Table 4 SUR PH analysis models of the relationship between healthcare professionals, environmental hygiene, maternal education, and under-five mortality.

From: The relationship between healthcare professionals and under-five mortality: the mediating role of environmental hygiene and the moderating effect of maternal education

VARIABLES

Dependent variable

Mediator variable

Dependent variable

Dependent variable

Under-five

mortality

Environmental Hygiene

Under-five mortality

Under-five mortality

Model 1

Model 2

Model 3

Model 4

HR (SE)

Coeff (SE)

HR (SE)

HR (SE)

Independent variable

    

Healthcare providers (Professional)

0.27*

1.30***

0.25**

0.27*

 

(0.14)

(0.16)

(0.13)

(0.14)

Mediator variable

    

Environmental Hygiene Index

  

1.00

1.00

   

(0.00)

(0.01)

Moderator variable

    

Mothers’ education (in years)

0.77***

  

0.77***

 

(0.00)

  

(0.02)

Healthcare providers (Professionals)#Maternal education

   

1.00

    

(0.00)

Environmental Hygiene #Maternal education

   

1.00

    

(0.00)

Control variable

    

Female (ref = male)

0.29***

1.04

0.28***

0.29***

 

(1.73)

(0.08)

(0.10)

(0.10)

Birthweight (ref = small)

    

Average

15.88***

 

3.85***

3.85**

 

(11.72)

 

(1.73)

(1.72)

Large

3.85**

 

15.88***

15.88***

 

(0.20)

 

(11.72)

(11.71)

Mothers’ age (in years)

3.10**

1.07***

3.05***

3.10***

 

(0.11)

(0.01)

(0.11)

(0.11)

Parity

0.23***

0.64**

0.25***

0.23***

 

(0.03)

(0.02)

(0.03)

(0.03)

Employment status (Ref = No)

4.22**

3.23***

3.12*

4.22**

 

(2.21)

(0.40)

(1.63)

(2.21)

Frequency of media interaction (Ref = none)

    

Less than once

5.28**

3.14***

3.93*

5.28**

 

(3.09)

(0.43)

(2.30)

(3.09)

At least once

6.70***

4.17***

4.64***

4.70***

 

(3.01)

(0.44)

(2.09)

(3.01)

School of husband in years

1.07‡

1.31***

1.00

1.07‡

 

(0.01)

(0.01)

(0.04)

(0.04)

Wealth index

0.78

6.24***

0.49*

0.78

 

(0.22)

(0.42)

(0.14)

(0.22)

Health facility remoteness

    

Not a problem (ref = problem)

2.61*

1.70***

2.28*

2.61*

 

(1.02)

(0.16)

(0.89)

(1.02)

Rural (ref = urban)

0.74

0.92

0.75

0.74

 

(0.31)

(0.09)

(0.31)

(0.31)

Provinces

    

Ref= Islamabad (Capital)

    

Panjab

1.15

0.97

1.16

1.15

 

(0.90)

(0.18)

(0.91)

(0.90)

Sindh

0.97

0.62*

1.10

0.97

 

(0.80)

(0.12)

(0.90)

(0.80)

Khyber Pakhtunkhwa

6.96*

0.37***

9.01**

6.96*

 

(5.63)

(0.07)

(7.31)

(5.63)

Baluchistan

6.21*

0.34***

8.20*

6.21*

 

(5.49)

(0.07)

(7.27)

(5.49)

Gilgit-Baltistan

4.38

3.61***

3.15

4.38

 

(4.29)

(0.83)

(3.09)

(4.28)

Azad Jammu & Kashmir

0.85

3.14***

0.63

0.85

 

(0.74)

(0.65)

(0.55)

(0.74)

FATA

8.29*

0.28***

11.45*

8.29*

 

(7.99)

(0.06)

(11.05)

(7.98)

Test of statistics

    

LR test Mode1 vs 4

   

219.10***

Observations

7854

7854

7854

7854

  1. ref Reference Group, HR Hazard ratio, Under Five mortality= Children 0–59 months ***p < 0.001, ** p < 0.01, * p < 0.05, ‡p < 0.1.