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Father's support and literacy--factors associated with child mortality in Gambat, Sindh-Pakistan

Ajmal Agha1, Fozia Ajmal, Azam Iqbal

  • 1Department of Community Health Sciences, Aga Khan University.

JPMA. the Journal of the Pakistan Medical Association
|March 10, 2010
PubMed

Insights

Under-five mortality in Gambat, Pakistan, was high at 170/1000 live births. Father's education and involvement in child-rearing significantly reduced child mortality risks.

Area of Science:

  • Pediatrics
  • Public Health
  • Demography

Background:

  • Under-five mortality remains a critical public health issue in many low-income regions.
  • Identifying specific causes and associated factors is crucial for targeted interventions.

Purpose of the Study:

  • To determine the Under-Five Mortality Rate (U5MR) in Gambat, Sindh, Pakistan.
  • To identify the primary causes and significant contributing factors associated with under-five mortality in the region.

Main Methods:

  • A cross-sectional study was conducted in Gambat, interviewing 647 mothers about births and child deaths over five years.
  • Data collection included causes of mortality, parental mobility, and husband's support in child-rearing.
  • Statistical analysis utilized Epi-Info 6 and SPSS version 11.5 for data validation and analysis.

Main Results:

  • The estimated Under-Five Mortality Rate (U5MR) was 170 deaths per 1000 live births.
  • Major causes included tetanus (17.8%), diarrhea (11.8%), measles (6.5%), delivery complications (6.5%), and Acute Respiratory Infections (4.5%).
  • Father's literacy (AOR 1.8) and involvement in child-rearing (AOR 5.6) were significantly associated with reduced mortality.

Conclusions:

  • Enhancing parental education, particularly fathers', in rural areas like Gambat is vital for reducing child mortality.
  • Increased father's involvement in child-rearing practices can positively impact child survival rates.
Abstract

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