The University of Southampton
University of Southampton Institutional Repository

Progress towards the child mortality millennium development goal in urban sub-Saharan Africa: the dynamics of population growth, immunization, and access to clean water

Fotso, Jean-Christophe, Ezeh, Alex Chika, Madise, Nyovani Janet and Ciera, James (2007) Progress towards the child mortality millennium development goal in urban sub-Saharan Africa: the dynamics of population growth, immunization, and access to clean water BMC Public Health, 7, (218) (doi:10.1186/1471-2458-7-218).

Record type: Article

Abstract

Background: improvements in child survival have been very poor in sub-Saharan Africa (SSA). Since the 1990s, declines in child mortality have reversed in many countries in the region, while in others, they have either slowed or stalled, making it improbable that the target of reducing child mortality by two thirds by 2015 will be reached. This paper highlights the implications of urban population growth and access to health and social services on progress in achieving MDG 4.
Specifically, it examines trends in childhood mortality in SSA in relation to urban population growth, vaccination coverage and access to safe drinking water.

Methods: correlation methods are used to analyze national-level data from the Demographic and Health Surveys and from the United Nations. The analysis is complemented by case studies on intra-urban health differences in Kenya and Zambia.

Results: only five of the 22 countries included in the study have recorded declines in urban child mortality that are in line with the MDG target of about 4% per year; five others have recorded an
increase; and the 12 remaining countries witnessed only minimal decline. More rapid rate of urban population growth is associated with negative trend in access to safe drinking water and in vaccination coverage, and ultimately to increasing or timid declines in child mortality. There is evidence of intra-urban disparities in child health in some countries like Kenya and Zambia.

Conclusion: failing to appropriately target the growing sub-group of the urban poor and improve their living conditions and health status – which is an MDG target itself – may result in lack of improvement on national indicators of health. Sustained expansion of potable water supplies and vaccination coverage among the disadvantaged urban dwellers should be given priority in the efforts to achieve the child mortality MDG in SSA.

PDF 1471-2458-7-218.pdf - Version of Record
Available under License Other.
Download (298kB)

More information

Published date: 2007

Identifiers

Local EPrints ID: 63880
URI: http://eprints.soton.ac.uk/id/eprint/63880
ISSN: 1471-2458
PURE UUID: 50ff70e5-71d2-4869-9a00-9f0f98a7b633
ORCID for Nyovani Janet Madise: ORCID iD orcid.org/0000-0002-2813-5295

Catalogue record

Date deposited: 14 Nov 2008
Last modified: 17 Jul 2017 14:15

Export record

Altmetrics

Contributors

Author: Jean-Christophe Fotso
Author: Alex Chika Ezeh
Author: James Ciera

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×