Review Article

Childhood Mortality: Trends and Determinants in Ethiopia from 1990 to 2015—A Systematic Review

Table 1

Characteristics of studies that met the inclusion criteria and were included in the systematic review.

AuthorStudy areaObjectivePopulation samplingFindings

You et al., 2015 [1]Global, regional, and nationalTo assess levels and trends in under-5 mortality between 1990 and 2015The U5MR in Ethiopia in 1990 was 205, in 2000 was 145, and in 2015 was 59, which is lower than the target 68. The annual rate of reduction was 5
EDHS, 2005 [5]Country-wideTo assess the demographic and health condition in the country14,500 HHNMR (39), PNMR (38), IMR (77), CMR (50), and U5MR (123)
Wang et al., 2014 [7]Global, regional, and nationalTo assess levels of neonatal, infant, and under-5 mortality during 1990–2013NMR (22.9), PNMR (23.3), CMR (23.2), and U5MR (74)
Ministry of Health, Family Health Department, 2005 [9]Country-wideNational Strategy for Child Survival in EthiopiaDocumentChildren in Ethiopia suffer from poor health. The national U5MR is about 140/1000, with variations among the regions from 114 to 233/1000. The levels of mortality are worsened particularly by poverty, inadequate maternal education, lack of potable water and sanitation, high fertility, and inadequate birth spacing
National Planning Commission and the United Nations in Ethiopia, 2014 [11]Country-wideTo assess Ethiopia’s progress towards the MDGsReportU5M declined to 60 per 1,000 live births in 2015, which is below the MDG target of 63 indicating that Ethiopia has achieved its target of reducing child mortality by two-thirds ahead of time. Similarly, the infant mortality rate declined from 123 (per 1000 live births) in 1990 to 97 in 2000, 77 in 2005, and 59 in 2011, but it is unlikely that the MDG target of 31 per 1,000 live births in 2015 will be attained. Neonatal deaths (per 1,000 live births) showed a decline over time from 54 in 1990 and 49 in 2000, to 37 in 2011
Oestergaard et al., 2011 [14]Global, regional, and nationalTo assess neonatal mortality levels for 193 countries in 2009 with trends since 1990Compiled a database of NMR and U5MRNMR in 2009 was between 30 and 45
EDHS, 2000 [13]Country-wideTo assess the demographic and health condition in the country1,355 couples HHNMR (49), PNMR (48), IMR (97), CMR (77), and U5MR (165)
EDHS, 2011 [14]Country-wideTo assess the demographic and health condition in the countryMore than 17,000 householdsNMR (37), PNMR (22), IMR (59), CMR (31), and U5MR (88)
World Bank, 2014 [15]Global, regional, and nationalU5MR was 64.40 in 2013

NMR: neonatal mortality rate; PNMR: postneonatal mortality rate; IMR: infant mortality rate; CMR: child mortality rate; U5MR: under-five mortality rate; HH: household.