ArticleInternational health2014
Governance matters: an ecological association between governance and child mortality.
Article in International health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed.
- Uncovering hidden patterns: How good governance and health outcomes are shaped by the public healthcare funding?Frontiers in public health · 2026Article
- Association between the rule of law and health-related sustainable development goals: an ecological study.BMC public health · 2025Article
- Is Iron Supplementation Associated with Infant Mortality in Sub-Saharan Africa and Does Birth Weight Modify These Associations?Nutrients · 2025Article
- Effectiveness of public health spending: Investigating the moderating role of governance using partial least squares structural equation modelling (PLS-SEM).Health research policy and systems · 2024Article
- Health outcome convergence and the roles of public health financing and governance in Africa.PloS one · 2024Article
- Piercing the veil on the functioning and effectiveness of district health system governance structures: perspectives from a South African province.Health research policy and systems · 2023Article
- The Effect of Ecological Management on Regional Health Inequality.International journal of environmental research and public health · 2023Article
- Air pollution effects on adult mortality rate in developing countries.Environmental science and pollution research international · 2021Article
- Linking political exposures to child and maternal health outcomes: a realist review.BMC public health · 2021Review
- Country perspectives on improving technical assistance in the health sector.Gates open research · 2021Article
- COVID-19 Outbreak, Mitigation, and Governance in High Prevalent Countries.Annals of global health · 2020Article
- Anti-corruption, transparency and accountability in health: concepts, frameworks, and approaches.Global health action · 2020Review
- Governance commitment to reduce maternal mortality. A political determinant beyond the wealth of the countries.Health & place · 2019Article
- Good governance, public health expenditures, urbanization and child undernutrition Nexus in Ethiopia: an ecological analysis.BMC health services research · 2019Article
- Lenses and levels: the why, what and how of measuring health system drivers of women's, children's and adolescents' health with a governance focus.BMJ global health · 2019Review
- Article
- A survey of the governance capacity of national public health associations to enhance population health.BMC public health · 2016Article
- Quality of governance, public spending on health and health status in Sub Saharan Africa: a panel data regression analysis.BMC public health · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGovernance of a country may have widespread effects on the health of its population, yet little is known about the effect of governance on child mortality in a country that is undergoing urbanization, economic development, and disease control.
methodsWe obtained indicators of six dimensions of governance (perceptions of voice and accountability, political stability and absence of violence, government effectiveness, regulatory quality, rule of law, and control of corruption) and national under-5 mortality rates for 149 countries between 1996 and 2010. We applied a semi-parametric generalized additive mixed model to examine associations after controlling for the effects of development factors (urbanization level and economy), disease control factors (hygienic conditions and vaccination rates), health expenditures, air quality, and time.
resultsGovernance, development, and disease control showed clear inverse relations with the under-5 mortality rate (p<0.001). Per unit increases in governance, development, and disease control factors, the child mortality rate had a 0.901-, 0.823-, and 0.922-fold decrease, respectively, at fixed levels of the other two factors.
conclusionsIn the effort to reduce the global under-5 mortality rate, addressing a country's need for better governance is as important as improvements in development and disease control.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.