Determinants of infant mortality in rural areas: the case of the Yaleko Health Zone in the Tshopo Province, DR Congo

Authors

  • Marcel Bushiri Bakari Babou Section Santé Communautaire, Institut Supérieur des Techniques Médicales de Yangambi, Tshopo, République Démocratique du Congo Author https://orcid.org/0009-0004-7980-1739 (unauthenticated)
  • Aristote Matondo Centre de Recherche en Pharmacopée et Médecine Traditionnelle, Institut Supérieur des Techniques Médicales de Kinshasa, Kinshasa, République Démocratique du Congo Author https://orcid.org/0000-0002-6246-9803 (unauthenticated)
  • Gérard Eloko Eya Matangelo 3 Section Santé Communautaire, Institut Supérieur des Techniques Médicales de Kinshasa, Kinshasa, République Démocratique du Congo. Author

DOI:

https://doi.org/10.59228/rcst.025.v4.i3.165

Keywords:

Determinants, infant mortality, socio-demographic factors, cultural factors, Tshopo Province

Abstract

Infant mortality remains a public health problem in the Democratic Republic of Congo in general, and in the Yaleko area in
particular. This descriptive cross-sectional study was carried out to investigate the determinants that negatively influence the
health of children under 5, using the semi-structured method based on an interview with mothers of deceased children. This
requires knowledge and mastery of the determinants of mortality in order to better orientate control strategies. The survey
revealed that mortality is significantly influenced by socio-demographic, cultural, environmental, spatio-temporal and health
factors. Mothers' level of education, household size and inter-genital space were found to be major determinants of infant
mortality. A higher level of maternal education, smaller household size and optimal inter-genital space are associated with a
reduction in infant mortality. These factors act in a connected way and reflect socio-economic and cultural conditions that
significantly influence children's health. Policies aimed at improving women's education, promoting family planning practices
and supporting the empowerment of mothers can have a substantial impact on reducing infant mortality. Our results seek to
imply the implementation of a program based on Information, Education and Communication for behavior change on the
determinants that influence infant mortality. 

Downloads

Download data is not yet available.

References

Amani, N. (2018). Mortalité infantile en milieu rural et

post conflit au Sud Kivu est de la RDC.

PanAfrican Medical Journal, 20(3),387-394.

BCZS, Yaleko (2023). Rapports épidémiologiques de

-2023.

Bongaarts, J. & Sinding, S.W. (2009). A response to

the critique of the effects of family planning on

population growth. International Perspectives on

Sexual and Reproductive Health, 35(1), 1-6.

Cassen, M. (2024). Maternité et addictions : une revue

de la littérature. Devenir, 36(2), 140 163.

https://doi.org/10.3917/dev.242.0140.

Fofana, A. (2017). Déterminants de la mortalité

néonatale au Burkina-Faso. Journal of Innovation

and Applied Sciences, 31(3),509-516.

Gonzalez, R. M., & Gilleskie, D. (2017). Infant

mortality rate as a measure of a country’s health:

A robust method to improve reliability and

comparability. Demography, 54(2), 701–720.

https://doi.org/10.1007/s13524-017-0553-7.

Hill, K., Choi, Y. (2006). Neonatal mortality in the

developing world. Demographic Research,

(18), 429–452.

https://doi.org/10.4054/DemRes.2006.14.18.

Kembo, J., & Van Ginneken, J. K. (2003).

Determinants of infant and child mortality in

Zimbabwe: Results of multivariate hazard

analysis. Demographic Research, 21(3), 367–

https://doi.org/10.4054/DemRes.2009.21.13.

Lawn, J. E., Blencowe, H., Oza, S. (2014). Every

newborn: Progress, priorities, and potential

beyond survival. The Lancet, 384(9938), 189–

https://doi.org/10.1016/S0140-

(14)60496-7bu.digication.com

Mandan, G. (2017). Maternal education and child

mortality in developing countries. BMC

Pregnancy and Childbirth, 7(3), 87-96.

Malobo, C.N., Kitengie, L.B., Botomba, S.N.,

Ngbolua, K.N., Balow’a, I.K., Omanyondo, M.O.

(2025). Explenatory factors of premature

marriages of adolescent girls: Study conducted in

the Diulu Health Zone, Mbujimayi City, DRC.

Orapuh Journal, 6(5), e1244.

https://dx.doi.org/10.4314/orapj.v6i5.44.

Nzaou, R. (2014). Les déterminants de la morbimortalité infanto juvéniles au Congo. Annales

Africaines de Médecine, 12(2), 3247-3253.

Sabendo, A. (1991). Facteurs explicatifs de la mortalité

des enfants de moins de 5 ans en République

Centre Africaine. Journal of Interventional

Epidemiology and Public Health, 4(3),1-12.

https://doi.org/10.11604/JIEPH.supp.2021.4.3.11

Yu-Li, L., Wang, Z. (2019). Regional and national

estimates of the burden of respiratory infections

in children under 5, Systematic review. Chinese

Journal of Public Health, 5(6), 68-91.

United Nations Children’s Fund (UNICEF). (2017).

Levels and trends in child mortality: Report 2017.

https://www.unicef.org/reports/levels-andtrends-child-mortality-report-2017.

World Health Organization (WHO). (2014). Every

newborn: An action plan to end preventable

deaths.

https://www.who.int/maternal_child_adolescent/

documents/every-newborn-action-plan/en/bu.

Downloads

Published

2025-07-07

Most read articles by the same author(s)

Similar Articles

1-10 of 96

You may also start an advanced similarity search for this article.