Determinants of infant mortality in Oromia region, Ethiopia
Tariku Irana1, Gizachew Gobebo Mekebo1, Gezahagn Diriba1
1College of Natural and Computational Science, Ambo University, Ambo.
Insights
Infant mortality in Ethiopia's Oromia region is high, with female infants, facility deliveries, and adequate antenatal care (ANC) reducing risk. Multiple births increase infant mortality risk.
Area of Science:
- Public Health
- Demography
- Epidemiology
Background:
- Infant mortality is a key indicator of community health status.
- Sub-Saharan Africa, including Ethiopia and its Oromia region, faces high infant mortality rates.
Purpose of the Study:
- To identify the key determinants of infant mortality in the Oromia region of Ethiopia.
Main Methods:
- Utilized data from the 2019 Ethiopian Mini Demographic and Health Survey.
- Employed a multivariable logistic regression model to analyze determinants.
- Calculated adjusted odds ratios (AOR) with 95% confidence intervals (CI) for significance.
Main Results:
- The infant mortality rate was 54 deaths per 1000 live births.
- Factors reducing infant mortality risk included female sex, health facility delivery, and antenatal care (ANC) attendance.
- Higher wealth index and multiple births were associated with increased infant mortality risk.
Conclusions:
- Infant mortality in Oromia exceeds the national average.
- Significant determinants include infant sex, birth type, ANC, delivery location, and household wealth.
- Recommendations include promoting ANC and institutional delivery to improve infant survival.
Abstract:
Infant mortality is one of the commonest health-related indicators used to assess the health status of the community. Children born in Sub-Saharan Africa are at highest risk of infancy death in the world. Ethiopia, in Sub-Saharan Africa, is a country with high infant mortality. Oromia region is among the regions with high infant mortality rate in Ethiopia. Therefore, this study aimed to identify determinants of infant mortality in Oromia region, Ethiopia.
Methods:
The source of data for this study was 2019 Ethiopian Mini Demographic and Health Survey. Multivariable logistic regression model was employed to identify the determinants the infant mortality. An adjusted odds ratio (OR) with a 95% CI was used examine the determinants of infant mortality.
Results:
A total of 719 live births born 5 years preceding the survey were included. The infant mortality rate in the study area was 54 deaths per 1000 live births. The risk of dying in infancy was lower for females [adjusted OR (AOR): 0.518, 95% CI: 0.284, 0.945], health deliveries (AOR: 0.429, 95% CI: 0.235, 0.783), infants born to mothers attended ANC during pregnancy (AOR: 0.603, 95% CI: 0.489, 0.744), infants from families with wealth indices of medium (AOR: 0.715, 95% CI: 0.580, 0.882) and rich (AOR: 0.638, 95% CI: 0.425, 0.958) compared with the respective reference categories while it was higher for infants of multiple births (AOR: 2.241, 95% CI: 1.768, 2.841) compared with singletons.
Conclusions:
Infant mortality rate in the study area, Oromia region, is higher than the national figure. The study found that sex of child, birth type, antenatal care (ANC), place of delivery and wealth index of household were significant determinants of infant mortality. Therefore, concerned bodies should make awareness creation to mothers regarding ANC and encourage them to have ANC follow-up during pregnancy and deliver at health institution to improve the infant survival in the region.
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