Prenatal consultation and survival of children under five in Togo

Yaovi Tossou

International Journal of Health Planning and Management, 2021, vol. 36, issue 6, 2336-2350

Abstract: Introduction Child survival is low in Togo, often linked to socio‐economic and other exogenous factors such as lack of antenatal consultation and Bacille Calmette‐Guérin (BCG) vaccination. These different variables impacting the chances of survival of children underneath five have not been completely examined. The objective of this study is to analyse the socio‐economic variables that influence the survival risk of children beneath five in Togo. Methods These different variables influencing the chances of survival of the data used is from the 2017 MICS6 Overview. It speaks to an arrangement of broadly agent tests of families, children matured 0–5 years, women matured 15–49 years and men matured 15–59 years. Information on pre‐birth meetings and the inoculation status of children at (BCG) were collected from this overview. The Cox corresponding risks backslide illustrate is used to evaluate the connection between pre‐birth visits and child survival. Results The risk of survival in children beneath 5 years is high as the age of the mother increases. This risk is 0.48 for the age between 19 and 24 years (AHR = 2.485, 95% CI 1.49–4.13). A child born to a woman with no education is at high risk of child survival (AHR = 2.96, 95% CI 092–9.36). Furthermore, the results show that women with twins have a high risk of 0.44 of the death of these children (AHR = 1.44, 95% CI 1.25–1.67). In addition, (BCG) vaccination has been related with an expanded recurrence in children, where it was found that 70.37% of vaccinated children were born to women who had experienced pre‐birth meetings. Conclusion Basic risk variables for child survival can offer assistance in defining policy suggestions for children's wellbeing. The results recommend they have to empower policies to improve women's proficiency, the presence of a wellbeing insurance framework is suggested to decrease the burden of care, implement a procedure for access to antenatal meetings.

Date: 2021
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