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Demographic and Health Survey 2009-10 - Timor-Leste Ministry of ...

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Table 8.2 Early childhood mortality rates by socioeconomic characteristics<br />

Neonatal, postneonatal, infant, child, <strong>and</strong> under-5 mortality rates for the <strong>10</strong>-year period<br />

preceding the survey, by background characteristic, <strong>Timor</strong>-<strong>Leste</strong> <strong>2009</strong>-<strong>10</strong><br />

Background<br />

characteristic<br />

Neonatal<br />

mortality<br />

(NN)<br />

Postneonatal<br />

mortality 1<br />

(PNN)<br />

Infant<br />

mortality<br />

( 1q 0)<br />

Child<br />

mortality<br />

( 4q 1)<br />

Under-5<br />

mortality<br />

( 5q 0)<br />

Residence<br />

Urban 21 21 42 20 61<br />

Rural<br />

District<br />

28 33 61 28 87<br />

Aileu 27 29 56 21 76<br />

Ainaro 31 46 77 22 97<br />

Baucau 11 18 30 12 42<br />

Bobonaro 27 23 50 36 85<br />

Covalima 37 38 76 21 95<br />

Dili 21 18 39 22 60<br />

Ermera 23 47 70 34 <strong>10</strong>2<br />

Lautem 36 33 69 31 98<br />

Liquiçá 31 37 68 35 <strong>10</strong>1<br />

Manatuto 31 19 50 20 69<br />

Manufahi 44 19 62 25 86<br />

Oecussi 25 41 66 27 92<br />

Viqueque<br />

Mother’s education<br />

24 31 54 24 77<br />

No education 27 34 61 31 90<br />

Primary 27 32 59 27 84<br />

Secondary 26 25 51 19 69<br />

More than secondary<br />

Wealth quintile<br />

(9) (12) (21) * *<br />

Lowest 24 37 62 27 87<br />

Second 30 38 68 28 94<br />

Middle 29 30 59 32 89<br />

Fourth 25 30 56 27 81<br />

Highest 22 16 38 15 52<br />

Note: Numbers in parentheses are based on 250-499 unweighted exposed persons; an asterisk<br />

indicates that a rate is based on fewer than 250 unweighted exposed persons <strong>and</strong> has been<br />

suppressed.<br />

1 Computed as the difference between the infant <strong>and</strong> neonatal mortality rates<br />

As expected, a mother’s education is inversely related to a child’s risk <strong>of</strong> dying. Under-5<br />

mortality among children <strong>of</strong> mothers with no education (90 deaths per 1,000 live births) is<br />

substantially higher than under-5 mortality among children <strong>of</strong> women with secondary level education<br />

(69 deaths per 1,000 live births). The direct association between level <strong>of</strong> education <strong>and</strong> under-5<br />

mortality is also seen for infant mortality. Children <strong>of</strong> women with no education (61 deaths per 1,000<br />

live births) are much more likely to die in the first year than children <strong>of</strong> women with secondary<br />

education (51 deaths per 1,000 live births).The relationship between household wealth <strong>and</strong> under-5<br />

mortality is not always consistent, although children born to mothers in the highest wealth quintile<br />

clearly are at much lower risk <strong>of</strong> dying than children born to mothers in the other quintiles.<br />

8.5 DEMOGRAPHIC CHARACTERISTICS AND CHILD MORTALITY<br />

Studies have shown that a number <strong>of</strong> demographic factors are strongly associated with the<br />

survival chances <strong>of</strong> young children. These factors include sex <strong>of</strong> child, age <strong>of</strong> mother at birth, birth<br />

order, length <strong>of</strong> preceding birth interval, <strong>and</strong> size <strong>of</strong> child at birth. Table 8.3 shows the relationship<br />

between childhood mortality <strong>and</strong> these demographic variables. Again, for all variables except birth<br />

size, mortality estimates are calculated for the <strong>10</strong>-year period preceding the survey to reduce sampling<br />

variability. Mortality rates by birth size are for the five-year period preceding the survey because<br />

information on birth size was collected only for children born in the past five years.<br />

Childhood mortality is higher for males than females (Table 8.3) for all mortality rates.<br />

Under-5 mortality rates for male <strong>and</strong> female children are 85 <strong>and</strong> 76 deaths per 1,000 live births,<br />

respectively. The excess mortality among male children is mostly due to their higher biological risk<br />

during the first month <strong>of</strong> life.<br />

Infant <strong>and</strong> Child Mortality | <strong>10</strong>3

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