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The under-5 mortality rate is a commonly used indicator of population health and socioeconomic status worldwide. However, as in most low- and middle-income countries settings, deaths among children under-5 and in any age group in Ethiopia remain underreported and fragmented.
We aimed to systematically estimate neonatal, infant, and under-5 mortality trends, identify underlying causes, and make subnational regional and chartered cities comparisons between and We used the Global Burden of Diseases, Injuries, and Risk Factors Study GBD to estimate three key under-5 mortality indicators—the probability of death between the date of birth and 28 days neonatal mortality rate, NMR , the date of birth and 1 year infant mortality rate, IMR , and the date of birth and 5 years under-5 mortality rate, U5MR.
Specifically, this involved a multi-stage process that includes a non-linear mixed-effects model, source bias correction, spatiotemporal smoothing, and a Gaussian process regression to synthesise mortality estimates by age, sex, location, and year.
Over three-quarters of under-5 deaths in were due to five leading causes, namely neonatal disorders During the same period, neonatal disorders alone accounted for about While all regional states in Ethiopia have experienced a decline in under-5, infant, and neonatal mortality rates in the past three decades, the rate of change was not large enough to meet the targets of the Sustainable Development Goals SDGs. Inter-regional disparities in under 5 mortality also remain significant, with the biggest differences being in the neonatal period.
