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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Women's involvement in household decision-making and strengthening social capital - Crucial factors for child survival in Ethiopia
Acta Paediatrica, International Journal of Paediatrics, Volume 96, No. 4, Year 2007
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Description
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. © 2007 The Author(s).
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC2049066/bin/apa0096-0582-ts1.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC2049066/bin/apa0096-0582-ts2.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC2049066/bin/apa0096-0582-ts3.doc
Authors & Co-Authors
Fantahun, Mesganaw A.
Ethiopia, Addis Ababa
Addis Ababa University
Sweden, Umea
Umeå Universitet
Berhane, Yemane
Ethiopia, Addis Ababa
Addis Ababa University
Sweden, Umea
Umeå Universitet
Wall, Stig I.
Sweden, Umea
Umeå Universitet
Byass, P.
Sweden, Umea
Umeå Universitet
Högberg, Ulf
Sweden, Umea
Umeå Universitet
Statistics
Citations: 118
Authors: 5
Affiliations: 2
Identifiers
Doi:
10.1111/j.1651-2227.2007.00147.x
ISSN:
08035253
e-ISSN:
16512227
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Case-Control Study
Study Locations
Ethiopia
Participants Gender
Female