Factors Associated with Infant and Child Mortality in Malakal in Upper Nile State South Sudan

David Ajak, Lawrence Ikamari, Murungaru Kimani

Abstract: This study sought to identify the factors associated with infant and child mortality in Malakal, using primary data from a random sample of 1317 women aged (15-49 years). The Multivariate Coxs regression findings showed - that place of delivery, breastfeeding duration, mothers employment and family income were significantly associated with infant and child mortality. Zone of residence, parity, birth order and sex of the infant were significantly associated with infant mortality. Age of the mother, preceding birth interval, drinking water source, source of cooking fuel and type of the floor were significantly associated with child mortality. The study recommends for encourage delivery at hospitals, improve breastfeeding duration, augment maternity leave for employed mothers, increase family income, encourage antenatal care for mothers aged 30+ years, longer preceding birth interval and use of improved water supply.

Keywords: Determinants, Infant mortality, Child mortality, Cox proportional hazard model, Malakal