Determinants of Under-Five Mortality in Mozambique: Insights From the Demographic and Health Survey 2022/23

Abstract

Although there has been a substantial drop in the global under-five mortality rate over time, Sub-Saharan African countries, such as Mozambique, are still experiencing a significant burden. Therefore, this study evaluated the determinants of under-five mortality in Mozambique. This study used weighted data from 9668 live births in Mozambique's Demographic and Health Survey. A mixed-effect logistic regression model identified determinants of under-five mortality, with statistical significance based on adjusted odds ratios and 95% confidence intervals. An under-five mortality rate of 48 per 1000 live births was significantly associated with being female, twin, small at birth, high birth order, and having a short birth interval. While under-five mortality is declining nationally, Mozambique still faces high child deaths. Key determinants include the child's sex, twin births, higher birth order, small birth size, and short birth intervals. Targeted interventions addressing these factors are needed to meet Sustainable. Development Goal targets for child survival.