Impact of Health Care Delivery Utilization on Under-5 Child Mortality in Myanmar

Nyaung Tai; Su Hlaing Tin Htut; Thiri Swe

doi:doi:10.11648/j.hep.20190403.13

| Peer-Reviewed

Impact of Health Care Delivery Utilization on Under-5 Child Mortality in Myanmar

Nyaung Tai, Su Hlaing Tin Htut, Thiri Swe

Published in International Journal of Health Economics and Policy (Volume 4, Issue 3)

Received: 21 July 2019 Accepted: 28 August 2019 Published: 10 September 2019

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

This paper examines the impact of healthcare delivery utilization on under-5 mortality in Myanmar. Reducing under-5 child mortality is the first target under the Sustainable Development Goal (SDG) Goal 3. In 2015, Myanmar registered anunder-5 mortality rate that was higher than the regional average. According to the World Health Statistics, Myanmar is a low-income country in the Southeastern Asian with high maternal deaths. This paper investigates the impact of the utilization of health care delivery on under-5 mortalities among states and region. In practice, all health factors are very important which relationships between utilization of health care delivery and under-5 mortalities. These results give strong evidence of the success of the main findings. In spite of all variables were not statistically significant with the outcome variable were included in the multivariate analysis. The risk of child mortality was significantly higher for children of 4-5 birth order number (OR: 1.85; 95% CI: 1.01-3.38; p=0.048) and above six or more birth order number (OR: 2.11; 95% CI: 1.04-4.28; p=0.039) respectively. Children who were treated by seeking health assistance that had reduced risk (OR: 0.06; 95% CI: 0.01-0.29; p=0.000) of childhood death compared with children who were no assistance of seeking health when children were no response. The risk of child mortality was significantly reduced for children whose mothers were accessible antenatal care facilities such as government hospital, private hospital, and mobile clinic (OR: 0.39; 95% CI: 1.06 -5.15; p=0.000). The paper efforts the relationship between utilization of health care delivery and under-5 child mortality by investigating of the socio-economic and demographic factors from first time Myanmar DHS (2015-2016). The main results highlighted the determinant of the main factors on under-5 child mortality among states and regions.

Published in	International Journal of Health Economics and Policy (Volume 4, Issue 3)
DOI	10.11648/j.hep.20190403.13
Page(s)	82-88
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Logistic Regression Method, Under-5 Mortality, Utilization of Health Care Delivery, Socio-Economic and Demographic Factors, States & Regions, Myanmar

References

[1]	Yazdizadeh, B., et al., Impact of Health Research Systems on Under-5 Mortality Rate: A Trend Analysis. International journal of health policy and management, 2016. 6 (7): p. 395-402.
[2]	World Health Organization. Under-five mortality. 2017; Available from: https://www.who.int/gho/child_health/mortality/mortality_under_five_text/en/.
[3]	Ministry of Health and Sports, I. C. F., Myanmar Demographic and Health Survey 2015-16. 2017: Nay Pyi Taw, Myanmar.
[4]	Agunwa, C. C., et al., Determinants of patterns of maternal and child health service utilization in a rural community in south eastern Nigeria. BMC Health Services Research, 2017. 17: p. 17: 715.
[5]	World Health Organization, O. E. C. D., International Bank for Reconstruction and Development/The World Bank, Delivering quality health services: a global imperative for universal health coverage. 2018.
[6]	Bhatt, J. and P. Bathija, Ensuring Access to Quality Health Care in Vulnerable Communities. Academic medicine. the Association of American Medical Colleges, 2018. 93 (9): p. 1271–1275.
[7]	Rowe, A. K., et al., Improving health worker performance: an ongoing challenge for meeting the sustainable development goals. BMJ, 2018. 362.
[8]	Wikipedia, Hosmer–Lemeshow test. 2017.
[9]	Chadoka-Mutanda, N. and C. O. Odimegwu, Maternal Health-Seeking Behaviour And Under-Five Mortality In Zimbabwe. Journal of Biosocial Science, 2017. 49 (3): p. 408-421.
[10]	The Borgen Project, How to Gradually Improve Health in Developing Countries. 2017.
[11]	Wegbom, A., I. D Essi, and V. Kiri, Survival Analysis of Under-five Mortality and Its Associated Determinants in Nigeria: Evidence from a Survey Data. 2019.
[12]	DUSABE. J, Determinants Of Under-5 Mortality In Rwanda. 2016.
[13]	Arunda, M., A. Emmelin, and B. O. Asamoah, Effectiveness of antenatal care services in reducing neonatal mortality in Kenya: analysis of national survey data Global health action, 2017. 10 (1) (1328796).
[14]	The WHO Reproductive Health Library (RHL), WHO recommendation on antenatal care contact schedules. 2018.
[15]	Kikuchi, K., et al., Postnatal care could be the key to improving the continuum of care in maternal and child health in Ratanakiri, Cambodia. PLOS ONE, 2018.
[16]	Dohbit, J., et al., Improving Maternal Health: The Safe Childbirth Checklist as a Tool for Reducing Maternal Mortality and Morbidity. 2019.
[17]	Ministry of Planning and Finance, C. S. O., Myanmar Statistical Year Book. 2016, Naypyitaw, Myanmar.

Cite This Article

Plain Text BibTeX RIS

APA Style

Nyaung Tai, Su Hlaing Tin Htut, Thiri Swe. (2019). Impact of Health Care Delivery Utilization on Under-5 Child Mortality in Myanmar. International Journal of Health Economics and Policy, 4(3), 82-88. https://doi.org/10.11648/j.hep.20190403.13

Copy | Download

ACS Style

Nyaung Tai; Su Hlaing Tin Htut; Thiri Swe. Impact of Health Care Delivery Utilization on Under-5 Child Mortality in Myanmar. Int. J. Health Econ. Policy 2019, 4(3), 82-88. doi: 10.11648/j.hep.20190403.13

Copy | Download

AMA Style

Nyaung Tai, Su Hlaing Tin Htut, Thiri Swe. Impact of Health Care Delivery Utilization on Under-5 Child Mortality in Myanmar. Int J Health Econ Policy. 2019;4(3):82-88. doi: 10.11648/j.hep.20190403.13

Copy | Download

@article{10.11648/j.hep.20190403.13,
  author = {Nyaung Tai and Su Hlaing Tin Htut and Thiri Swe},
  title = {Impact of Health Care Delivery Utilization on Under-5 Child Mortality in Myanmar},
  journal = {International Journal of Health Economics and Policy},
  volume = {4},
  number = {3},
  pages = {82-88},
  doi = {10.11648/j.hep.20190403.13},
  url = {https://doi.org/10.11648/j.hep.20190403.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20190403.13},
  abstract = {This paper examines the impact of healthcare delivery utilization on under-5 mortality in Myanmar. Reducing under-5 child mortality is the first target under the Sustainable Development Goal (SDG) Goal 3. In 2015, Myanmar registered anunder-5 mortality rate that was higher than the regional average. According to the World Health Statistics, Myanmar is a low-income country in the Southeastern Asian with high maternal deaths. This paper investigates the impact of the utilization of health care delivery on under-5 mortalities among states and region. In practice, all health factors are very important which relationships between utilization of health care delivery and under-5 mortalities. These results give strong evidence of the success of the main findings. In spite of all variables were not statistically significant with the outcome variable were included in the multivariate analysis. The risk of child mortality was significantly higher for children of 4-5 birth order number (OR: 1.85; 95% CI: 1.01-3.38; p=0.048) and above six or more birth order number (OR: 2.11; 95% CI: 1.04-4.28; p=0.039) respectively. Children who were treated by seeking health assistance that had reduced risk (OR: 0.06; 95% CI: 0.01-0.29; p=0.000) of childhood death compared with children who were no assistance of seeking health when children were no response. The risk of child mortality was significantly reduced for children whose mothers were accessible antenatal care facilities such as government hospital, private hospital, and mobile clinic (OR: 0.39; 95% CI: 1.06 -5.15; p=0.000). The paper efforts the relationship between utilization of health care delivery and under-5 child mortality by investigating of the socio-economic and demographic factors from first time Myanmar DHS (2015-2016). The main results highlighted the determinant of the main factors on under-5 child mortality among states and regions.},
 year = {2019}
}

Copy | Download

TY - JOUR
T1 - Impact of Health Care Delivery Utilization on Under-5 Child Mortality in Myanmar
AU - Nyaung Tai
AU - Su Hlaing Tin Htut
AU - Thiri Swe
Y1 - 2019/09/10
PY - 2019
N1 - https://doi.org/10.11648/j.hep.20190403.13
DO - 10.11648/j.hep.20190403.13
T2 - International Journal of Health Economics and Policy
JF - International Journal of Health Economics and Policy
JO - International Journal of Health Economics and Policy
SP - 82
EP - 88
PB - Science Publishing Group
SN - 2578-9309
UR - https://doi.org/10.11648/j.hep.20190403.13
AB - This paper examines the impact of healthcare delivery utilization on under-5 mortality in Myanmar. Reducing under-5 child mortality is the first target under the Sustainable Development Goal (SDG) Goal 3. In 2015, Myanmar registered anunder-5 mortality rate that was higher than the regional average. According to the World Health Statistics, Myanmar is a low-income country in the Southeastern Asian with high maternal deaths. This paper investigates the impact of the utilization of health care delivery on under-5 mortalities among states and region. In practice, all health factors are very important which relationships between utilization of health care delivery and under-5 mortalities. These results give strong evidence of the success of the main findings. In spite of all variables were not statistically significant with the outcome variable were included in the multivariate analysis. The risk of child mortality was significantly higher for children of 4-5 birth order number (OR: 1.85; 95% CI: 1.01-3.38; p=0.048) and above six or more birth order number (OR: 2.11; 95% CI: 1.04-4.28; p=0.039) respectively. Children who were treated by seeking health assistance that had reduced risk (OR: 0.06; 95% CI: 0.01-0.29; p=0.000) of childhood death compared with children who were no assistance of seeking health when children were no response. The risk of child mortality was significantly reduced for children whose mothers were accessible antenatal care facilities such as government hospital, private hospital, and mobile clinic (OR: 0.39; 95% CI: 1.06 -5.15; p=0.000). The paper efforts the relationship between utilization of health care delivery and under-5 child mortality by investigating of the socio-economic and demographic factors from first time Myanmar DHS (2015-2016). The main results highlighted the determinant of the main factors on under-5 child mortality among states and regions.
VL - 4
IS - 3
ER -

Copy | Download

Author Information

Nyaung Tai

Central Statistical Organization, Ministry of Planning and Finance, Nay Pyi Taw, Myanmar
Su Hlaing Tin Htut

Central Statistical Organization, Ministry of Planning and Finance, Nay Pyi Taw, Myanmar
Thiri Swe

Central Statistical Organization, Ministry of Planning and Finance, Nay Pyi Taw, Myanmar

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Nyaung Tai, Su Hlaing Tin Htut, Thiri Swe. (2019). Impact of Health Care Delivery Utilization on Under-5 Child Mortality in Myanmar. International Journal of Health Economics and Policy, 4(3), 82-88. https://doi.org/10.11648/j.hep.20190403.13

Copy | Download

ACS Style

Nyaung Tai; Su Hlaing Tin Htut; Thiri Swe. Impact of Health Care Delivery Utilization on Under-5 Child Mortality in Myanmar. Int. J. Health Econ. Policy 2019, 4(3), 82-88. doi: 10.11648/j.hep.20190403.13

Copy | Download

AMA Style

Nyaung Tai, Su Hlaing Tin Htut, Thiri Swe. Impact of Health Care Delivery Utilization on Under-5 Child Mortality in Myanmar. Int J Health Econ Policy. 2019;4(3):82-88. doi: 10.11648/j.hep.20190403.13

Copy | Download

@article{10.11648/j.hep.20190403.13,
  author = {Nyaung Tai and Su Hlaing Tin Htut and Thiri Swe},
  title = {Impact of Health Care Delivery Utilization on Under-5 Child Mortality in Myanmar},
  journal = {International Journal of Health Economics and Policy},
  volume = {4},
  number = {3},
  pages = {82-88},
  doi = {10.11648/j.hep.20190403.13},
  url = {https://doi.org/10.11648/j.hep.20190403.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20190403.13},
  abstract = {This paper examines the impact of healthcare delivery utilization on under-5 mortality in Myanmar. Reducing under-5 child mortality is the first target under the Sustainable Development Goal (SDG) Goal 3. In 2015, Myanmar registered anunder-5 mortality rate that was higher than the regional average. According to the World Health Statistics, Myanmar is a low-income country in the Southeastern Asian with high maternal deaths. This paper investigates the impact of the utilization of health care delivery on under-5 mortalities among states and region. In practice, all health factors are very important which relationships between utilization of health care delivery and under-5 mortalities. These results give strong evidence of the success of the main findings. In spite of all variables were not statistically significant with the outcome variable were included in the multivariate analysis. The risk of child mortality was significantly higher for children of 4-5 birth order number (OR: 1.85; 95% CI: 1.01-3.38; p=0.048) and above six or more birth order number (OR: 2.11; 95% CI: 1.04-4.28; p=0.039) respectively. Children who were treated by seeking health assistance that had reduced risk (OR: 0.06; 95% CI: 0.01-0.29; p=0.000) of childhood death compared with children who were no assistance of seeking health when children were no response. The risk of child mortality was significantly reduced for children whose mothers were accessible antenatal care facilities such as government hospital, private hospital, and mobile clinic (OR: 0.39; 95% CI: 1.06 -5.15; p=0.000). The paper efforts the relationship between utilization of health care delivery and under-5 child mortality by investigating of the socio-economic and demographic factors from first time Myanmar DHS (2015-2016). The main results highlighted the determinant of the main factors on under-5 child mortality among states and regions.},
 year = {2019}
}

Copy | Download