Sathiya Susuman A, Hamisi Hamisi F
Dept. of Statistics and Population Studies, Faculty of Natural Sciences, University of the Western Cape, 7535 Bellville, Cape Town, South Africa.
Iran J Public Health. 2012 Dec 1;41(12):8-18. Print 2012.
The government of the United Republic of Tanzania has initiated the Integrated Management of Childhood Illness program to improve the health and wellbeing of children.
Tanzania's under-five mortality rate is still 1.7 times higher than the world average and, in order to achieve its Millennium Development Goal 4 target, its annual reduction rate is quite low at 2.2. The main aim of the study is to examine under-five mortality combined with the Data from the Tanzania Demographic and Health Survey 2008 data was used. Odds ratios for infant and under-five mortality were estimated using logistic regression; crude and adjusting models were adopted.
Mortality cases (18.3%) have been reported to children born with an interval of <24 months. Mothers with no education reported 14.6%, primary education mothers reported 11.1% and higher education reported only 5.3% (P<0.001). Therefore, maternal education plays is a major role on fertility and infant and under-five mortality behavior.
Maternal education also influences a mother's behavior in her usage of available health services to improve the health of the children. Further in-depth analysis is immensely needed in this situation.
坦桑尼亚联合共和国政府已启动儿童疾病综合管理计划，以改善儿童的健康和福祉。
坦桑尼亚五岁以下儿童死亡率仍比世界平均水平高1.7倍，为实现其千年发展目标4的指标，其年降低率相当低，仅为2.2。本研究的主要目的是结合2008年坦桑尼亚人口与健康调查的数据，对五岁以下儿童死亡率进行研究。采用逻辑回归估计婴儿和五岁以下儿童死亡率的比值比；采用了粗模型和调整模型。
据报告，出生间隔小于24个月的儿童中有18.3%出现死亡情况。未受过教育的母亲所生儿童死亡率为14.6%，受过小学教育的母亲所生儿童死亡率为11.1%，受过高等教育的母亲所生儿童死亡率仅为5.3%（P<0.001）。因此，母亲的教育程度在生育以及婴儿和五岁以下儿童死亡率方面起着重要作用。
母亲的教育程度也会影响母亲利用现有卫生服务来改善儿童健康的行为。在这种情况下，亟需进一步深入分析。
