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An Investigation of District Spatial Variations of Childhood Diarrhoea and Fever Morbidity in Malawi

An Investigation of District Spatial Variations of Childhood Diarrhoea and Fever Morbidity in Malawi
An Investigation of District Spatial Variations of Childhood Diarrhoea and Fever Morbidity in Malawi
Although diarrhoea and malaria are among the leading causes of child mortality and morbidity in Sub-Saharan Africa, few detailed studies have examined the patterns and determinants of these ailments in the most affected communities. In this paper, we investigate the spatial clustering of observed diarrhoea and fever morbidity in Malawi using the 2000 Malawi Demographic and Health survey. Clustering was achieved by mapping the residual district spatial effects using a Bayesian geo-additive logistic model that simultaneously control for spatial dependence in the data and potential nonlinear effects of covariates. For both ailments, we were able to identify a distinct district pattern of childhood morbidity. The spatial patterns emphasise the role of remoteness as well as climatic and geographic factors on morbidity. The fixed effects show the importance of exclusively breastfeeding for diarrhoea and maternal education for both ailments. Diarrhoea and fever were both observed to show an interesting association with a child’s age.
A04/14
Southampton Statistical Sciences Research Institute, University of Southampton
Kandala, N. B.
80d7c248-8a4a-49d2-8672-77b0780789cb
Magadi, M. A.
75b918b1-35c4-4b83-9028-ba60699380fe
Madise, N. J.
2ea2fbcc-50da-4696-a0a5-2fe01db63d8c
Kandala, N. B.
80d7c248-8a4a-49d2-8672-77b0780789cb
Magadi, M. A.
75b918b1-35c4-4b83-9028-ba60699380fe
Madise, N. J.
2ea2fbcc-50da-4696-a0a5-2fe01db63d8c

Kandala, N. B., Magadi, M. A. and Madise, N. J. (2004) An Investigation of District Spatial Variations of Childhood Diarrhoea and Fever Morbidity in Malawi (S3RI Applications and Policy Working Papers, A04/14) Southampton, UK. Southampton Statistical Sciences Research Institute, University of Southampton 35pp.

Record type: Monograph (Working Paper)

Abstract

Although diarrhoea and malaria are among the leading causes of child mortality and morbidity in Sub-Saharan Africa, few detailed studies have examined the patterns and determinants of these ailments in the most affected communities. In this paper, we investigate the spatial clustering of observed diarrhoea and fever morbidity in Malawi using the 2000 Malawi Demographic and Health survey. Clustering was achieved by mapping the residual district spatial effects using a Bayesian geo-additive logistic model that simultaneously control for spatial dependence in the data and potential nonlinear effects of covariates. For both ailments, we were able to identify a distinct district pattern of childhood morbidity. The spatial patterns emphasise the role of remoteness as well as climatic and geographic factors on morbidity. The fixed effects show the importance of exclusively breastfeeding for diarrhoea and maternal education for both ailments. Diarrhoea and fever were both observed to show an interesting association with a child’s age.

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Published date: 16 November 2004

Identifiers

Local EPrints ID: 12463
URI: http://eprints.soton.ac.uk/id/eprint/12463
PURE UUID: befcc513-3567-4632-b71c-f4453bcd7d6b
ORCID for N. J. Madise: ORCID iD orcid.org/0000-0002-2813-5295

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Date deposited: 16 Nov 2004
Last modified: 20 Feb 2024 03:20

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Contributors

Author: N. B. Kandala
Author: M. A. Magadi
Author: N. J. Madise ORCID iD

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