Prior study suggested that Socio-economic factors impact on child health and survival through the proximate
determinants. The present study makes an attempt to examine the trends, patterns and the determinants of socio-economic factor
affect Under-five mortality in the state of Odisha. The long term change of under-five mortality in Odisha was assessed by the
annual publication of Sample Registration System (SRS) data. The Cox proportional hazard model was used for determine the
socio-economic factor affecting of mortality on the fourth round the National Family Health Survey (NFHS) data. and finally
Fairlie‘s decomposition technique was applied for identify factors affecting change in under-five mortality in two periods. The
results suggest that low birth weight and female education play the dominant role for increasing the under-five mortality in
Odisha. The disadvantage of health care facility is major cause of high under-five mortality in disadvantage districts (western,
southern) of the Odisha.
