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Modern contraceptive use and intention to use: implication for under-five mortality in Ethiopia
Authors: Fikrewold Bitew, and Samuel H. Nyarko
Source: Heliyon, 5(8): e02295; DOI: 10.1016/j.heliyon.2019.e02295•
Topic(s): Child health
Childhood mortality
Family planning
Country: Africa
Published: AUG 2019
Abstract: Objective High under-five mortality has been identified as a major problem in many developing countries including Ethiopia. The main purpose of this study is to examine the effect of modern contraceptive use on under-five mortality in Ethiopia. Methods The study draws on data from the 2011 and 2016 Ethiopia Demographic and Health Surveys. The Kaplan-Meier survival function was used to demonstrate the survival probabilities of children while a multivariate analysis using the Cox proportional hazards model was used to estimate the under-five mortality risks for various predictors. Results The results show consistently higher survival probabilities for children of mothers who use modern contraceptives for all survival periods. Significant predictors of under-five mortality include modern contraceptive use, tetanus vaccinations, mother's age, child's sex, parity, postnatal checkup, marital status, and source of drinking water. Conclusion Modern contraceptive use has a notable implication for the chances of under-five survival in Ethiopia. This underscores the importance of modern contraceptive use in the pursuit of a substantial reduction in under-five mortality in the country. Keywords Public health• Contraceptive use• Implication• Under-five mortality• Ethiopia