geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Child mortality in the Democratic Republic of Congo: cross-sectional evidence of the effect of geographic location and prolonged conflict from a national household survey


, : Child mortality in the Democratic Republic of Congo: cross-sectional evidence of the effect of geographic location and prolonged conflict from a national household survey. Bmc Public Health 14(): 266-266

The child mortality rate is a good indicator of development. High levels of infectious diseases and high child mortality make the Democratic Republic of Congo (DRC) one of the most challenging environments for health development in Sub-Saharan Africa (SSA). Recent conflicts in the eastern part of the country and bad governance have compounded the problem. This study aimed to examine province-level geographic variation in under-five mortality (U5M), accounting for individual- and household-level risk factors including environmental factors such as conflict. Our analysis used the nationally representative cross-sectional household sample of 8,992 children under five in the 2007 DRC Demographic and Health Survey. In the survey year, 1,005 deaths among this group were observed. Information on U5M was aggregated to the 11 provinces, and a Bayesian geo-additive discrete-time survival mixed model was used to map the geographic distribution of under-five mortality rates (U5MRs) at the province level, accounting for observable and unobservable risk factors. The overall U5MR was 159 per 1,000 live births. Significant associations with risk of U5M were found for <24 month birth interval [posterior odds ratio and 95% credible region: 1.14 (1.04, 1.26)], home birth [1.13 (1.01, 1.27)] and living with a single mother [1.16 (1.03, 1.33)]. Striking variation was also noted in the risk of U5M by province of residence, with the highest risk in Kasaï-Oriental, a non-conflict area of the DRC, and the lowest in the conflict area of North Kivu. This study reveals clear geographic patterns in rates of U5M in the DRC and shows the potential role of individual child, household and environmental factors, which are unexplained by the ongoing conflict. The displacement of mothers to safer areas may explain the lower U5MR observed at the epicentre of the conflict in North Kivu, compared with rates in conflict-free areas. Overall, the U5M maps point to a lack of progress towards the Millennium Development Goal of reducing U5M by half by 2015.

US$19.90

PMID: 24649944

DOI: 10.1186/1471-2458-14-266


Other references

Fukuoka, S.; Scheele, G.A., 1991: Novel strategy for synthesis of full-length double-stranded cDNA transcripts without dC-dG tails. Nucleic Acids Research 19(24): 6961-6962

Xylinas, E.; Kluth, L.A.; Rieken, M.; Lee, R.K.; Elghouayel, M.; Ficarra, V.; Margulis, V.; Lotan, Y.; Rouprêt, M.; Martinez-Salamanca, J.I.; Matsumoto, K.; Seitz, C.; Karakiewicz, P.I.; Zerbib, M.; Scherr, D.S.; Shariat, S.F., 2014: Impact of smoking status and cumulative exposure on intravesical recurrence of upper tract urothelial carcinoma after radical nephroureterectomy. To assess the impact of cigarette smoking status, cumulative smoking exposure, and time from cessation on intravesical recurrence (IVR) outcomes in patients treated with radical nephroureterectomy (RNU) for upper tract urothelial carcinoma (UTUC)....

Zilli, F.-Lucila; Montalto, L.; Marchese, M.-Rosa, 2008: Benthic invertebrate assemblages and functional feeding groups in the Parana River floodplain Argentina. The benthic invertebrate assemblages and functional feeding groups in different mesohabitats of the Middle Parana River-floodplain system were analyzed. Benthic invertebrates and bottom sediments were sampled in a secondary channel (center and ba...

Madera I.; Laviena L.; D.C.prariis P.J.; Stehney M.; Stiles J., 1989: Discussing the do not resuscitate issue with the aids patients. Morisset, R A (Ed ) Ve Conference Internationale Sur Le Sida: Le Defi Scientifique Et Social; V International Conference on Aids: The Scientific And Social Challenge; Montreal, Quebec, Canada, June 4-9, 1262p International Development Research Centre: Ottawa, Ontario, Canada Illus Paper 743

Gurfinkel, E.P.; Guerlloy, F.P.; Mautner, B., 2006: Suppression of life-threatening tachyarrhyhmias, and atrio-ventricular ischemic block following the administration of anti-inflammatory intravenous drug. The occurrence of potentially lethal tachyarrhyhmias, or severe bradyarrhytmias could be the end of a cascade of pathophysiological abnormalities. These arrhythmias, occurring in the presence of a decompensated cardiopathy, can be inferred to have...

Bradley, R., 2009: Comment-Defining health insurance affordability: unobserved heterogeneity matters. Affordability is a vague concept. Bundorf and Pauly [Bundorf, M.K., Pauly, M.V., 2006. Is health insurance affordable for the uninsured? Journal of Health Economics 25 (4), 650-673] address this problem by establishing clear working definitions of...

Krausz, N.G.P., 1965: Fringe benefits in farm corporations. An important advantage of the corporation over partnership or sole proprietorship results from the fact that owners of a corporation can be employees, eligible to benefits that are tax deductible to the corporation. Two groups of such benefits are...

Schweigert, G.; Dietl, G., 1997: A fossil centipede Chilopoda, Geophilida from the lithographic limestone of Nusplingen Upper Jurassic, SW Germany Ein fossiler Hundertfussler Chilopoda, Geophilida aus dem Nusplinger Plattenkalk Oberjura, Sudwestdeutschland. Stuttgarter Beitraege zur Naturkunde Serie B (Geologie und Palaeontologie). 31 Dezember; 254: 1-11

Relichova J.; Michalek J., 1986: Adaptive values of genotypes of arabidopsis thaliana carrying one mutant allele on different genetic backgrounds. In Arabidopsis thaliana the relative measure of Darwinian fitness-the adaptive values of the two homozygotes related to the reference heterozygous genotype in one locus system were estimated on the original and on three changed genetic backgrounds...

Araujo, A.M.; Guimaraes, S.E.F.; Rodrigues, M.T.; Paiva, A.L.C.; Lopes, P.S.; Columbiano, V.S., 2003: Microsatellite multiplex system for parentage testing in Alpine dogs. This study was conducted to analyse a multiplex system containing 5 microsatellite loci of DNA in order to construct a parentage verification test in goats from Brazil. Blood samples were collected from 120 Alpine goats belonging to 5 half sib fam...