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Exploring the socio-economic determinants of educational inequalities in diarrhoea among under-five children in low- and middle-income countries: a Fairlie decomposition analysis

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dc.date.accessioned 2021-08-26T13:15:14Z
dc.date.available 2021-08-26T13:15:14Z
dc.date.issued 2021-08-26 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/16376
dc.description.abstract What explains the underlying causes of educational inequalities in diarrhoea among under-five children in low- and middle-income countries (LMIC) is poorly exploited, operationalized, studied and understood. This paper aims to assess the magnitude of educational-related inequalities in the development of diarrhoea and decompose risk factors that contribute to these inequalities among under-five children (U5C) in LMIC. Secondary data of 796,150 U5C from 63,378 neighbourhoods in 57 LMIC was pooled from the Demographic and Health Surveys (DHS) conducted between 2010 and 2019. The main determinate variable in this decomposition study was mothers' literacy levels. Descriptive and inferential statistics comprising of bivariable analysis and binary logistic multivariable Fairlie decomposition techniques were employed at p = 0.05. Of the 57 countries, we found a statistically significant pro-illiterate odds ratio in 6 countries, 14 showed pro-literate inequality while the remaining 37 countries had no statistically significant educational-related inequality. The countries with pro-illiterate inequalities are Burundi (OR = 1.11; 95% CI: 1.01-1.21), Cameroon (OR = 1.84; 95% CI: 1.66-2.05), Egypt (OR = 1.26; 95% CI: 1.12-1.43), Ghana (OR = 1.24; 95% CI: 1.06-1.47), Nigeria (OR = 1.80; 95% CI: 1.68-1.93), and Togo (OR = 1.21; 95% CI: 1.06-1.38). Although there are variations in factors that contribute to proilliterate inequality across the 6 countries, the overall largest contributors to the inequality are household wealth status, maternal age, neighbourhood SES, birth order, toilet type, birth interval and place of residence. The widest pro-illiterate risk difference (RD) was in Cameroon (118.44/1000) while the pro-literate risk difference was widest in Albania ( 61.90/1000). The study identified educational inequalities in the prevalence of diarrhoea in children with wide variations in magnitude and contributions of the risk factors to pro-illiterate inequalities. This suggests that diarrhoea prevention strategies is a must in the pro-illiterate inequality countries and should be extended to educated mothers as well, especially in the pro-educated countries. There is a need for further studies to examine the contributions of structural and compositional factors associated with pro-educated inequalities in the prevalence of diarrhoea among U5C in LMIC. en
dc.format.medium Print en
dc.publisher BMC en
dc.subject DIARRHOEA en
dc.subject CHILDREN en
dc.subject INEQUALITIES en
dc.subject EDUCATION en
dc.subject LOW- AND MIDDLE INCOME COUNTRIES (LMICS) en
dc.subject EARLY CHILDHOOD DEVELOPMENT (ECD) en
dc.title Exploring the socio-economic determinants of educational inequalities in diarrhoea among under-five children in low- and middle-income countries: a Fairlie decomposition analysis en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 79(114) en
dc.BudgetYear 2021/22 en
dc.ResearchGroup Human and Social Capabilities en
dc.SourceTitle Archives of Public Health en
dc.ArchiveNumber 12099 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=24522 en
dc.PageNumber Online en
dc.outputnumber 11251 en
dc.bibliographictitle Fagbamigbe, A.F., Adebola, O.G., Dukhi, N., Fagbamigbe, O.S. & Uthman, O.A. (2021) Exploring the socio-economic determinants of educational inequalities in diarrhoea among under-five children in low- and middle-income countries: a Fairlie decomposition analysis. <i>Archives of Public Health</i>. 79(114):Online. en
dc.publicationyear 2021 en
dc.contributor.author1 Fagbamigbe, A.F. en
dc.contributor.author2 Adebola, O.G. en
dc.contributor.author3 Dukhi, N. en
dc.contributor.author4 Fagbamigbe, O.S. en
dc.contributor.author5 Uthman, O.A. en


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