ArticlePediatrics2014
Changes in child mortality over time across the wealth gradient in less-developed countries.
Article in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Reimagining global health scholarship to tackle health inequities.SSM - population health · 2024Article
- Evolution in key indicators of maternal and child health across the wealth gradient in 41 sub-Saharan African countries, 1986-2019.BMC medicine · 2024Article
- Better individual-level risk models can improve the targeting and life-saving potential of early-mortality interventions.Scientific reports · 2023Article
- Regional Differences, Dynamic Evolution and Convergence of Public Health Level in China.Healthcare (Basel, Switzerland) · 2023Article
- Joint distribution of child mortality and wealth across 30 sub-Saharan African countries over 2000-2019.Journal of global health · 2023Article
- Factors contributing to household wealth inequality in under-five deaths in low- and middle-income countries: decomposition analysis.BMC public health · 2022Article
- Complex Survival System Modeling for Risk Assessment of Infant Mortality Using a Parametric Approach.Computational and mathematical methods in medicine · 2022Article
- Potential contributions of an on-site nurse mentoring program on neonatal mortality reductions in rural Karnataka state, South India: evidence from repeat community cross-sectional surveys.BMC pregnancy and childbirth · 2020Article
- Women, children and adolescents in conflict countries: an assessment of inequalities in intervention coverage and survival.BMJ global health · 2020Article
- Have inequalities in all-cause and cause-specific child mortality between countries declined across the world?International journal for equity in health · 2019Article
- Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis.BMC public health · 2019Article
- Age distribution, trends, and forecasts of under-5 mortality in 31 sub-Saharan African countries: A modeling study.PLoS medicine · 2019Observational
- Good governance, public health expenditures, urbanization and child undernutrition Nexus in Ethiopia: an ecological analysis.BMC health services research · 2019Article
- Inequalities in early childhood mortality in Myanmar - Association between parents' socioeconomic status and early childhood mortality.Global health action · 2019Article
- A critical assessment of the ideological underpinnings of current practice in global health and their historical origins.Global health action · 2019Article
- Children's Environmental Health Indicators for Pacific Island Countries.International journal of environmental research and public health · 2018Review
- National and regional under-5 mortality rate by economic status for low-income and middle-income countries: a systematic assessment.The Lancet. Global health · 2018Article
- Article
- Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015.Lancet (London, England) · 2016Article
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Funding
Abstract
backgroundIt is unknown whether inequalities in under-5 mortality by wealth in low- and middle-income countries (LMICs) are growing or declining.
methodsAll Demographic and Health Surveys conducted between 2002 and 2012 were used to measure under-5 mortality trends in 3 wealth tertiles. Two approaches were used to estimate changes in under-5 mortality: within-survey changes from all 54 countries, and between-survey changes for 29 countries with repeated survey waves. The principal outcome measures include annual decline in mortality, and the ratio of mortality between the poorest and least-poor wealth tertiles.
resultsMortality information in 85 surveys from 929 224 households and 1 267 167 women living in 54 countries was used. In the subset of 29 countries with repeat surveys, mortality declined annually by 4.36, 3.36, and 2.06 deaths per 1000 live births among the poorest, middle, and least-poor tertiles, respectively (P = .031 for difference). The mortality ratio declined from 1.68 to 1.48 during the study period (P = .006 for trend). In the complete set of 85 surveys, the mortality ratio declined in 64 surveys (from 2.11 to 1.55), and increased in 21 surveys (from 1.58 to 1.88). Multivariate analyses suggest that convergence was associated with good governance (P ≤ .03 for 4 governance indicators: government effectiveness, rule of law, regulatory quality, and control of corruption).
conclusionsOverall, under-5 mortality in low- and middle-income countries has decreased faster among the poorest compared with the least poor between 1995 and 2012, but progress in some countries has lagged, especially with poor governance.
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