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Table 4 Adjusted odds ratios of interventions with effect on under-five mortality, multiple logistic regression analysis after matching

From: Are maternal and child health initiatives helping to reduce under-five mortality in Ghana? Results of a quasi-experimental study using coarsened exact matching

Covariates adjusted for in the model

Antenatal care visits

Skilled delivery

Iron intake

Early initiation of breastfeeding

Clean postnatal care

IPT-P

Hygienic disposal

of stool

Tetanus toxoid vaccine

 

aOR (95 %CI)

aOR (95 %CI)

aOR (95 %CI)

aOR (95 %CI)

aOR (95 %CI)

aOR (95 %CI)

aOR (95 %CI)

aOR (95 %CI)

Survey year

        

2008

        

2014

0.94(0.48–1.82)

1.18(0.58–2.39)

0.86(0.42–1.79)

0.99(0.52–1.89)

0.73(0.36–1.49)

10.74(0.79–3.82)

1.41(0.56–3.60)

0.99(0.53–1.85)

Age(months)

        

< 1

        

1 to 5

0.02(0.01–0.04)

0.01(0.003–0.02)

0.01(0.003–0.03)

0.02(0.01–0.06)

0.01(0.004–0.03)

0.005(0.001–0.02)

0.01(0.005–0.04)

0.02(0.01–0.04)

6 to 11

0.02(0.01–0.05)

0.01(0.003–0.03)

0.01(0.004–0.03)

0.02(0.01–0.06)

0.01(0.002–0.03)

0.01(0.002–0.03)

0.01(0.004–0.03)

0.02(0.01–0.05)

>=12 months

0.005(0.002–0.01)

0.003(0.001–0.01)

0.004(0.001–0.01)

0.01(0.003–0.02)

0.003(0.001–0.01)

0.002(0.001–0.01)

0.002(0.0005-0.01)

0.01(0.002–0.01)

Gender

        

Male

        

Female

0.86(0.46–1.62)

0.81(0.57–3.41)

0.84(0.38–1.86)

0.83(0.46–1.50)

0.85(0.40–1.81)

1.55(0.74–3.28)

1.04(0.47–2.32)

0.84(0.46–1.52)

Birth interval

        

>=2 years

        

Less than 2

1.92(0.85–4.38)

4.57(2.22–9.39)

1.38(0.64–2.95)

2.76(1.38–5.53)

2.91(1.43–5.88)

1.57(0.72–3.43)

1.49(0.61–3.61)

2.22(1.09–4.51)

Birth order

        

Below 3

        

>= 3

1.65(0.79–3.45)

2.41(0.98–5.90)

1.05(0.47–2.34)

1.85(0.88–3.89)

2.53(1.23–5.19)

1.93(0.87–4.27)

1.12(0.46–2.73)

1.60(0.76–3.34)

Birth weight

        

Normal

        

Small

0.86(0.33–2.20)

1.40(0.57–3.41)

NA

0.81(0.27–2.40)

0.69(0.26–1.83)

NA

0.74(0.21–2.54)

0.65(0.24–1.76)

Multiple birth

        

No

        

Yes

7.08(1.41–35.60)

1.08(0.15–7.94)

10.12(2.56-40.00)

2.56(0.32–20.27)

1.69(0.33–8.63)

3.617(0.83–15.63)

43.64(12.24-155.58)

7.48(1.81–30.98)

Delivery type

        

Vaginal

        

Caesarean

0.89(0.36–2.21)

0.67(0.28–1.59)

0.66(0.26–1.69)

0.89(0.35–2.27)

0.52(0.19–1.43)

0.38(0.13–1.08)

0.48(0.16–1.46)

0.83(0.32–2.14)

Region

        

Northern belt

        

Middle belt

0.80(0.33–1.94)

0.61(0.23–1.56)

1.20(0.46–3.18)

0.59(0.25–1.39)

0.90(0.29–2.75)

0.62(0.21–1.82)

0.91(0.32–2.58)

0.75(0.31–1.80)

Southern belt

0.36(0.12–1.09)

0.42(0.13–1.39)

0.63(0.18–2.19)

0.45(0.16–1.28)

0.81(0.22–3.06)

0.28(0.07–1.10)

0.31(0.07–1.32)

0.39(0.14–1.10)

Urban/rural residence

        

Urban

        

Rural

1.16(0.45–3.01)

1.40(0.44–4.44)

0.92(0.35–2.42)

0.76(0.30–1.93)

0.83(0.32–2.12)

1.61(0.51–5.11)

2.02(0.52–7.81)

1.09(0.39–3.05)

Wealth quintile

        

Poorest

        

Poorer

0.85(0.28–2.57)

0.59(0.18–1.96)

0.92(0.28–3.04)

0.98(0.36–2.65)

1.52(0.37–6.29)

0.91(0.28-3.00)

0.62(0.21–1.83)

0.85(0.31–2.32)

Middle

1.32(0.41–4.23)

1.57(0.45–5.49)

1.20(0.33–4.33)

1.15(0.32–4.09)

2.17(0.49–9.68)

4.67(1.14–19.17)

1.35(0.28–6.54)

1.18(0.37–3.79)

Richer

0.79(0.16-4.00)

1.47(0.26–8.48)

1.06(0.22–5.18)

0.86(0.18–4.03)

0.88(0.11–7.07)

1.09(0.16–7.67)

0.79(0.14–4.63)

1.03(0.20–5.36)

Richest

1.35(0.23–7.73)

2.62(0.40-17.16)

1.24(0.23–6.75)

1.75(0.30-10.08)

3.85(0.34–43.59)

3.61(0.42–22.21)

1.15(0.15–8.76)

1.64(0.25–10.60)

Polygamous home

        

Not polygamous

        

Polygamous

2.22(1.15–4.28)

2.14(1.01–4.51)

1.64(0.73–3.70)

2.82(1.53–5.17)

3.16(1.44–6.95)

1.52(0.70–3.33)

0.94(0.29–3.05)

1.95(1.06–3.60)

Household size

        

< 6

        

>=6

1.57(0.72–3.41)

1.49(0.68–3.27)

2.12(0.96–4.68)

1.22(0.56–2.68)

1.60(0.77–3.36)

2.47(1.12–5.43)

1.31(0.60–2.84)

1.24(0.58–2.67)

No. of CU5 in household

        

1–2

        

3 and above

0.18(0.06–0.53)

0.12(0.03–0.44)

0.16(0.05–0.51)

0.15(0.05–0.50)

0.07(0.02–0.23)

0.17(0.06–0.44)

0.15(0.04–0.55)

0.20(0.07–0.54)

Maternal age

        

< 35

        

>=35

0.67(0.30–1.51)

0.60(0.24–1.48)

1.03(0.46–2.33)

0.57(0.24–1.32)

0.54(0.21–1.35)

0.39(0.18–0.84)

0.34(0.11-1.00)

0.73(0.35–1.55)

Maternal education

        

None

        

Primary

1.38(0.54–3.52)

1.45(0.52–4.05)

2.13(0.75–6.05)

1.52(0.59–3.93)

1.39(0.58–3.32)

0.72(0.27–1.88)

1.33(0.52–3.39)

1.06(0.43–2.66)

Secondary or higher

0.59(0.21–1.65)

0.83(0.28–2.46)

0.71(0.26–1.91)

0.57(0.21–1.59)

0.84(0.34–2.10)

0.34(0.12–0.98)

0.63(0.19–2.05)

0.49(0.19–1.28)

Married

        

Not Married

        

Married

0.70(0.32–1.53)

0.38(0.17–0.87)

0.73(0.29–1.82)

0.64(0.31–1.35)

0.67(0.31–1.46)

0.71(0.32–1.59)

0.71(0.27–1.86)

0.71(0.34–1.47)

Religion

        

Orthodox

        

Pentecostal

0.85(0.37–1.95)

1.41(0.52–3.79)

0.61(0.22–1.67)

1.13(0.49–2.61)

0.94(0.38–2.33)

0.72(0.27–1.95)

0.58(0.22–1.54)

0.81(0.37–1.78)

Islam

1.30(0.48–3.51)

3.37(1.06–10.73)

1.22(0.36–4.13)

2.13(0.79–5.77)

3.81(1.27–11.39)

2.59(0.95–7.10)

0.61(0.18–2.09)

1.35(0.54–3.41)

Others

1.17(0.37–3.70)

4.14(0.94–18.20)

0.93(0.19–4.45)

2.17(0.67–7.06)

1.90(0.52–6.98)

2.66(0.77–9.25)

0.98(0.30–3.16)

1.31(0.41–4.15)

Ethnicity

        

Akan

        

Mole-Dagbani

0.56(0.15–2.01)

1.01(0.27–3.85)

0.79(0.23–2.75)

0.48(0.15–1.52)

0.53(0.15–1.91)

0.50(0.12–2.07)

1.29(0.38–4.42)

0.65(0.20–2.05)

Others

1.26(0.54–2.95)

1.20(0.52–2.78)

1.53(0.53–4.37)

0.86(0.40–1.86)

1.78(0.77–4.12)

1.03(0.41–2.54)

1.22(0.48–3.08)

1.30(0.58–2.93)

Mother’s employment

        

Not employed

        

Employed

0.67(0.29–1.54)

0.46(0.21–1.01)

0.64(0.27–1.51)

0.90(0.40–2.04)

1.41(0.53–3.73)

0.84(0.36–1.97)

0.77(0.28–2.11)

0.74(0.34–1.65)

Contraceptives use

        

No use

        

Use

1.19(0.51–2.78)

1.36(0.54–3.44)

0.89(0.36–2.23)

1.40(0.62–3.14)

1.52(0.62–3.72)

0.90(0.41–1.97)

1.07(0.29–3.88)

1.43(0.64–3.16)

Sanitation

        

Not improved

        

Improved

1.05(0.40–2.74)

1.05(0.37–3.02)

0.60(0.21–1.72)

0.95(0.23–3.98)

0.48(0.12–1.88)

0.65(0.19–2.15)

0.88(0.30–2.58)

0.90(0.33–2.42)

Antenatal visits

        

< 4plus visits

        

4 + visit

1.59(0.71–3.57)

1.22(0.47–3.15)

0.88(0.26–2.96)

0.84(0.41–1.72)

0.91(0.37–2.24)

2.05(0.69–6.10)

0.99(0.39–2.50)

0.88(0.40–1.91)

Tetanus toxoid vaccine

        

Not received

        

Received

0.85(0.37–1.94)

0.59(0.26–1.33)

1.53(0.57–4.11)

0.57(0.26–1.25)

0.49(0.23–1.05)

0.58(0.23–1.35)

2.06(0.91–4.69)

0.86(0.41–1.79)

Skilled delivery

        

Not skilled

        

Skilled

1.48(0.54–4.03)

1.77(0.60–5.25)

1.71(0.61–4.77)

1.58(0.61–4.11)

1.58(0.51–4.91)

2.01(0.69–5.83)

0.94(0.32–2.80)

1.70(0.68–4.24)

Improved water source

        

Not improved

        

Improved

1.40(0.61–3.21)

1.39(0.56–3.42)

2.66(0.86–8.23)

1.34(0.63–2.82)

1.33(0.56–3.16)

1.76(0.69–4.65)

0.98(0.39–2.46)

1.31(0.61–2.82)

Water connected

        

Not connected

        

Connected

0.77(0.21–2.78)

0.48(0.13–1.88)

0.58(0.11–2.94)

0.52(0.14–1.96)

0.84(0.18–3.85)

0.46(0.08–2.72)

0.42(0.09–1.95)

0.64(0.17–2.38)

ITN/IRS protection

        

Not protected

        

Protected

0.83(0.37–1.87)

0.86(0.32–2.35)

1.02(0.42–2.50)

0.79(0.37–1.68)

0.76(0.38–1.53)

1.25(0.41–3.75)

0.37(0.16–0.87)

0.79(0.37–1.72)

Hygienic disposal of stool

        

Not hygienic

        

Hygienic

0.54(0.28–1.05)

0.63(0.30–1.32)

0.56(0.26–1.18)

0.58(0.31–1.06)

0.52(0.24–1.11)

0.43(0.20–0.91)

0.74(0.33–1.66)

0.62(0.33–1.15)

Early breastfeeding

        

Not early initiation

        

Early initiation

0.37(0.19–0.73)

0.32(0.14–0.72)

0.41(0.17–0.99)

0.38(0.21–0.69)

0.57(0.28–1.18)

0.21(0.10–0.46)

0.29(0.11–0.77)

0.42(0.22–0.79)

Clean postnatal care in 2days

        

No clean postnatal

        

Clean postnatal

0.29(0.11–0.75)

0.20(0.05–0.76)

0.24(0.06–1.03)

0.43(0.19–0.97)

0.34(0.14–0.82)

0.15(0.05–0.46)

0.27(0.05–1.46)

0.40(0.16–1.01)

Iron intake > 90 days

        

No iron intake

        

Iron intake

1.51(0.73–3.11)

1.30(0.62–2.72)

1.16(0.49–2.76)

1.31(0.64–2.65)

1.33(0.58–3.09)

1.62(0.79–3.30)

2.26(0.83–6.17)

1.51(0.73–3.10)

IPT-p

        

No IPT-p

        

IPT-p

1.65(0.76–3.57)

2.36(1.14–4.89)

1.74(0.78–3.92)

1.74(0.89–3.39)

1.20(0.65–2.22)

1.74(0.79–3.82)

0.81(0.35–1.86)

1.47(0.74–2.94)

NHIS status

        

Not covered

        

Covered

0.50(0.27–0.91)

0.51(0.27–0.98)

0.68(0.33–1.38)

0.68(0.38–1.22)

0.33(0.14–0.75)

0.55(0.25–1.22)

0.74(0.34–1.61)

0.51(0.28–0.94)

  1. NB: Not applicable. The factor is an intermediate in the causal pathway and was not adjusted for in the model. Statistical significance with 95 % confidence interval, unadjusted odds ratios (OR), and adjusted odds ratios (aOR)