Environmental health hazards on under-five mortality in sub-Saharan Africa : analysis using multilevel discrete-time hazard model

Master Thesis

2014

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University of Cape Town

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Abstract
Environmental health hazards are pathogens and chemicals in the environment, which can cause health problems. The importance of such environmental factors in child health and survival are acknowledged in the literature. However, empirical researches on the effect of environmental health hazards on child health and survival are rare in sub- Saharan Africa. This study assesses the effect of household environmental health hazards on under-five mortality in sub-Saharan Africa. The study has used DHS data sets of the following 12 countries in the region: Burkina Faso, Burundi, Cameroon, Cote d’Ivoire, Ethiopia, Gabon, Guinea, Malawi, Niger, Rwanda, Senegal and Zimbabwe. These countries constitute roughly 26 per cent of the region’s population. The study has employed principal component method to construct an index of the level of household environmental health hazards using the following indicators: water source, type of toilet facility, flooring material, type of wall, type of roof, type of cooking fuel and location of water source. I have used a multilevel discrete-time hazard model to assess the relationship between the environmental index and under-five mortality after controlling for the effects of a number of socioeconomic, biodemographic and community-level characteristics.
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Includes bibliographical references.

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