Table 4.
Factors associated with infant mortality in Nepal in 2006 (unadjusted and adjusted odds ratio)
NDHS 2006 | ||||||||
---|---|---|---|---|---|---|---|---|
Variables | Unadjusted | Adjusted | ||||||
COR | 95%CI | P value | AOR | 95%CI | P value | |||
Community level factors | ||||||||
Region | 0.002 | 0.022 | ||||||
Far-Western | 1.770 | 1.019 | 3.074 | 0.043 | 1.498 | 0.903 | 2.483 | 0.116 |
Mid-Western | 1.931 | 1.233 | 3.024 | 0.004 | 1.818 | 1.061 | 3.118 | 0.030 |
Western | 0.866 | 0.446 | 1.682 | 0.669 | 0.810 | 0.387 | 1.696 | 0.573 |
Central | 0.985 | 0.631 | 1.539 | 0.948 | 1.053 | 0.632 | 1.754 | 0.842 |
Eastern | 1.000 | 1.000 | ||||||
Ecological Zone | 0.004 | 0.004 | ||||||
Terai | 0.553 | 0.300 | 1.020 | 0.058 | 0.687 | 0.384 | 1.229 | 0.204 |
Hill | 0.361 | 0.188 | 0.692 | 0.002 | 0.425 | 0.216 | 0.834 | 0.013 |
Mountain | 1.000 | 1.000 | ||||||
Delivery Assisted | 0.014 | 0.012 | ||||||
Some assistance | 0.517 | 0.360 | 0.874 | 0.014 | 0.496 | 0.288 | 0.855 | 0.012 |
No assistance | 1.000 | 1.000 | ||||||
Socioeconomic Factors | ||||||||
Maternal occupation | 0.003 | 0.016 | ||||||
Unemployed | 0.466 | 0.284 | 0.767 | 0.003 | 0.537 | 0.324 | 0.889 | 0.016 |
Employed | 1.000 | 1.000 | ||||||
Maternal Education | 0.008 | |||||||
No education | 2.194 | 1.335 | 3.606 | 0.022 | ||||
Incomplete | 1.677 | 0.878 | 3.205 | 0.116 | ||||
primary/Primary Incomplete Secondary/Secondary | 1.000 | |||||||
Paternal Education | 0.025 | |||||||
No education | 2.199 | 1.240 | 3.898 | 0.007 | ||||
Incomplete | 1.659 | 0.929 | 2.962 | 0.086 | ||||
primary/Primary | 1.517 | 0.844 | 2.724 | 0.162 | ||||
Incomplete Secondary/Secondary Higher | 1.000 | |||||||
Maternal Literacy | 0.026 | |||||||
Unable to read at all | 1.469 | 1.047 | 2.061 | 0.026 | ||||
Able to read parts or whole sentence | 1.000 | |||||||
Wealth Index | 0.049 | |||||||
Poorest | 1.905 | 0.946 | 3.835 | 0.071 | ||||
Poorer | 1.371 | 0.644 | 2.921 | 0.411 | ||||
Middle | 1.845 | 0.847 | 4.019 | 0.122 | ||||
Richer | 1.081 | 0.534 | 2.191 | 0.827 | ||||
Richest | 1.000 | |||||||
Biomass use | 0.001 | 0.002 | ||||||
Relatively non-polluting | 0.208 | 0.088 | 0.490 | 0.001 | 0.237 | 0.099 | 0.571 | 0.002 |
Relatively high polluting | 1.000 | |||||||
Proximate Factors | ||||||||
Maternal factors | ||||||||
Decision Making on own | 0.012 | |||||||
health care need | ||||||||
Respondent alone | 0.498 | 0.299 | 0.828 | 0.008 | ||||
Respondent and | 0.796 | 0.514 | 1.234 | 0.306 | ||||
Husband/partner/other | 1.143 | 0.767 | 1.701 | 0.509 | ||||
Husband/Partner Alone/Someone Else | 1.000 | |||||||
Decision Making capacity on money expenditure | 0.019 | |||||||
Respondent alone | 0.203 | 0.071 | 0.581 | 0.003 | ||||
Respondent and | 0.383 | 0.130 | 1.124 | 0.080 | ||||
husband/partner/other | 0.370 | 0.140 | 0.980 | 0.046 | ||||
Husband/Partner Alone | 1.000 | |||||||
Someone Else | ||||||||
Maternal BMI | 0.067 | |||||||
Underweight | 2.693 | 1.161 | 6.246 | 0.021 | ||||
Normal range | 2.459 | 1.131 | 5.345 | 0.023 | ||||
Overweight/Obese | 1.000 | |||||||
Mother’s age at marriage | 0.093 | |||||||
<16 years | 2.208 | 1.016 | 4.797 | 0.045 | ||||
17–21 years | 1.803 | 0.851 | 3.819 | 0.123 | ||||
>22 years | 1.000 | |||||||
Mother’s age at child birth | 0.074 | |||||||
<16 years | 1.854 | 1.080 | 3.184 | 0.026 | ||||
17–21 years | 1.449 | 0.941 | 2.231 | 0.092 | ||||
>22 years | 1.000 | |||||||
Infant factors | ||||||||
Sex of child | 0.419 | |||||||
Male | 0.875 | 0.633 | 1.211 | 0.419 | ||||
Female | 1.000 | |||||||
Birth order | 0.003 | |||||||
>4th birth rank | 0.754 | 0.507 | 1.121 | 0.162 | ||||
2nd or 3rd birth | 0.535 | 0.375 | 0.764 | 0.001 | ||||
1st birth rank | 1.000 | |||||||
Preceding Birth Interval | 0.001 | |||||||
<=24 months | 2.240 | 1.592 | 3.153 | 0.001 | ||||
>24 months | 1.000 | |||||||
Succeeding Birth Interval | 0.001 | 0.001 | ||||||
<=24 months | 5.653 | 3.729 | 8.569 | 0.001 | 6.694 | 3.757 | 11.92 | 0.001 |
>24 months | 1.000 | 1.000 | 5 | |||||
Baby’s size at birth | 0.027 | |||||||
Very large/larger than | 0.516 | 0.304 | 0.877 | 0.015 | ||||
average | 0.566 | 0.358 | 0.895 | 0.015 | ||||
Average | 1.000 | |||||||
Very small or smaller than average | ||||||||
Delivery factors | ||||||||
Place of delivery | 0.027 | |||||||
Home | 1.781 | 1.108 | 2.863 | 0.017 | ||||
Health Facility | 1.000 | |||||||
Delivery assisted by | 0.001 | 0.016 | ||||||
Professional | 0.276 | 0.127 | 0.599 | 0.001 | 0.374 | 0.148 | 0.944 | 0.038 |
TBA | 0.522 | 0.312 | 0.873 | 0.014 | 0.619 | 0.306 | 1.254 | 0.182 |
Combined | 1.593 | 0.639 | 3.972 | 0.315 | 2.027 | 0.710 | 5.782 | 0.185 |
No assistance | 1.000 | 1.000 | ||||||
Mode of Delivery | 0.060 | |||||||
Normal delivery | 3.520 | 0.945 | 13.108 | 0.060 | ||||
Caesarean Section | 1.000 | |||||||
Currently breastfeeding | 0.001 | 0.001 | ||||||
No | 1.773 | 1.333 | 2.358 | 0.001 | 2.650 | 1.928 | 3.645 | 0.001 |
Yes | 1.000 | 1.000 |
Abbreviations: COR crude odds ratio, AOR adjusted odds ratio