Mesganaw Fantahun|Yemane Berhane|Stig Wall|Peter Byass|Ulf Högberg
Women's involvement in household decision?making and strengthening social capital—crucial factors for child survival in Ethiopia
Addis Ababa University|Umeå University|Addis Ababa University|Umeå University|Umeå University|Umeå University
assess influence household decision making social capital socioeconomic factors health service use underfive mortalitybutajira demographic surveillance site ethiopiaa prospective casereferent design total 209 underfive year old deaths occurring 18month period together 627 referents matched age sex community residence included questionnaires administered mothers caretakers matched case control analysis investigated effect risk factors mortality presence avoidable factors assessed deathlack immunization strongly associated mortality adjusted or98 95 ci 59 161 low decision making capacity women adjusted or32 95 ci 20 50 low social capital scores adjusted or19 95 ci 11 35 also related high underfive mortality multivariate analyses potentially avoidable household health facility factors identified respectively 71 40 deathscombined efforts improve womens involvement household decision making social capital immunization may decrease high child mortality setting level poverty high appreciable trend child mortality decline noted years