Cambodia Journal of Public Health (CJPH) of the School of Public Health at NIPH
https://cjph.niph.org.kh/index.php/cjph
<p><strong>Cambodia Journal of Public Health (CJPH, since 2020)</strong></p> <p><strong>International Standard Serial Number (ISSN): 2788-7081</strong></p> <p><strong>Purposes</strong></p> <p>Cambodia Journal of Public Health (CJPH) is the first peer-reviewed journal in Cambodia published online, with open access without any article process charge (APC). The objectives of the CJPH are to initiate the culture of academic publication among students, faculty members and researchers in Cambodia to increase the visibility of their public health both nationally and internationally. Also, CJPH will be used as the platform to learn and share their health-related work, research, and program implementation challenges, positive and negative experiences, and lessons learned.</p> <p><strong>Aims & Scope</strong></p> <p>Cambodia Journal of Public Health (CJPH) is a peer-reviewed open-access journal published online. The Journal welcomes original articles on all aspects of public health-related issues in Cambodia including socio-behavioral determinants of health and diseases, infectious diseases and non-infectious diseases, health promotion, health service research, health system, and policy development, epidemiology, occupational health, environmental health, nutrition, food science, one health and bio-medical science. The CJPH is published by the School of Public Health (SPH), NIPH, dedicated to the training of public health professionals in Cambodia. The CJPH welcomes and encourages researchers, and public health professionals to submit their manuscripts. Articles are published in English.</p>School of Public Health, NIPHen-USCambodia Journal of Public Health (CJPH) of the School of Public Health at NIPH2788-7081Factors Associated with Child Under Five Mortality in Cambodia: Analysis of Data from the Cambodia Demographic and Health Survey 2022
https://cjph.niph.org.kh/index.php/cjph/article/view/169
<p><strong>Introduction</strong></p> <p>Globally, in 2021, approximately 5 million children died before reaching six years of age, and more than half of the deaths were due to diseases that are preventable with affordable interventions. In Cambodia, children under five mortality (U5M) rate declined from 124 to 16 per 1,000 live births between 1990 and 2022. However, this decline requires further public health attention to children living in rural areas where child survival interventions are under coverage. This study aimed to examine the factors associated with U5M.</p> <p><strong>Methods</strong></p> <p>We analyzed data from the Cambodia Demographic and Health Survey (CDS) 2022, which included 8,153 children aged 0-59 months recorded in the last five years preceding the survey. The outcome variable was U5M status (alive or dead). Multivariate logistic regressions were performed using STATA V14.2 to examine factors associated with U5M by taking into account the CDHS complex survey sampling design.</p> <p><strong>Results</strong></p> <p>The prevalence of U5M in 2022 was 16 deaths per 1,000 live births compared to 35 deaths in 2014. Mothers’ education was independently associated with lower odds of U5M (AOR = 0.5, 95% CI: 0.30-0.84) for those with primary education and an AOR of 0.53 (95% CI: 0.26-0.96) for those with secondary or higher education compared to those with no education. Mothers’ use of contraceptives was also associated lower odds with U5M, with an AOR of 0.45 (95% CI: 0.29-0.72), compared to mothers not using contraceptives. Conversely, children whose birth order was fourth or more had higher odds of dying before their fifth birthday (AOR?=?2.13, 95% CI: 1.12-4.06) than those whose birth order was first. Lastly, children born to mothers residing in rural areas were considered the main predictor of mortality of the children under the age of five with AOR=1.84 (95% CI: 1.03-3.30) compared to those born to mothers living in urban areas.</p> <p><strong>Conclusion</strong></p> <p>Mothers’ education and contraceptive use had a positive impact on child survival, whereas children who were fourth or older in birth order and women residing in rural areas had higher odds of U5M. Therefore, efforts of the Cambodia Maternal and Child Health Program to further reduce the U5M rate should primarily target mothers with no education, those who reside in rural areas and those with four or more pregnancies. Among the key maternal and child interventions, there is a need to promote the use of family planning services among married women and their couples.</p>Soklim PayPor IrHeng Sopheab
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2024-03-172024-03-17508A