Factors associated with under-five child mortality in Kenya: a systematic review and meta-analysis
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Date
2021Author
Musyoka, Antony, K
Type
ThesisLanguage
enMetadata
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Introduction
Notwithstanding the notable progression in reducing the under-five child mortality in Kenya, the
rate remains above the global target. The mortality levels in the under-five population is associated
with various socioeconomic, environmental and demographic factors. Studies have been
conducted using demographic and health surveys yielding inconclusive results on determinants
of under-five mortality in Kenya. Consequently, this study involves systematic review and metaanalysis
synthesis of results in existing studies on factors associated with under five mortality in
Kenya.
Method
International electronic databases including Google scholar, Research gate, PubMed, Cochrane Library
and other local like university of Nairobi repository were searched systematically. All identified
studies written in English and reported the determinants of under-five mortality in Kenya
were considered as per inclusion criteria. Data were extracted on excel sheets and transferred to
the paper on tables. The associations between the factors and under-five mortality were examined
and meta-analysis done by Mantel-Haenszel method using R statistical software version 4.0.3.
Results
After a review of retrieved 37 articles, 8 studies satisfied the criteria for inclusion and were incorporated
in review and meta-analyzing the results. Three studies were meta-analyzed. The review revealed
high under-five mortality in rural Kenya compared to urban Kenya (RˆR=1.05,95%CI,0.89;1.25).
Although the point estimate shows an increased risk of 5%, the confidence interval differs by indicating
no statistical difference between factors associated with under-five mortality. Although
previous studies have pointed different factors as having more effect to under-five mortality such as
maternal education, this study however, found no significant difference between factors associated
with under-five mortality in Kenya.
Conclusion
In this review and meta-analysis, the correlation of under-five mortality and factors under examination
showed no significant difference between them. Additionally, under-five population deaths
are above the global target.
Publisher
University of Nairobi
Subject
Factors associated with under-five child mortality in Kenya: a systematic review and meta-analysisRights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
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