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Decomposing the rural-urban gap in the factors of under-five mortality in sub-Saharan Africa? Evidence from 35 countries
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Yaya, Sanni, Uthman, Olalekan A., Okonofua, Friday and Bishwajit, Ghose (2019) Decomposing the rural-urban gap in the factors of under-five mortality in sub-Saharan Africa? Evidence from 35 countries. BMC Public Health, 19 (1). 616. doi:10.1186/s12889-019-6940-9
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WRAP-decomposing-rural-urban-gap-under-five-Africa-Olalekan-2019.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (1462Kb) | Preview |
Official URL: http://dx.doi.org/10.1186/s12889-019-6940-9
Abstract
Background
Understanding urban-rural gap in childhood survival is essential for health care interventions and to explain disparities in the determinants of Under-5 mortality. There is dearth of information about the factors explaining differentials in urban-rural Under-5 mortality especially in sub-Saharan Africa (SSA). In this study, we sought to quantify the contributions of bio-demographic, socioeconomic and proximate factors in explaining the urban-rural gap in Under-5 mortality in SSA.
Methods
This study utilized secondary data from Demographic and Health Survey (DHS) in 35 sub-Saharan countries conducted between 2006 and 2016. Child (aged 0 and 59 months) death was the outcome variable in this study. Oaxaca-Blinder decomposition was used to decipher urban-rural gap in the factors of Under-5 mortality.
Results
Significant urban-rural differentials were observed in Under-5 mortality across bio-demographic, socioeconomic and proximate factors. In the decomposition model, about 44.27% of urban group and 74.71% of rural group had Under-5 mortality in sub-Saharan countries. Maternal age, education, use of newspaper, TV, wealth index, total children ever born, size of baby and age at first birth contributed towards explaining urban-rural gap inUnder-5 mortality.
Conclusion
These findings could be contributory to health care system improvement and socioeconomic developmental plans to address under-5 mortality in SSA. Strengthening maternal and child health (MCH) programmes, specifically in rural areas and improving health care services would help to ensure overall child survival.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Subjects: | H Social Sciences > HB Economic Theory | ||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Children -- Mortality -- Statistics -- Africa | ||||||
| Journal or Publication Title: | BMC Public Health | ||||||
| Publisher: | BioMed Central Ltd. | ||||||
| ISSN: | 1471-2458 | ||||||
| Official Date: | 21 May 2019 | ||||||
| Dates: |
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| Date of first compliant deposit: | 4 June 2019 | ||||||
| Volume: | 19 | ||||||
| Number: | 1 | ||||||
| Article Number: | 616 | ||||||
| DOI: | 10.1186/s12889-019-6940-9 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access |
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