Spatial variations and determinants of infant and under-five mortality in Bangladesh. (September 2017)

• Record Type: Journal Article
• Authors: Gruebner, Oliver; Khan, MMH; Burkart, Katrin; Lautenbach, Sven; Lakes, Tobia; Krämer, Alexander; Subramanian, S.V.; Galea, Sandro
• Is Part Of: Health & place. Volume 47(2017:Sep.)
• Page Start: 156
• Page End: 164
• Publication Date: 2017-09
• Subjects: Spatial autocorrelation -- Socio-ecological factors -- Malaria -- Urbanicity -- Child mortality; Health -- Social aspects -- Periodicals; Health services accessibility -- Periodicals; Public health -- Periodicals; Political planning -- Periodicals; Social medicine -- Periodicals; Epidemiology -- Periodicals; Health Policy -- Periodicals; Health Services Accessibility -- Periodicals; Public Health -- Periodicals; Public Policy -- Periodicals; Sociology, Medical -- Periodicals; Épidémiologie -- Périodiques; Politique sanitaire -- Périodiques; Santé, Services de -- Accessibilité -- Périodiques; Health services accessibility; Health -- Social aspects; Political planning; Public health; Social medicine; Periodicals; 613
• DOI: 10.1016/j.healthplace.2017.08.012
• Languages: English
• ISSNs: 1353-8292

Abstract

Abstract: Reducing child mortality is a Sustainable Development Goal yet to be achieved by many low-income countries. We applied a subnational and spatial approach based on publicly available datasets and identified permanent insolvency, urbanicity, and malaria endemicity as factors associated with child mortality. We further detected spatial clusters in the east of Bangladesh and noted Sylhet and Jamalpur as those districts that need immediate attention to reduce child mortality. Our approach is transferable to other regions in comparable settings worldwide and may guide future studies to identify subnational regions in need for public health attention. Our study adds to our understanding where we may intervene to more effectively improve health, particularly among disadvantaged populations. Highlights: Taking advantage of publicly available secondary data. Evidence for geographic clusters of infant and under-five mortality. Mapping subnational variation of child mortality and associated factors.