Monitoring and Evaluation, Wollo University, Dessie, Ethiopia.
Department of Pharmacy, Collage of Medicine and Health Science, Wollo University, Dessie, Ethiopia.
Sci Rep. 2021 Oct 1;11(1):19544. doi: 10.1038/s41598-021-98671-9.
Child death and mothers who suffer from child death are a public health concern in Sub-Saharan Africa. The location and associated factors of child death and mothers who suffer child death were not identified. To monitor and prioritize effective interventions, it is important to identify hotspots areas and associated factors. Data from nationally representative demographic and health survey and Multiple Indicator Cluster administrated in 42 Sub-Sahara Africa countries, which comprised a total of 398,574 mothers with 1,521,312 children. Spatial heterogeneity conducted hotspot regions identified. A mixed-effect regression model was run, and the adjusted ratio with corresponding 95% confidence intervals was estimated. The prevalence of mothers who suffer child death 27% and 45-49 year of age mother 48%. In Niger, 47% of mothers were suffering child death. Women being without HIV knowledge, stunted, wasted, uneducated, not household head, poor, from rural, and from subtropical significantly increased the odds of the case (P < 0.05). The spatial analysis can support the design and prioritization of interventions. Multispectral interventions for mothers who suffer from child death are urgently needed, improve maternal health and it will reduce the future risk of cases.
儿童死亡和因儿童死亡而受苦的母亲是撒哈拉以南非洲的一个公共卫生关注点。儿童死亡和因儿童死亡而受苦的母亲的位置和相关因素尚未确定。为了监测和优先考虑有效的干预措施，确定热点地区和相关因素非常重要。该研究的数据来自于在 42 个撒哈拉以南非洲国家进行的全国代表性人口与健康调查和多指标类集调查，这些国家共有 398574 名母亲和 1521312 名儿童。进行了空间异质性分析，以识别热点地区。运行了混合效应回归模型，并估计了调整后的比值及其相应的 95%置信区间。因儿童死亡而受苦的母亲的患病率为 27%，45-49 岁的母亲为 48%。在尼日尔，有 47%的母亲因儿童死亡而受苦。妇女缺乏艾滋病知识、发育迟缓、消瘦、未受教育、不是家庭户主、贫困、来自农村和亚热带地区，这些因素显著增加了患病的几率（P<0.05）。空间分析可以支持干预措施的设计和优先排序。迫切需要针对因儿童死亡而受苦的母亲的多光谱干预措施，改善产妇健康，将降低未来病例的风险。
