The Risk Factors Associated with Under-Five Mortality in Lesotho Using the 2009 Lesotho Demographic and Health Survey
Authors: T. Motsima
The under-5 mortality rate is high in sub-Saharan Africa with Lesotho being amongst the highest under-5 mortality rates in the world. The objective of the study is to determine the factors associated with under-5 mortality in Lesotho. The data used for this analysis come from the nationally representative household survey called the 2009 Lesotho Demographic and Health Survey. Odds ratios produced by the logistic regression models were used to measure the effect of each independent variable on the dependent variable. Female children were significantly 38% less likely to die than male children. Children who were breastfed for 13 to 18 months and those who were breastfed for more than 19 months were significantly less likely to die than those who were breastfed for 12 months or less. Furthermore, children of mothers who stayed in Quthing, Qacha’s Nek and Thaba Tseka ran the greatest risk of dying. The results suggested that: sex of child, type of birth, breastfeeding duration, district, source of energy and marital status were significant predictors of under-5 mortality, after correcting for all variables.
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 United Nations, “The Millennium Development Goals Report: 2013 (Report style),” pp. 1-60, Jun. 2013.
 K. Mani, S. N. Dwivedi, and R. M. Pandey, “Determinants of under-five mortality in rural empowered action group states in India: An application of Cox Frailty Model (Periodical style),” International Journal of MCH and AIDS,vol.1. no. 1. pp. 60-72, 2012.
 United Nations, “55/2. United Nations millennium declaration: Resolution adopted by the General assembly (General Assembly Resolution style),” New York, pp. 1-9, Sep. 2000.
 United Nations, “Investing in development: A practical plan to achieve the Millennium Development Goals (Report style),” Earthscan, pp. 1-329. 2005.
 United Nations Development Programme, “Lesotho Millennium Development Goals status report (report style)”, pp. 1-36. 2008.
 World Health Organization, “World health statistics: 2013 (Report style),” pp. 1-169 .2013.
 S. A. Adedini, C. O. Odimegwu, D. O. Ononokpono , L. Ibisomi, B. C. Elwange, and E. Imasuku, “Regional inequalities in under-five mortality in Nigeria: A multilevel analysis (Meeting proceedings style),” in PAA. 2012 Annual Meeting. Population Association of America 2012 Annual Meeting, San Francisco, 2012.
 Government of Lesotho, “Guidelines to prevent mother to child transmission of HIV (Government document),” Jun. 2004.
 United Nations Children’s Fund. 2012, “The state of the world’s children 2012: Children in an urban world (Report style),” Feb. 2012.
 D. Antai, “Social context, social position and child survival: Social determinants of child health inequities in Nigeria (Periodical style),”Karolinska Institutet. Insitute of Environmental Health, pp. 1-74, Feb. 2010.
 A. Deribew, F. Tessema, and B. Girma, “Determinants of under-five mortality in Gilgel Gibe Field Research Center, South West Ethopia (Periodical style),” The Ethopian Journal of Health Development, vol. 21, no. 2, pp. 117–124. 2007.
 R. R. Ettarh, and J. Kimani, “Determinants of under-five mortality in rural and urban Kenya (Periodical style),” The International Electronic Journal ofRural and Remote Health Research, Education, Practice and Policy, 12:1812, pp. 1-9, Mar. 2012.
 P. Buwembo, and & N. J. Bomela, “Factors associated with under-5 mortality in South Africa: Trends 1997-2002 (Periodical style),” UPeTD, pp. 1-52, Mar. 2010.
 Government of Lesotho: Ministry of Health and Social Welfare, “Lesotho Demographic and Health Survey 2009 (Government document),” Nov. 2010.
 S. Handa, S. Koch, and S. W. Ng, “Child mortality in Eastern and Southern Africa (Periodical style),” University of Pretoria: Department of Economics working paper series, vol. 35, pp. 1-27, Oct. 2008.
 R. Hong, “Effect of multiple birth on infant mortality in Bangladesh (Periodical style),” Journal of Paediatrics and Child Health, vol. 42, no. 10, pp. 630-635, Sep. 2006.
 R. Pongou, “Why is infant mortality higher in boys than in girls? A new hypothesis based on preconception environment and evidence from a large sample of twins (Periodical style),” Demography, vol. 50, pp. 421-444, Nov. 2012.
 Z. Worku, “Factors that affect under-five mortality among South African children: Analysis of the South African Demographic and Health Survey data set (Congress Proceedings style),” vol. 2, San Francisco, USA, Oct. 2009.
 W.M. Bolstad, and S.O. Manda, “Investigating child mortality in Malawi using family and community random effects: A Bayesian analysis (Periodical style),” American Statistical Association, vol. 96, no. 453, pp. 12-19, Mar. 2001.