Association Between Maternal Education and Childhood Mortalities in Myanmar

Asia Pac J Public Health. 2019 Nov;31(8):689-700. doi: 10.1177/1010539519888299. Epub 2019 Nov 20.

Abstract

Maternal education is widely regarded as a core social determinant of child mortality in low-income countries. In Myanmar, the evidence related to context-specific social determinants of health including maternal education is scarce, limiting grounds to advocate for a comprehensive health policy. Employing multivariate methods, the study analyzed the 2015-2016 Demographic Health Survey data exploring independent effect of maternal education on neonatal, infant, and under-5 mortality. The study found that maternal education was not significantly associated with neonatal mortality as its effect was confounded by household wealth and geographic residence; however, it had independent effect on infant and under-5 mortality. Mothers with primary education had 23% reduction in the odds of under-5 mortality (P < .001); those with secondary level had 40% reduction (P < .001); and those at higher level had 62% reduction (P < .001). The study concluded that maternal education is a critical social determinant of childhood mortalities in Myanmar.

Keywords: child mortality; education status; infant mortality; literacy; maternal education; neonatal mortality; under-5 mortality.

MeSH terms

  • Adolescent
  • Adult
  • Child Mortality / trends*
  • Child, Preschool
  • Educational Status*
  • Female
  • Humans
  • Infant
  • Infant Mortality / trends*
  • Infant, Newborn
  • Male
  • Middle Aged
  • Mothers / statistics & numerical data*
  • Myanmar / epidemiology
  • Young Adult