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Time Trends and Inequalities of Under-Five Mortality in Nepal: A Secondary Data Analysis of Four Demographic and Health Surveys between 1996 and 2011

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  • Chandrashekhar T Sreeramareddy
  • H N Harsha Kumar
  • Brijesh Sathian

Abstract

Background: Inequalities in progress towards achievement of Millennium Development Goal four (MDG-4) reflect unequal access to child health services. Objective: To examine the time trends, socio-economic and regional inequalities of under-five mortality rate (U5MR) in Nepal. Methods: We analyzed the data from complete birth histories of four Nepal Demographic and Health Surveys (NDHS) done in the years 1996, 2001, 2006 and 2011. For each livebirth, we computed survival period from birth until either fifth birthday or the survey date. Using direct methods i.e. by constructing life tables, we calculated yearly U5MRs from 1991 to 2010. Projections were made for the years 2011 to 2015. For each NDHS, U5MRs were calculated according to child's sex, mother’s education, household wealth index, rural/urban residence, development regions and ecological zones. Inequalities were calculated as rate difference, rate ratio, population attributable risk and hazard ratio. Results: Yearly U5MR (per 1000 live births) had decreased from 157.3 (95% CIs 178.0-138.9) in 1991 to 43.2 (95% CIs 59.1-31.5) in 2010 i.e. 114.1 reduction in absolute risk. Projected U5MR for the year 2015 was 54.33. U5MRs had decreased in absolute terms in all sub groups but relative inequalities had reduced for gender and rural/urban residence only. Wide inequalities existed by wealth and education and increased between 1996 and 2011. For lowest wealth quintile (as compared to highest quintile) hazard ratio (HR) increased from 1.37 (95% CIs 1.27, 1.49) to 2.54 ( 95% CIs 2.25, 2.86) and for mothers having no education (as compared to higher education) HR increased from 2.55 (95% CIs 1.95, 3.33) to 3.75 (95% CIs 3.17, 4.44). Changes in regional inequities were marginal and irregular. Conclusions: Nepal is most likely to achieve MDG-4 but eductional and wealth inequalities may widen further. National health policies should address to reduce inequalities in U5MR through ‘inclusive policies'.

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  • Chandrashekhar T Sreeramareddy & H N Harsha Kumar & Brijesh Sathian, 2013. "Time Trends and Inequalities of Under-Five Mortality in Nepal: A Secondary Data Analysis of Four Demographic and Health Surveys between 1996 and 2011," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-1, November.
    • Handle: RePEc:plo:pone00:0079818
    DOI: 10.1371/journal.pone.0079818
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    References listed on IDEAS

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    1. Quy-Toan Do & Lakshmi Iyer, 2010. "Geography, poverty and conflict in Nepal," Journal of Peace Research, Peace Research Institute Oslo, vol. 47(6), pages 735-748, November.
    2. Alok K. Bohara & Neil J. Mitchell & Mani Nepal, 2006. "Opportunity, Democracy, and the Exchange of Political Violence," Journal of Conflict Resolution, Peace Science Society (International), vol. 50(1), pages 108-128, February.
    3. Anna E Bauze & Linda N Tran & Kim-Huong Nguyen & Sonja Firth & Eliana Jimenez-Soto & Laura Dwyer-Lindgren & Andrew Hodge & Alan D Lopez, 2012. "Equity and Geography: The Case of Child Mortality in Papua New Guinea," PLOS ONE, Public Library of Science, vol. 7(5), pages 1-9, May.
    4. Abhishek Singh & Praveen Kumar Pathak & Rajesh Kumar Chauhan & William Pan, 2011. "Infant and Child Mortality in India in the Last Two Decades: A Geospatial Analysis," PLOS ONE, Public Library of Science, vol. 6(11), pages 1-19, November.
    5. Sanjay Basu & David Stuckler & Martin McKee, 2010. "Drivers of Inequality in Millennium Development Goal Progress: A Statistical Analysis," Working Papers id:2467, eSocialSciences.
    6. David Stuckler & Sanjay Basu & Martin McKee, 2010. "Drivers of Inequality in Millennium Development Goal Progress: A Statistical Analysis," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-13, March.
    7. Aleli D Kraft & Kim-Huong Nguyen & Eliana Jimenez-Soto & Andrew Hodge, 2013. "Stagnant Neonatal Mortality and Persistent Health Inequality in Middle-Income Countries: A Case Study of the Philippines," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-12, January.
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