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Social Determinants and Causes of Child Mortality in Pakistan: Analysis of National Demographic Health Surveys from 1990 to 2013
Authors: Kiran Afshan, Ghulam Narjis, Irfan Z Qureshi, and Michael Cappello
Source: Journal of Paediatrics and Child Health, Published online; DOI: 10.1111/jpc.14670
Topic(s): Child health
Childhood mortality
Country: Asia
Published: NOV 2019
Abstract: Aim The aim of the study was to define social determinants, causes and trends in child mortality from 1990 to 2013 in Pakistan. Understanding social determinants, causes and temporal trends in child mortality can inform strategies aimed at improving child health in low and middle income countries. Methods We characterised temporal trends and social determinants of child mortality in Pakistan using national demographic health survey data (1990–1991, 2006–2007 and 2012–2013). We analysed national data to generate regional estimates of health programme effectiveness. Results The annual rates of reduction for child mortality between 1990 and 2013 were estimated as follows: neonatal (-0.33% per annum), post-neonatal (3.13% per annum), infant (0.9% per annum), child (2.47% per annum) and under 5 (1.19% per annum). Bivariate analyses of 2013 data showed that living in Punjab or Balochistan province, belonging to lowest wealth quintile, lack of maternal education, previous birth interval?