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Modelling Under-Five Mortality among Hospitalized Pneumonia Patients in Hawassa City, Ethiopia: A Cross-Classified Multilevel Analysis

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  • Tariku Tessema

    (Haramaya University)

Abstract

Community acquired pneumonia refers to pneumonia acquired outside of hospitals or extended health facilities and it is a leading infectious disease. This study aims to model mortality of hospitalized under-5 year child pneumonia patients and investigate potential risk factors associated with child mortality due to pneumonia. The study was a retrospective study on 305 sampled under-five hospitalized patients of community acquired pneumonia. A cross-classified multilevel logistic regression was employed with resident and hospital classified at the second level. Bayesian estimation method was applied in which the posterior distribution was simulated via Markov Chain Monte Carlo. The variability attributable to hospital was found to be larger than variability attributable to residence. The odds of dying from the community acquired pneumonia was higher among patients who were; diagnosed in spring season, complicated with malaria, AGE and AFI, in a neonatal age group, diagnosed late (more than a week). The risk of mortality was also found high for lower nurse: patient and physician: patients’ ratios.

Suggested Citation

  • Tariku Tessema, 2018. "Modelling Under-Five Mortality among Hospitalized Pneumonia Patients in Hawassa City, Ethiopia: A Cross-Classified Multilevel Analysis," Annals of Data Science, Springer, vol. 5(2), pages 111-132, June.
    • Handle: RePEc:spr:aodasc:v:5:y:2018:i:2:d:10.1007_s40745-017-0121-4
    DOI: 10.1007/s40745-017-0121-4
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    References listed on IDEAS

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    1. Crighton, Eric J. & Elliott, Susan J. & Moineddin, Rahim & Kanaroglou, Pavlos & Upshur, Ross, 2007. "A spatial analysis of the determinants of pneumonia and influenza hospitalizations in Ontario (1992-2001)," Social Science & Medicine, Elsevier, vol. 64(8), pages 1636-1650, April.
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