Table 1

Factors associated with decline of U5MR in Kenya, K-DHS 1993, 2003 and 2014

IndicatorsProportionsChange in proportionsModel (2014)U5MR by change in proportions
1993200320142014–20032014–1993Coef.P values2014–20032014–1993
Intermediate level factors
Maternal education (ref: secondary and above)
 No formal education0.19170.15370.1179−0.0358−0.07380.3390.028−0.0121−0.0250
 Incomplete primary0.39480.36420.2853−0.0789−0.10950.3440.006−0.0271−0.0376
 Primary0.39040.36050.37960.0191−0.01080.1240.291
Wealth index (ref: richest)
 Poorest0.22890.24740.238−0.00940.00910.2080.191
 Poorer0.21340.20820.2038−0.0044−0.00960.2770.073−0.0012−0.0027
 Middle0.19620.18990.1802−0.0097−0.01600.3580.018−0.0035−0.0057
 Richer0.19390.16920.17650.0073−0.01740.2250.1210.0016−0.0039
Type of place of residence (ref: urban)
 Rural0.87280.81270.641−0.1717−0.2318−0.1430.1130.02460.0332
Region (ref: Nairobi)
 Central0.11470.10690.0918−0.0151−0.0229−0.4270.070.00650.0098
 Coast0.08930.08360.10340.01980.0141−0.5450.014−0.0108−0.0077
 Eastern0.20170.15510.1187−0.0364−0.0830−0.7590.0010.02760.0630
 Nyanza0.16690.16390.1426−0.0213−0.0243−0.2740.2090.00590.0067
 Rift Valley0.21670.26850.29020.02170.0735−0.8230−0.0179−0.0605
 Western0.16510.12710.1153−0.0118−0.0498−0.5610.0160.00660.0280
 North Eastern0.02960.03320.0036−0.8810.001−0.00320.0000
 Sum−0.0029−0.0024
 exp(sum)=rel. risk0.99710.9976
Proximal level factors
Improved sanitation facility (ref: yes)
 No0.12190.13970.20920.06950.08730.4230.1090.02940.0369
Fertility (ref: 1–2 children)
 3–40.2810.32590.3156−0.01030.03460.8420−0.00870.0291
 ≥50.41960.32790.2638−0.0641−0.15580.3980.092−0.0255−0.0620
Contraceptive use (ref: yes)
 No0.70920.67750.73970.06220.0305−0.6210.001−0.0386−0.0189
ANC visits (ref: 4+ visits)
 No ANC0.05140.1220.0529−0.06910.00150.9630.002−0.06660.0014
 <4 visits0.39720.45320.50880.05560.11160.04100.838
Early initiation of breast feeding (ref: <1 hour)
 >1 hour0.3840.4170.273−0.1440−0.11101.0940−0.1576−0.1215
Size at birth (ref: average)
 Small/very small0.15760.16370.1516−0.0121−0.00600.4100.069−0.0050−0.0025
 Large/very large0.31950.25420.25930.0051−0.06020.1460.498
 Sum−0.2725−0.1374
 exp(sum)=rel. risk0.76140.8716
 ALL (level 2+level 1)
 Overall
 Sum−0.2755−0.1398
 exp(sum)=rel. risk0.75920.8695
  • ANC, antenatal care; coef., beta coefficient; exp, exponentiated; K-DHS, Kenya Demographic and Health Surveys; rel. risk, relative risk; U5MR, under five mortality rate.