Use of contraceptives, high risk births and under-five mortality in Sub Saharan Africa: evidence from Kenyan (2014) and Zimbabwean (2011) demographic health surveys

摘要: Increasing uptake of modern contraception is done to alleviate maternal and infant mortality in poor countries. We describe prevalence contraceptive use, high risk births, under-five their factors Kenya Zimbabwe. This was a cross-sectional analysis on DHS data from (2014) Zimbabwe (2011) for women aged 15–49. Geospatial mapping used compare the proportions following outcomes: current use contraceptives, high-risk under-5 at regional levels after applying sample weights account disproportionate sampling non-responses. Multivariate outcomes were evaluated by multilevel logistic regression reported as adjusted odds ratios (aOR). A total 40,250 (31,079 vs. 9171 Zimbabwe) included this analysis. Majority 18–30 years (47%), married/cohabiting (61%) unemployed (60%). Less than half using contraceptives (36% 41% Zimbabwe). Spatial maps, especially Kenyan North-eastern region, showed an inverse correlation with births mortality. At individual level, that had experienced likely have attained secondary education both (aOR = 5.20, 95% CI: 3.86–7.01) (aOR = 1.63, 1.08–2.25). In Kenya, household wealth associated higher among who (aOR: 1.72, 1.41–2.11) 1.66, 1.27–2.16). Contraceptive protective against only 0.79, 0.68–0.92) 0.70–0.89) 0.71, 0.61–0.83). Overall, community not strong predictors three main outcomes. There unmet need services. might be useful policy makers identifying areas greatest need. educational opportunities economic empowerment could yield better health