OR=1.95). By contrast, women who were in the highest 20% of household wealth, who resided in the northern region, and were in the 20-29 age group were less likely to report infant deaths. However, cesarean section delivery (OR=1.42), male infants (OR=1.26), and small size at birth (OR=1.63) were the significant predictors of infant mortality in the year 2010. Furthermore, the mother's education and household wealth were not significant predictors of infant mortality in Malawi. Conclusion: The present study shows that improving the quality of life in rural areas, evenly distributing health care delivery services and other social economic factors across the nation, and improving maternal health care, neonatal care, and nutrient intake could decrease infant mortality in Malawi.

KW - Health service utilization

KW - Infant mortality

KW - Quality of life

KW - Socioeconomic factors

UR - http://www.scopus.com/inward/record.url?scp=84905752433&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84905752433&partnerID=8YFLogxK

U2 - 10.1016/j.jecm.2014.06.005

DO - 10.1016/j.jecm.2014.06.005

M3 - Article

AN - SCOPUS:84905752433

VL - 6

SP - 125

EP - 131

JO - Journal of Experimental and Clinical Medicine

JF - Journal of Experimental and Clinical Medicine

SN - 1878-3317

IS - 4

ER -