Abstract
Introduction: Child mortality which is often known as the under-five mortality is the likelihood that a child will die before reaching the age of five. In 2020, 13,800 kids under the age of 5 were dying per day which equates to 5.0 million of them. In Malaysia, the mortality trends for neonatal, infant and under-5 mortality had plateaued. Increasing child survival and addressing the causes contributing to mortality are still a pressing priority. Causes of under-five mortality have resulted from preventable or unpreventable factors with preventable causes as a major concern worldwide. Preventable deaths were further divided into i) medically related such as delayed referral, quality of healthcare and ii) non-medically related factors such as drowning, choking and teenage pregnancy. All of the causes are preventable if treated with proper access to quality health care with trained health providers, appropriate interventions and tailored health programs in order to reduce under-five mortality and achieve the sustainable development goal 3 (SDG 3). Thus, this study aims to describe the prevalence of preventable under-five mortality in Seremban District and the associated factors.
Method: This is a cross-sectional study using under-five mortalities registry data from the Seremban district health office. All under-five mortalities from January 2018 to December 2021 that were registered under Seremban District were selected. The data analysis was conducted using SPSS version 26. Categorical variables were analysed using frequency and percentages. Univariable logistic regression was performed followed by multivariable logistic regression model using the enter technique.
Result: A total of 338 under-five mortality cases were selected and 81 (24%) of the mortality cases were caused by preventable death. Infectious and parasitic disease represent 27 (33.3%) while injuries and external causes including drowning, suffocation and choking represent 9 (11.1%) of the total preventable cases. Teenage pregnancy and male gender (child) was associated with higher odds of preventable death with adjusted odds ratio (aOR) 12.25 (95% CI, 1.05 to 143.25) and aOR 1.89 (95% CI, 1.07 to 3.36). Chinese ethnicity, neonatal mortality group and low birth weight were associated with lower odds of preventable death. Conclusion: Despite the lower proportion of preventable death, it is essential to improve the health promotion and awareness of the importance of child safety especially related to injuries and infections. Embarking on the specific issue and factors contributing to mortality will enable relevant stakeholders to focus their efforts and intervention to improve the overall child survival.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-87.pdf
- https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed1909[...]
BibTeX (Download)
@proceedings{APCPH2022-P-87, title = {Prevalence and Factors Affecting Preventable Under-five Mortalities in Seremban District}, author = {Siti Aishah Abas and Siti Najiha Md Asari and Nur Nadiatul Asyikin Bujang and Sharina Mohd Shah and Nurul Fazilah Aziz and Veshny Ganesan and Syuaib Aiman Amir Kamarudin and Ahmad Husni Ariffin and Asmah Johari and Noor Khalili Mohd Ali and Mohamad Paid Yusof}, url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-87.pdf https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/APCPH-2022-P-87-Prevalence-and-Factors-affecting-under-5-mortali-ef097034f8dec31c910f8b7b360f0563.pdf}, year = {2022}, date = {2022-08-02}, urldate = {2022-08-02}, issue = {7}, abstract = {Introduction: Child mortality which is often known as the under-five mortality is the likelihood that a child will die before reaching the age of five. In 2020, 13,800 kids under the age of 5 were dying per day which equates to 5.0 million of them. In Malaysia, the mortality trends for neonatal, infant and under-5 mortality had plateaued. Increasing child survival and addressing the causes contributing to mortality are still a pressing priority. Causes of under-five mortality have resulted from preventable or unpreventable factors with preventable causes as a major concern worldwide. Preventable deaths were further divided into i) medically related such as delayed referral, quality of healthcare and ii) non-medically related factors such as drowning, choking and teenage pregnancy. All of the causes are preventable if treated with proper access to quality health care with trained health providers, appropriate interventions and tailored health programs in order to reduce under-five mortality and achieve the sustainable development goal 3 (SDG 3). Thus, this study aims to describe the prevalence of preventable under-five mortality in Seremban District and the associated factors. Method: This is a cross-sectional study using under-five mortalities registry data from the Seremban district health office. All under-five mortalities from January 2018 to December 2021 that were registered under Seremban District were selected. The data analysis was conducted using SPSS version 26. Categorical variables were analysed using frequency and percentages. Univariable logistic regression was performed followed by multivariable logistic regression model using the enter technique. Result: A total of 338 under-five mortality cases were selected and 81 (24%) of the mortality cases were caused by preventable death. Infectious and parasitic disease represent 27 (33.3%) while injuries and external causes including drowning, suffocation and choking represent 9 (11.1%) of the total preventable cases. Teenage pregnancy and male gender (child) was associated with higher odds of preventable death with adjusted odds ratio (aOR) 12.25 (95% CI, 1.05 to 143.25) and aOR 1.89 (95% CI, 1.07 to 3.36). Chinese ethnicity, neonatal mortality group and low birth weight were associated with lower odds of preventable death. Conclusion: Despite the lower proportion of preventable death, it is essential to improve the health promotion and awareness of the importance of child safety especially related to injuries and infections. Embarking on the specific issue and factors contributing to mortality will enable relevant stakeholders to focus their efforts and intervention to improve the overall child survival.}, howpublished = {published online at https://apcph.cphm.my}, note = {Type: POSTER PRESENTATION; Organisation: Seremban District Health Office; Department of Public Health Medicine, Faculty of Medicine, University Teknologi Mara; Department of Social and Preventive Medicine, Faculty of Medicine, University Malaya}, keywords = {child health, family health, preventable death, under-five mortality}, pubstate = {published}, tppubtype = {proceedings} }