The effects of changes in distance to nearest health facility on under-5 mortality and health care utilization in rural Malawi, 1980–1998 [PDF]
Background Despite important progress, the burden of under-5 mortality remains unacceptably high, with an estimated 5.3 million deaths in 2018. Lack of access to health care is a major risk factor for under-5 mortality, and distance to health care ...
John P. Quattrochi +3 more
doaj +5 more sources
Development and application of a hybrid implementation research framework to understand success in reducing under-5 mortality in Rwanda [version 3; peer review: 2 approved] [PDF]
Background: We describe the development and testing of a hybrid implementation research (IR) framework to understand the pathways, successes, and challenges in addressing amenable under-5 mortality (U5M) – deaths preventable through health system ...
Miriam Frisch +7 more
doaj +5 more sources
Trends and Factors Associated with Under-5 Mortality in Northwest Nigeria (2008–2018) [PDF]
Background: The Nigeria Demographic and Health Survey (NDHS) revealed that the under-five mortality rate (U5MR) in the northwest geopolitical zone (NWGZ), Nigeria, increased by 1.1% from 185 to 187 deaths per 1,000 live births between 2013 and 2018 ...
Osita K. Ezeh +7 more
doaj +3 more sources
Systematic estimates of the global, regional and national under-5 mortality burden attributable to birth defects in 2000-2019: a summary of findings from the 2020 WHO estimates. [PDF]
Objectives To examine the potential for bias in the estimate of under-5 mortality due to birth defects recently produced by the WHO and the Maternal and Child Epidemiology Estimation research group. Design Systematic analysis.
Perin J +8 more
europepmc +4 more sources
Exploring spatiotemporal trends and impacts of health resources and services on under-5 mortality in West African countries, 2010–2019: a spatial data analysis [PDF]
BackgroundWest African countries experienced the highest under-5 mortality rate (U5MR), the lowest life expectancy, and the poorest economic development. This study aimed to explore the spatiotemporal trend of U5MR and spatial spillover effects of health
Meng Zeng, Lu Niu
doaj +4 more sources
Understanding rapid implementation from discovery to scale: Rwanda’s implementation of rotavirus vaccines and PMTCT in the quest to reduce under-5 mortality [PDF]
Background Over the last eight decades, many evidence-based interventions (EBIs) have been developed to reduce amenable under-5 mortality (U5M). Implementation research can help reduce the lag between discovery and delivery, including as new EBIs emerge,
Felix Sayinzoga +5 more
doaj +3 more sources
Lessons from Peru to reduce under-5 mortality: understanding program implementation and context [PDF]
Background Health policymakers aiming to reduce under-5 mortality (U5M) often lack data regarding how successful interventions in other countries were implemented.
Patricia J. García +4 more
doaj +4 more sources
Association between Long-Term Ambient PM2.5 Exposure and under-5 Mortality: A Scoping Review. [PDF]
Studies have established a link between exposure to fine particles (PM2.5) and mortality in infants and children. However, few studies have explored the association between post-birth exposure to PM2.5 and under-5 mortality. We conducted a scoping review
Anita WM +4 more
europepmc +2 more sources
Measuring under-5 mortality and fertility through mobile phone surveys: an assessment of selection bias in 34 low-income and middle-income countries. [PDF]
Objectives This study aims to assess sample selection bias in mobile phone survey estimates of fertility and under-5 mortality. Design With data from the Demographic and Health Surveys, we use logistic regressions to identify sociodemographic correlates ...
Sánchez-Páez DA +4 more
europepmc +2 more sources
Estimated impact of the 2020 economic downturn on under-5 mortality for 129 countries. [PDF]
In low- and middle-income countries (LMICs), economic downturns can lead to increased child mortality by affecting dietary, environmental, and care-seeking factors.
Cardona M +4 more
europepmc +2 more sources

