Childhood Mortality Differentials by Ecological Region in Nepal

Srinivas Goli, Prem Bhandari, Uma Maheswara Rao Atla, Aparajita Chattopadhayay

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Despite the rapid decline of childhood mortality in Nepal, there is considerable variation in the rate of progress by ecological region. Using the Nepal Demographic Health Survey 2011 data, we investigate two critical questions: first, whether the ecological differences in childhood mortality still remain independent of the factors known to influence mortality and second, what socio-economic and demographic factors shape these differences in childhood mortality across the ecological regions? The results from the Cox proportional hazard regression analysis, which controls for established socio-economic and demographic factors known to influence childhood mortality, suggest that children who live in the hill and the Terai regions have a lower probability of death than those from the mountainous areas. The results of the Blinder–Oaxaca decomposition model further reveal that father's education, household economic status, place of residence, higher-order births with lower birth interval, and mother's employment status significantly contribute to differences in childhood mortality across the ecological regions. Our findings provide important insights on the issue of (ecological) regional disparities in childhood mortality and draw attention to critical challenges for socio-economic, population, and health policy in Nepal.

Original languageEnglish
Article numbere1977
JournalPopulation, Space and Place
Volume23
Issue number2
DOIs
Publication statusPublished - 1 Mar 2017

Fingerprint

Nepal
mortality
childhood
demographic factors
economic factors
birth interval
population policy
demographic survey
birth order
health survey
health policy
place of residence
economic policy
Economic Policy
regression analysis
father
hazard
education
decomposition
death

Cite this

Goli, Srinivas ; Bhandari, Prem ; Atla, Uma Maheswara Rao ; Chattopadhayay, Aparajita. / Childhood Mortality Differentials by Ecological Region in Nepal. In: Population, Space and Place. 2017 ; Vol. 23, No. 2.
@article{503643dc6edc461eb55811bab5f27232,
title = "Childhood Mortality Differentials by Ecological Region in Nepal",
abstract = "Despite the rapid decline of childhood mortality in Nepal, there is considerable variation in the rate of progress by ecological region. Using the Nepal Demographic Health Survey 2011 data, we investigate two critical questions: first, whether the ecological differences in childhood mortality still remain independent of the factors known to influence mortality and second, what socio-economic and demographic factors shape these differences in childhood mortality across the ecological regions? The results from the Cox proportional hazard regression analysis, which controls for established socio-economic and demographic factors known to influence childhood mortality, suggest that children who live in the hill and the Terai regions have a lower probability of death than those from the mountainous areas. The results of the Blinder–Oaxaca decomposition model further reveal that father's education, household economic status, place of residence, higher-order births with lower birth interval, and mother's employment status significantly contribute to differences in childhood mortality across the ecological regions. Our findings provide important insights on the issue of (ecological) regional disparities in childhood mortality and draw attention to critical challenges for socio-economic, population, and health policy in Nepal.",
keywords = "childhood mortality, decomposition, ecological regions, Nepal, relative risk",
author = "Srinivas Goli and Prem Bhandari and Atla, {Uma Maheswara Rao} and Aparajita Chattopadhayay",
year = "2017",
month = "3",
day = "1",
doi = "10.1002/psp.1977",
language = "English",
volume = "23",
journal = "POPULATION SPACE AND PLACE",
issn = "1544-8444",
publisher = "John Wiley & Sons",
number = "2",

}

Childhood Mortality Differentials by Ecological Region in Nepal. / Goli, Srinivas; Bhandari, Prem; Atla, Uma Maheswara Rao; Chattopadhayay, Aparajita.

In: Population, Space and Place, Vol. 23, No. 2, e1977, 01.03.2017.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Childhood Mortality Differentials by Ecological Region in Nepal

AU - Goli, Srinivas

AU - Bhandari, Prem

AU - Atla, Uma Maheswara Rao

AU - Chattopadhayay, Aparajita

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Despite the rapid decline of childhood mortality in Nepal, there is considerable variation in the rate of progress by ecological region. Using the Nepal Demographic Health Survey 2011 data, we investigate two critical questions: first, whether the ecological differences in childhood mortality still remain independent of the factors known to influence mortality and second, what socio-economic and demographic factors shape these differences in childhood mortality across the ecological regions? The results from the Cox proportional hazard regression analysis, which controls for established socio-economic and demographic factors known to influence childhood mortality, suggest that children who live in the hill and the Terai regions have a lower probability of death than those from the mountainous areas. The results of the Blinder–Oaxaca decomposition model further reveal that father's education, household economic status, place of residence, higher-order births with lower birth interval, and mother's employment status significantly contribute to differences in childhood mortality across the ecological regions. Our findings provide important insights on the issue of (ecological) regional disparities in childhood mortality and draw attention to critical challenges for socio-economic, population, and health policy in Nepal.

AB - Despite the rapid decline of childhood mortality in Nepal, there is considerable variation in the rate of progress by ecological region. Using the Nepal Demographic Health Survey 2011 data, we investigate two critical questions: first, whether the ecological differences in childhood mortality still remain independent of the factors known to influence mortality and second, what socio-economic and demographic factors shape these differences in childhood mortality across the ecological regions? The results from the Cox proportional hazard regression analysis, which controls for established socio-economic and demographic factors known to influence childhood mortality, suggest that children who live in the hill and the Terai regions have a lower probability of death than those from the mountainous areas. The results of the Blinder–Oaxaca decomposition model further reveal that father's education, household economic status, place of residence, higher-order births with lower birth interval, and mother's employment status significantly contribute to differences in childhood mortality across the ecological regions. Our findings provide important insights on the issue of (ecological) regional disparities in childhood mortality and draw attention to critical challenges for socio-economic, population, and health policy in Nepal.

KW - childhood mortality

KW - decomposition

KW - ecological regions

KW - Nepal

KW - relative risk

UR - http://www.scopus.com/inward/record.url?scp=84945550212&partnerID=8YFLogxK

U2 - 10.1002/psp.1977

DO - 10.1002/psp.1977

M3 - Article

VL - 23

JO - POPULATION SPACE AND PLACE

JF - POPULATION SPACE AND PLACE

SN - 1544-8444

IS - 2

M1 - e1977

ER -