Abstract:
Many countries are not on track to complete the United Nations sustainable development goal
(SDGs) (i.e., aiming to reduce under-five mortality to at least as low as 25 per 1000 live births
by 2030).Though, most of the deaths that occurred at the early stage of life are known to be
preventable, yet under-five mortality continued to be a topical issue in the field of public health,
so the researcher focus on level, trends and determinant of under five mortality in Amhara
national regional states using EDHS(2000 -2016). The general objective of the study was to
analyzethe levels, Trends, and Determinants of Under-Five Mortality in Amhara National
Regional State (ANRS) Using EDHS’s (2000 -2016).
The research design used national representative cross-sectional and quantitative study .A total
of 10,551 under five children were included in this study. Of these children 3202, 2621, 2656,
2072 were from 2000, 2005, 2011 and 2016 surveys, respectively.The analytical tools used in
this study include both descriptive and inferential statistics. Descriptive statistics include
frequencies, percentages and tablesused to analyze and present the socio-economic
characteristics of the study population. At the multivariate analysis, Cox Proportional Hazards
Model was employed to identify the determinants of U5M.
The results from the level and trend analysis indicated that under five mortality has been steadily
declining over the last decade inAmhara National Regional State.from 2000 to 2005 by 16
percent and further decline (2005 and 2011) by 30 percent and (2011 to 2016) by 21 percent the
rate was measured as 183 per 1000 live births in the year 2000 survey and reduced to 85 deaths
per 1000 live births in2016, a 54 % reduction between 2000 and 2016.
The multivariate analysis revealed that the significant determinants of under- five mortality
were;mother’s education level, source of drinking water, type of toilet facility, religion, wealth
index, current contraceptive use, types of birth, sex of child, current marital status and birth
order.
