Time trends and inequalities of under-five mortality in Nepal: A secondary data analysis of four demographic and health surveys between 1996 and 2011

Chandrashekhar T. Sreeramareddy, H. N. Harsha Kumar, Brijesh Sathian

Research output: Contribution to journalArticle

10 Citations (Scopus)

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'.

Original languageEnglish
Article numbere79818
JournalPLoS One
Volume8
Issue number11
DOIs
Publication statusPublished - 04-11-2013
Externally publishedYes

Fingerprint

Nepal
data analysis
demographic statistics
Education
Demography
education
Hazards
Mortality
Health
health policy
ecological zones
higher education
gender
risk reduction
life tables
health services
socioeconomics
Urban Renewal
households
Mothers

All Science Journal Classification (ASJC) codes

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Sreeramareddy, Chandrashekhar T. ; Harsha Kumar, H. N. ; Sathian, Brijesh. / Time trends and inequalities of under-five mortality in Nepal : A secondary data analysis of four demographic and health surveys between 1996 and 2011. In: PLoS One. 2013 ; Vol. 8, No. 11.
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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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Time trends and inequalities of under-five mortality in Nepal : A secondary data analysis of four demographic and health surveys between 1996 and 2011. / Sreeramareddy, Chandrashekhar T.; Harsha Kumar, H. N.; Sathian, Brijesh.

In: PLoS One, Vol. 8, No. 11, e79818, 04.11.2013.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Time trends and inequalities of under-five mortality in Nepal

T2 - A secondary data analysis of four demographic and health surveys between 1996 and 2011

AU - Sreeramareddy, Chandrashekhar T.

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N2 - 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'.

AB - 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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