Inequalities in cause-specific mortality in children and adolescents in the Moramanga health survey, Madagascar

Rila Ratovoson (), Bruno Masquelier, Todisoa Andriatahina (), Reziky Mangahasimbola (), Zo Andrianirina (), Gilles Pison () and Laurence Baril ()
Additional contact information
Rila Ratovoson: Institut Pasteur de Madagascar
Todisoa Andriatahina: District Hospital
Reziky Mangahasimbola: Institut Pasteur de Madagascar
Zo Andrianirina: Soavinandriana Hospital
Laurence Baril: Institut Pasteur de Madagascar

International Journal of Public Health, 2020, vol. 65, issue 6, No 17, 790 pages

Abstract: Abstract Objectives One child or young adolescent dies every 10 min in Madagascar and large disparities in survival persist. We estimated cause-specific mortality in a cohort of children aged 0–14 in the Moramanga district and explored how causes of death shape these inequalities. Methods Children were followed prospectively between 2012 and 2017. Causes of death were established based on verbal autopsies. Incidence rate ratios were estimated in Poisson regression models. Results The risk of dying before age 15 was 68.1 per thousand live births. Risks of dying were highest in the first year of life (31.2‰) and lowest in children aged 10–14 (6.4‰). The male-to-female sex ratios of mortality increased with age and reached 2.3 among adolescents aged 10–14. Communicable, nutritional and neonatal causes accounted for 79.5% of deaths below age 5 and 47.0% above age 5. Mortality was positively associated with household poverty, lack of education of the household head, and rural residence. Conclusions Interventions should be designed with an equity lens to reduce large disparities in survival and be tailored to the needs of each age-group.

Keywords: Madagascar; Low-income countries; Child mortality; Verbal autopsy; Rural area; Urban area (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
http://link.springer.com/10.1007/s00038-020-01409-z Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
Journal Article: Inequalities in cause-specific mortality in children and adolescents in the Moramanga health survey, Madagascar
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:ijphth:v:65:y:2020:i:6:d:10.1007_s00038-020-01409-z

Ordering information: This journal article can be ordered from
http://www.springer.com/economics/journal/00038

DOI: 10.1007/s00038-020-01409-z

Access Statistics for this article

International Journal of Public Health is currently edited by Thomas Kohlmann, Nino Künzli and Andrea Madarasova Geckova

More articles in International Journal of Public Health from Springer, Swiss School of Public Health (SSPH+)
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().