DETERMINANTS OF CHILDHOOD MORTALITY IN BANGLADESH:

1. DETERMINANTS OF CHILDHOOD MORTALITY IN BANGLADESH: EVIDENCE FROM THE 2011 BANGLADESH DEMOGRAPHIC AND HEALTH SURVEYAbir,T1; Agho , KE11School of Medicine, University of western Sydney, Australia. Introduction Figure 3: Under-five mortality rates by year of survey • South Asia region has the world’s second largest population of children. The region has progressive reduced childhood mortality since 1990 but struggle to meet MDG 4 (1) • Bangladesh is one of the seven countries in the world that have almost reduced child mortality half (1). • Despite this significant improvement, the rate of neonatal mortality in Bangladesh is still higher than some South Asian countries such as Maldives and Sri Lanka (2). Aim • This study aimed to identify potential risk factors associated with neonatal, infant and under-five mortality in Bangladesh, using the 2011 Bangladesh Demographic and Health Survey. Methods • Figure 3 reveals that Under 5 mortality has dropped significantly from 88 deaths per live births in 2004 to 53 deaths per live births in 2011.There is also a significant dropped in Under 5 mortality between 2004 and 2007. However, the dropped between 2007 and 2011 did not differ significantly. Child deaths of all singleton live-born 2011 dataset was used, including survival information from 8634 singleton live born infants of the most recent birth of a mother within a 5-year period. In this analysis, three time periods for child mortality were examined, neonatal (0 to 28 days), infant (0 to 11months) and under-five (0 to 4 years). The risk factors for neonatal, infant and under-fives deaths was examined against 20 potential risk factors covering individual, household and community level factors using Cox proportional hazards regression models. Data Analysis Table 1: Factors associated with neonatal, infant and Under-five mortality Findings Figure 1: Neonatal mortality rates by year of survey Other significant factors • Neonatal: Geographical region, higher birth order baby and mothers who reported “no method’ of family planning. • Infant: Higher birth order baby and mothers who reported “no method’ of family planning • Under-five: Geographical region, higher birth order baby and mothers who reported “no method’ of family planning. Figure 1 shows that Neonatal mortality has dropped from 41 deaths per 1000 live births in 2004 to 32 deaths per 1000 in 2011. The reduction did not differ significantly. Figure 2: Infant mortality rates by year of survey : Conclusions • Male child, mothers employed for at least 12 months and mothers who had few antenatal visits during pregnancy reported higher risk of childhood mortality in Bangladesh. • Community based interventions are also needed and these should focus on male child, working mothers and pregnant mothers who received at least one antenatal visit. Main References • 1. UNICEF-Goal: Reduce child Mortality URL://www.unicef.org/mdg/childmortality.html • 2. Bangladesh Demographic and Health Survey (2011) Dhaka, Bangladesh • and Calverton, Maryland, USA: National Institute of Population Research and Training, Mitra and Associates, and Macro International. Figure 2 indicates that Infant mortality has dropped significantly in Bangladesh from 65 deaths per 1000 live births in 2004 to 43 deaths per 1000 live births in 2011.However,there is no statistical differences between 2004 and 2007 and also between 2007 and 2011.