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BACKGROUND: Globally, since 2000, a decline in the underfive mortality rate by half indicated that over 50 million children’s lives have been saved. Although evidence from the Kersa Health and Demographic Surveillance System from eastern Ethiopia suggested a decline in the underfive mortality rate per 1000 live births from 131.8 in 2008 to 77.4 in 2013, the rate still remain far from the Sustainable Development Goals’ target reduction. However, the magnitude and determinants of underfive mortalities have not been studied in Haramaya town. So this study aimed to assess the underfive mortality rate and associated factors in the town. METHODOLOGY: A quantitative cross-sectional population-based study was conducted on 391 pairs of 15- to 49-year-old mothers and their live-born underfive children selected using a systematic random sampling technique from the town to compare child mortality between the <=24 and >=25 mother’s age groups. Data were collected using an interview-based questionnaire, double entered into EpiData 3.1, and then exported to the statistical package for social sciences program version 20.0 for analysis. Binary logistic regression analysis (p value <0.20) to examine the crude association and then multiple logistic regression analysis (p value <0.05) to measure the statistical association were performed. RESULTS: The deaths of 28 out of 372 live births resulted in an underfive mortality rate of 75 per 1000 live births. Children born in households with fewer than 6 members (AOR = 7.98, 95% CI = 1.59-40.17) and children who did not feed colostrum (AOR = 17.45, 95% CI = 6.54-46.55) were associated with increased risks of underfive deaths compared to their reference groups. CONCLUSION: The study suggests that 75 per 1000 live births die before their fifth birth day. RECOMMENDATION: All concerned should inform the mothers of the role of identified factors such as household size and colostrum feeding in child survival.

1ffaa. Bifa Fardeenii Bulloo:- diimaa gara daalachaa. Booqaa:- kan addarratti bifa adii qabu. Shaanqoo:- gurraacha. Booree:- daalacha ykn boora. Magaal:- bifa bosonuu ykn gurraacha gara daalachaa. Daamaa:- diimaa. 2ffaa. Hariiroon Fardaa fi Oromticha gidduu jiru:- Oromoon jiruu fi jireenya isaa keessatti, Farda akka beelladaa qofatti osoo hin taane, akka faayaa fi qabeenya mararree tokkotti ilaala. Yeroo lolaa fi Cidhaa akkasumas ayyaana adda addaa irratti fardatti dhimma baha. Geejibaaf illee Fardi qooda guddaa qaba. Gaafa gammachuu fi gaddaa, cidhaa fi goojee irratti dhimma itti baha, Oromoon. Walumaagalatti, Fardii fi Oromummaan adda bahanii hin ilaalaman. 3ffaan, Fardi farda irraa dhalata; Fardatu dhalcha. 4ffaan. Meeshaaleen yeroo lolaa Farda irratti qabatan, kanneen akka Eeboo fi Gaachanaati. Eeboon ittiin diina/ nyaapha waraanuuf yoo fayyadu, Gaachanni ittiin ofirraa qolachuuf fayyada. 5ffaan, Farda gara barbaadanii fi xiyyeeffannoo ykn to'annoo ofii jala oolchanii dhimma itti bahuuf luugamu. Farda sakaaluun kan barbaachiseef immoo, akka hin badneef, akka bakka hin taane, awwaara ykn biyyoo irra gangalatee akka hin xuroofnee fi akkasumas, #shape ykn dhaabbiin qaama isaa akka hin babbadneef! Maqaan uffata kooraa Fardaa immoo " Gilaasa " jedhama!

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