Browsing by Author "Susuman, Sathiya A."
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Item Correlates of gender characteristics, health and empowerment of women in Ethiopia(BMC, 2015) Lailulo, Yishak Abraham; Susuman, Sathiya A.; Blignaut, RenetteThe low status of women prevents them from recognizing and voicing their concerns about health needs. This study aimed to examine the relationship between gender characteristics, health and empowerment of women in an attempt to understand between 2005 and 2011. Data from the Ethiopia Demographic and Health Survey (EDHS) 2005 and 2011 were used. Bivariate and multivariate analyses were used to determine the relative contribution of the predictor variables. The hypotheses tested in this study were that gender (men and women), health and empowerment of women in region are highly significant with women’s education and work status. Study findings showed that the low status of women and their disempowerment are highly associated with poor health outcomes. In both 2005 and 2011 men school ages were positively associated with their attainment in primary education, whereas for women it was negatively related with their attainment in some education. In both 2005 and 2011 women in the richest wealth quintile had the highest odds ratio of relating to some education.Item The correlation between the serious diseases affecting child mortality in Sierra Leone(University of the Western Cape, 2011) Davids, Saarah Fatoma Gadija; Susuman, Sathiya A.Child mortality in Sierra Leone is the highest ranked in the world. Government officials and researchers have tried to understand how and why this has become such a big phenomenon in Sierra Leone. Researchers have come up with three main causes for child mortality in Sierra Leone: maternal factors, environmental factors and health factors. The majority of research has been carried out on maternal, as well as environmental factors. However, minimal research has been carried out on health factors in Sierra Leone. Therefore, the objective of this study is to see how maternal and environmental factors have an effect on health factors, which in turn causes child mortality. The data used was from the 2008 Sierra Leone Demographic and Household Survey (SLDHS). The child dataset was used as it contained the information required from both the mother and the child. Of the three categories that were used, the first was maternal factors, which included the mother’s age, the mother's occupation, the mother's education, the sex of the child, the birth number and religion. The second category was environmental factors, which included the source of water, type of toilet, place of residence, source of energy and the dwelling material used for the household. The final category was health factors, which included whether the child had a fever in the last 2 weeks, short rapid breaths, a cough or fever, a problem in the chest or runny nose and whether the child had Diarrhoea recently and still has Diarrhoea. The study showed that child mortality had four statistically significant factors associated with it: place of residence, birth number, religion and type of toilet facility. Furthermore, when it came to diseases affecting children, the SLDHS had not given much information, so we looked only at the effects it had on children. From our results, we concluded that ARI, Diarrhoea and Measles each had one variable that was statistically significant to it. As for Pneumonia, there were no variables associated with children contracting the disease.Item Determinants of health care use and mothers' preventative and curative health care practices in Burkina Faso(University of the Western Cape, 2022) Badolo, Hermann; Susuman, Sathiya A.In about two-thirds of all countries in sub-Saharan Africa, low coverage of effective interventions to prevent maternal and child deaths has been attributed to both weaknesses in the supply and demand for health services. These interventions require access to and use of health services. Conceptually, the availability, quality of health care, financial and geographical accessibility, socio-economic and demographics factors and cultural barriers are the main factors associated with health care use. These associated factors and the causes of low utilization of health services have been studied by several authors in Burkina Faso and other countries, often from the point of view of health care demand or supply.Item Determinants of youth sexual behaviours and knowledge of reproductive tract infections (RTIs) and sexually transmitted infections (STIs) in Malawi : evidenced from the Demographic Health Survey 2010(University of the Western Cape, 2015) Ningpuanyeh, Wilson Chialepeh; Susuman, Sathiya A.The sexual behaviour of youths is believed to play a role in the spread of SexuallyTransmitted Infections (STIs) and Reproductive Tract Infections (RTIs). This study examinesthe determinants of youth sexual behaviours and knowledge of reproductive tract infections (RTIs) and sexually transmitted infections (STIs) in Malawi. It explores rural/urbandifferentials in sexual behaviours using indicators such as early sexual initiation, multiplesexual partnerships, and non-use of condoms, in order to establish policy recommendationstoward improving sexual behaviour among youths. The Malawi Demographic Health Survey2010 data was used. Out of a sample of 2987 males and 9559 females aged 15-24 years,5652 females and 1405 males (condom use), 675 females and 511 males (inconsistentcondom use), 6470 females and 2026 males (multiple sexual partnerships (MSP)), and 15217females and 1405 males (early sexual debut) were filtered in the study.Chi-square and logistic regression techniques were performed to test for association betweensexual behaviour indicators and socio-demographic variables. The prevalence of non-use ofcondom was higher among catholic females (OR=1.11), lower among Muslim males (OR=0.81) and higher among CCAP females (OR=1.19). Muslim females were (OR=1.42) more likely to initiate sexual activities early, while Muslim males were (OR= 0.57) less likelyto initiate sexually activities early. Females in the central region (OR=1.51) and catholicmales (OR=1.63) were more likely to have more sexual partners.Encouraging these young people to be faithful to one uninfected partner, abstinence fromsexual activities, use condoms consistently and delay sexual initiation will help curb the spread of STIs in Malawi.Item Examining inequality of opportunity in the use of maternal and reproductive health interventions in Sierra Leone(Oxford University Press, 2020) Tsawe, Mluleki; Susuman, Sathiya A.Poor countries, such as Sierra Leone, often have poor health outcomes, whereby the majority of the population cannot access lifesaving health services. Access to, and use of, maternal and reproductive health services is crucial for human development, especially in developing regions. However, inequality remains a persistent problem for many developing countries. Moreover, we have not found empirical studies, which have examined inequalities in maternal and reproductive health in Sierra Leone.Item Examining mother’s related socioeconomic and demographic determinants of infant and child mortality in the Eastern Cape, South Africa(2010) Raji, Olabisi Omowunmi; Susuman, Sathiya A.Infants and under 5 mortality have been universally researched and it reduction by twothird by 2015 has been announced as one of the millennium development goal of the United Nation. Continuous monitoring in form of studies on mothers related factors that determines infant, child and under 5 mortality appears to be a step towards achieving this goal. Therefore using the Eastern Cape Province as a case study, this study utilises the secondary data of the 1998 South Africa Demographic and Health Survey (SADHS) dataset for children to examine some specific mothers related socioeconomic and demographic determinants of infant and child mortality. As at the time this study is being conducted the SADHS 2003 survey datasets are not available. However, reports that summarize the survey and some preliminary results are available. In this study, infant and child mortality have been grouped into 0-12 months and 13-60 months age at death,which is taken as independent variable. Profiles of the distributions of the dependent and the independent variables are described with the aid of cross tabulation. Demographic factors examined include the age of the mother at the time of delivery, order of birth and birth interval, while the socioeconomic factors examined include working status of the mother, mother‟s work place (at home work at home or away) mothers‟ education level , and the place of residence. We found that demographic variables such as age of mothers at first birth, birth order, birth interval, and socioeconomic factors such as mothers‟ education level, and the place of birth, have a significant effect on the probability of child‟s survival. Therefore, the postponement of the female age at birth with an appropriate child spacing, nonetheless, the improvement mother‟s education will enhance the reduction of infant and child mortality. Steps that may be taken towards improving the health status of infant and child, including ways by which infant and child mortality may be reduced are recommended.Item Examining the Influence of Socio-Economic and Demographic Transformation on Employment In the Informal Sector From 2017 To 2020(Sage, 2024) Susuman, Sathiya A.; Mkulisi, Sibusisiwe NatarshThis study explored the impact of socio-demographic changes on informal sector employment in South Africa from 2017 to 2020. Utilizing data from the Quarterly Labour Force Survey (QLFS), descriptive statistics and logistic regression were employed to analyze relationships between age, gender, ethnicity, marital status, and education within the informal workforce. The results revealed significant shifts in employment patterns, particularly affecting youth and marginalized groups. The findings emphasize the vital role of socio-demographic factors in shaping the informal sector and highlight the need for targeted policies to support vulnerable populations and improve their economic opportunities in a fluctuating labor market.Item Factors associated with teenage pregnancies and childbearing among girls currently attending high school in South Africa.(University of the Western Cape, 2017) Mgudlwa, Tshawekazi Sinako; Susuman, Sathiya A.Teenage pregnancy and childbearing in South Africa are very common and persistent issues. Despite the different types of birth control methods that the government of South Africa has provided to the public, teenage pregnancy and childbearing at schools seems to be still a great challenge. This persistent problem implies that the children get sexually active at young ages. The purpose of this study is to investigate and analyse the factors associated with pregnancy and childbearing among teenage girls currently attending high school in South Africa. Secondary data drawn from the General Household Surveys (2011-2014) and 10% sample data from the 2011 South African census were used. Bivariate, and Multivariate analyses were carried in order to meet the aims of the study. The study analysed the prevalence, trends, and determinants of self-reported pregnancy as well as the extent of childbearing among teenage girls currently attending high school using data from the General Household Surveys (GHS) for the years beginning in 2011 to 2014 as well as Population Census 2011. The study is based on the assumption that there were no significant changes in the prevalence of self reported pregnancies and in childbearing among teenage girls currently attending high school in the different periods under study.Item Health inequalities of children in sub-Saharan Africa from 1990 to 2010 : comparative analysis using data from Health and Demographic Surveys(University of the Western Cape, 2016) Bado, Aristide Romaric; Susuman, Sathiya A.This study is based on the assumption that the under-five mortality rate, in recent decades, has declined, particularly in developing countries. However, all the social strata across many countries do not seem to benefit from this reduction of mortality - and mortality remains abnormally high among children especially those from underprivileged social strata. This research is, therefore, a holistic approach to analyse and quantify the inequalities of health among children under five in sub-Saharan Africa over the last two decades (1990-2010). The research sought to investigate the trend and determinants of health inequalities of under-five years (mortality and morbidity) in sub-Saharan Africa (SSA) from 1990 to 2010. An essential point has been devoted to the decomposition of effects and analysis of the contribution of the factors explaining these inequalities. The data used in the study come from Demographic and Heath Surveys (DHS) done between 1990 and 2015 in sub-Saharan Africa countries. In order to analyse the inequalities in trends of mortality and morbidity of children, different selected countries that have conducted at least three DHS during the 1990-2010 period. Several statistical methods were used for data analysis. There were four chapters which is prepared with an article style. For the first paper titled "Decomposing Inequalities in Under- Five Mortality in Selected African Countries", concentration index (CI) and Generalised Linear Model (GLM) with a logit link were used to analyse and measure under 5 mortality inequalities and the associated factors. This paper has been published in the Iranian Journal of Public Health. For the second paper titled "Determinants of Under-Five Mortality in Burkina Faso: A Concentration Dimension". The study used logistics regression and Oaxaca-Blinder decomposition method for the binary outcome to analyse data was involved. For data analysis of the third paper titled "Women Education, Health Inequalities in Under-Five Mortality in sub-Saharan Africa, 1990 – 2013", logistic regression and Bius's decomposition method were used to examine the effect of mother's education level on childhood mortality. In the fourth paper titled "Trends and Risk Factors for Childhood Diarrheal in sub-Saharan Countries (1990-2010): Assessing the Neighbourhood Inequalities", a multilevel logistic regression modelling was used to determine the fixed and random effects of the risk factors associated with the diarrheal morbidity. The work carried out during this on-going thesis helps to understand the magnitude of inequalities in under-five mortality in sub-Saharan countries. The findings showed that the contributing factors of inequalities of child mortality were birth order, maternal age, parity and household size. With regards to the relationship between mother's education level and inequalities in mortality of children under-five in sub-Saharan Africa, findings showed that children of mothers who did not attend school have a higher rate of death compared to those who had been to school. However, we have observed that the inequalities have narrowed over time. The results showed the risk factors of diarrheal morbidity varied from one country to another, but the main factors included: child's age, the size of the child at birth, the quality of the main floor material, mother's education and her occupation, type of toilet, and place of residence. In conclusion, the results of this study show that inequalities in under-five mortality are still important among different social strata in sub-Saharan Africa countries. It is then urgent to take actions to save the lives of children in disadvantaged social strata.Item Inequalities in the use of maternal and reproductive health services in Sierra Leone(University of the Western Cape, 2019) Tsawe, Mluleki; Susuman, Sathiya A.This thesis extends the literature on the trends and magnitude of health inequalities in the area of maternal and reproductive health services in Sierra Leone, and particular across sub-Saharan Africa. It attempted to provide a good understanding of, not only the determinants of maternal and reproductive healthcare use, but also factors that enable health inequalities to exist in Sierra Leone. This is an appropriate topic in population health studies as it aims to address important questions on the research agenda in the context of sub-Saharan Africa, particularly in a country with poor health outcomes such as Sierra Leone. A proper understanding of not only the coverage rates of population health outcomes but also the extent of health inequalities as well as the factors that contribute to these inequalities is crucial for any government. The thesis applied various techniques in the analysis of DHS data (from 2008 and 2013 rounds) in an attempt to answer the research questions.Item An investigation into the health and well-being of older people in South Africa.(University of the Western Cape, 2014) Chirinda, Witness; Susuman, Sathiya A.Populations are rapidly growing older across the globe. In South Africa, life expectancy has been on the increase over the past decade, and the proportion of older people is projected to increase dramatically over the coming years. Whilst this is a remarkable achievement, it does not mean that additional years of life will be healthy. To this end, the question being asked by researchers and policy makers is whether people are living longer and healthier lives? In order to answer this important question, health expectancies have been developed which combine morbidity and mortality data into a single index that measures population health. The health expectancies have become standard measures of population health across first world countries. Unfortunately, there is little awareness about their use in developing countries, including South Africa. The aim of this study was to estimate health expectancies based on various objective and subjective measures, in order to give a first comprehensive analysis of the health and wellbeing of older people in South Africa. The data were drawn from two nationally representative surveys namely; the WHO-Study on Global Ageing and Adult Health (SAGE) and the South African National HIV Incidence, Prevalence, Behaviour and Communication Survey (SABSSM) surveys. The results are presented in the form of five manuscripts each submitted for publication. The first manuscript estimates sexually active life expectancies and factors associated with sexual activity. The results show that older people are gaining more years of sexual activity. HIV in older women and chronic conditions in older men reduced odds of sexual activity. The second manuscript found that there was both absolute and relative compression of morbidity in older people between 2005 and 2012, based on self-rated health measure. The third manuscript estimates happy life expectancy and examines factors associated with happiness in older people. Happy life expectancy was greater for men than women, and wealth status was the strongest predictor of happiness. In the fourth manuscript, subjective and objective measures were used to estimate health expectancies. The former showed a more positive outlook compared to the latter. Gender differentials were evident in that although women live longer than men, they spent a greater part of their lifetime in poorer health than men. The fifth manuscript goes a crucial step further, to estimate the contribution of specific diseases to disability. This is important for policymakers as this identifies entry points of interventions aimed at reducing the onset and burden of disability in the elderly population. The most contributors of disability were musculoskeletal and cardiovascular diseases. The thesis concludes that the health of older people is complex and multidimensional, and therefore requires several measures to give a comprehensive analysis. When measured using subjective measures, it can be concluded that the health of older people has been improving. However, a different conclusion could be reached, if objective measures are used. It is important to continue to monitor the health status of older people, and make appropriate interventions in order to improve their health, wellbeing and quality of life.Item Is Swaziland on track with the 2015 millennium development goals?(SAGE Publications, 2017) Susuman, Sathiya A.According to the Millennium Development Goals (MDGs) agreement, each participating country has to periodically provide a report that will show the progress on their achievement towards the goals. This article’s aim is to evaluate Swaziland’s prospects of achieving eight MDGs by 2015. This article is an analysis of the current situation of Swaziland, and the aim of this analysis is to look beyond the statistical values to see if the achievements (including lifetime achievements) are on track and whether what is yet to be achieved can really be achieved. Secondary information was collected from various sources. Several countries and organizations have committed themselves to the following eight development goals: (1) eradicate extreme poverty; (2) achieve universal primary education; (3) promote gender equality and empower women; (4) reduce child mortality; (5) improve maternal health; (6) combat HIV/AIDS, malaria and other diseases; (7) ensure environmental sustainability; and (8) develop a global partnership for development. National development is dependent on many factors; therefore, different countries across the world have adopted the MDGs as means of alleviating many of the social ills hindering progress and development. Based on different sources, Swaziland is on track with its MDGs, and there is no doubt that Swaziland will continue to work hard to these ends. It has been argued that there has been progress made that has resulted in significant changes to people’s lives, but the question that has to be asked is how long these achievements can realistically last. A reduction of the rate of child mortality, maternal mortality and HIV/AIDS in Swaziland are needed.Item Methodological approach of the spatial distribution of maternal mortality in Burkina Faso and explanatory factors associated(University of the Western Cape, 2013) Lougue, Siaka; Susuman, Sathiya A.Maternal mortality is one of the most important problems related to the reproductive health. This is why the reduction by three quarters of maternal mortality by 2015 has been fixed as target No. 5 of the Millennium Development Goals (MDGs). Achieving this goal requires an annual decline of 5.5% of maternal mortality between 1990 and 2015. Unfortunately, the reduction as estimated in 1997 was less than 1% per year. Africa is the continent most affected by this problem. In 2010, the number of maternal mortality in the world was estimated to 287 000 and Africa was hosting more than 52 % (148 000) of the occurrence in the world In Burkina Faso, maternal mortality ratio decreased from 566 in 1991 to 484 in 1998 and 341 in 2010 according to the DHS data while the census estimate was 307 in 2006 and United Nation agencies provided the number of 300 maternal deaths per 100 000 live births in 2010. Statistics provided by the different sources vary considerably. This situation creates confusion among data users. In addition, researches made on the issue remain very insufficient because of the complexity of the issue, lack of data and poor quality of existing data on maternal mortality. This study has been initiated to fill the gap of knowledge about the determinants and estimates of maternal mortality at national and sub-national levels. Results of this research highlighted explanatory factors of maternal mortality at national and regional level with a focus on factors of regional disparities. Findings also provided estimate by adjusting the census 2006 data from missingness and incoherences, improving the census method and testing different other methods. Finally, projection of maternal mortality level is made from 2006 to 2050.Item Proximate determinants of fertility and contraceptive use among currently married women in Ethiopia(University of the Western Cape, 2017) Lailulo, Yishak Abraham; Susuman, Sathiya A.Fertility is one of the elements in population dynamics that has significant contribution towards changing population size and structure over time. In Ethiopia, fertility dropped only slightly between 2000 and 2005, from 5.5 children per woman to 5.4, and then decreased further to 4.8 children in 2011(CSA, 2012). Although a slight decreasing trend has shown from year to year, it is still high as compared to developed nations (Tewodros,2011). The age at which childbearing begins is an important factor in the overall level of fertility as well as of the health and well-being of the mother and the child (CSA, 2012). In 2008, of the 1.4 billion women in the developing world of reproductive age (15-49 years), more than 570 women die per 100,000 live births, and 70 percent of them die due to totally avoidable reasons (World Bank,2010). These women live in countries where their status is poor to extremely poor, and these conditions threaten their health in many ways. Sedgh, Hussain, Bankole, and Singh (2007) found that wherever fertility is high, maternal and infant and child mortality rates are high. In addition to these, high fertility and shorter birth intervals affect the survival chance of children and the health status of mothers. Demographic and Health Surveys (DHS) data from 18 developing countries in Asia, Latin America, Africa, and the Middle East showed that a birth interval of three years increases the survival status of under-five children (Rutstein, 2003). Moreover, a similar survey of 52 developing countries found that markedly short birth intervals have a negative effect on pregnancy outcomes, increased morbidity in pregnancy, and increased infant and child mortality (Rutstein,2005). Setty-Venugopal and Upadhyay (2002) have documented that, in Sub-Saharan Africa, about 60% of women deliver the next child before the index child celebrates his/her third birthday, and almost a quarter before the second birth day.Item Reproductive health situation in South Africa: Emerging policy issue(SAGE Publications, 2018) Susuman, Sathiya A.South Africa is still lagging behind with health outcomes, especially when it comes to accessing treatment, prevention and care for reproductive health issues despite the significant progress made with regard to certain aspects of the health system. This study explores the reproductive health situation in South Africa. The study explores some selected health outcomes and related policies from the nine provinces in South Africa. The results indicate that, despite the progress made in the fight against HIV/AIDs and other healthrelated problems, little has been done to improve maternal health care.Item Risk factors of inconsistent condom use among sexually active youths: Implications for human immunodeficiency virus and sexual risk behaviours in Malawi(SAGE, 2017) Chialepeh, Wilson N; Susuman, Sathiya A.This study examines the risk associated with inconsistent use of condoms as a risk factor for human immunodeficiency virus/sexually transmitted infections (HIV/STIs) and sexual risk behaviours. The Malawi Demographic Health Survey 2010 data were used. Out of a sample of 2987 males and 9559 females aged 15–24 years, 511 males and 675 females were filtered in the present study. A Chi square test and logistic regression techniques were performed. About 147(28.7%) males and 240(35.6%) females reported inconsistent condom use. The likelihood of inconsistent condom use was higher among females with secondary/higher education (odds ratio’s (OR)=1.46), with more than one partner (OR=4.27), and married males (OR=8.76), with more than one sex partner (OR=1.78).There is a need to raise condom use awareness and improve sexual education about consistent condom use, especially among females, in order to curb the spread of HIV/STIs and reduce sexual risk behaviours.Item The utilisation of HIV services on campus by the students of the University of the Western Cape(University of the Western Cape, 2009) Edmund, Ampeire; Susuman, Sathiya A.; Dept. of Statistics; Faculty of ArtsThis qualitative study was conducted from June to November 2009, using designed questionnaires for sixty three (63) registered students and five (5) HIV program staff .The main reason for this study was to understand the underlying factors for why students may utilize or may not utilize the available HIV services on campus. The willingness of students to express their views was a positive finding in this study. Majority students who answered the questionnaires were quite aware of these HIV services. They also agreed that services provided are good. The study also found out that females utilized these services more than males and majority of students learnt of the HIV services from the HIV programs pamphlets and website thus indicating that the HIV program at UWC is function. However the research study also found out that the though students are aware of these services few utilize them and majority are females thus leaves a question why males do not utilize.Item Utilization of health care services and maternal education in South Africa(University of the Western Cape, 2014) Tsawe, Mluleki; Susuman, Sathiya A.The importance of maternal health care services cannot be stressed enough. Maternal health services are important in reducing pregnancy-related complications as well as maternal and infant deaths. This study was concerned with investigating the relationship between maternal education and maternal health care utilization. Furthermore, the study aimed to investigate the rates of maternal health care use, the reasons for non-use of maternal health services, as well as the determinants of maternal health care use. Primary data was used from selected areas (Tsolo, Qumbu and Mqanduli), which fall within the O.R. Tambo district in the Eastern Cape Province. Simple random sampling was used (with a structured questionnaire) to study maternal health care use among the sampled women. To analyse this data, univariate, bivariate, and multivariate techniques were employed. The results indicated that maternal education was not statistically significant with antenatal and postnatal services, but the percentages were important in explaining the use of maternal health care services in relation to maternal education. Women with higher levels of education reported higher rates of antenatal and delivery care utilization, while those with lower levels of education reported higher rates of postnatal care use. Access factors, such as transport, payment and distance to health facilities, also played an important role in the use of maternal health care services. It was recommended that the Department of Health implement mobile clinics and centralize health care facilities as this will bring essential health services closer to the communities. Women in the study area also need to be educated about the importance of these services, more particularly pertaining to postnatal care.Item The utilization of HIV services on campus by the students of the University of the Western Cape(2009) Edmund, Ampeire; Susuman, Sathiya A.The origin of HIV/AIDS has puzzled scientists ever since the illness first became known in the early 1980s. It is now over twenty years down the line, still the pandemic is the subject of fierce debate and the leading cause of death in the world with sub-Saharan Africa being the worst hit region. With almost everything put in place in 21st century, the rates of infection continues to rise, thus this study tries to find out the undermining factors for full utilization of HIV services in higher institutions of learning,particularly the University of the Western Cape.The services are; free HIV testing and counseling, free medication; provision of free condoms to the students in their halls of residences, peer education programs, and making them easy to access, and prevention of mother to child transmissions.This qualitative study was conducted from June to November 2009, using designed questionnaires for sixty three (63) registered students and five (5) HIV program staff .The main reason for this study was to understand the underlying factors for why students may utilize or may not utilize the available HIV services on campus. The willingness of students to express their views was a positive finding in this study. Majority students who answered the questionnaires were quite aware of these HIV services. They also agreed that services provided are good. The study also found out that females utilized these services more than males and majority of students learnt of the HIV services from the HIV programs pamphlets and website thus indicating that the HIV program at UWC is function. However the research study also found out that the though students are aware of these services few utilize them and majority are females thus leaves a question why males do not utilize.Item Women's education and health inequalities in under-five mortality in selected sub-Saharan African countries, 1990–2015(PLOS, 2016) Bado, Aristide Romaric; Susuman, Sathiya A.The aim of the study was to analyse trends in the relationship between mother’s educational level and mortality of children under the year of five in Sub-Saharan Africa, from 1990 to 2015.Data used in this study came from different waves of Demographic and Health Surveys (DHS) of Sub-Saharan countries. Logistic regression and Buis’s decomposition method were used to explore the effect of mother’s educational level on the mortality of children under five years.