Economic disparity in injury morbidity and mortality among one-four year children: findings from Bangladesh health and injury survey: implication for developing countries

M Sheikh Giashudddin, Center for Injury Prevention and Research Bangladesh
A Rahman, Institute of Child and Mother Health
AKMF Rahman, Institute of Child and Mother Health

The aim of this study is to investigate the socioeconomic inequality in injury related morbidity and mortality among 1- 4 years children. A multistage cluster sampling technique was conducted for this survey. Quintiles were calculated on the basis of assets and wealth score by use of principle component analysis. The poorest-richest quintiles ratio due to injury mortality was 6.0 whereas this ratio was 5.6 and 5.5 for the infectious and non-communicable diseases. Similarly, in terms of morbidity this ratio for injury illness was 1.7 whereas infectious and non-communicable disease was 1.2 and 1.6 respectively. Among the children, drowning, burn and unintentional poisoning injuries morbidity were 3.8, 3.2 and 1.5 time more for most disadvantaged than the better off. Diarrhoea and pneumonia were 2.1 and 1.1 times more for the poorest than the richest quintiles. The odd ratio occurring an injury morbidity and mortality for poorest quintiles than the richest was 1.3 and 2.58.