ArticlePloS one2016
Factors Contributing to Maternal and Child Mortality Reductions in 146 Low- and Middle-Income Countries between 1990 and 2010.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 4 of them syntheses that pooled it.
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Who cites it
62 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A systematic review of individual and ecological determinants of maternal mortality in the world based on the income level of countries.BMC public health · 2022Pooled it
- A systematic review of social determinants of healthy lifestyle among Iranian women.Nursing open · 2021Pooled it
- Addressing social determinants of noncommunicable diseases in primary care: a systematic review.Bulletin of the World Health Organization · 2020Pooled it
- Effects of community health worker interventions on socioeconomic inequities in maternal and newborn health in low-income and middle-income countries: a mixed-methods systematic review.BMJ global health · 2019Pooled it
- Tracking the impact of maternal health service coverage on maternal mortality across 137 low- and middle-income countries in the progress toward Sustainable Development Goals.Journal of global health · 2026Article
- From knowledge accumulation to transformative action: research to catalyze progress on social determinants of health equity.International journal for equity in health · 2026Review
- Expanding budget space to improve health outcomes in low- and middle-income countries: what role for tax expenditures?Health policy and planning · 2026Article
- Infant mortality across EU health systems: heterogeneity encoding, fixed effects regression, and machine learning in a small macro panel.Frontiers in health services · 2026Article
- The maternal and child mortality in the Middle East and North Africa between 2000 and 2020: the role of health financing.Global health research and policy · 2025Article
- Economic and healthcare determinants of under-five mortality in low-income countries.BMC public health · 2025Article
- Official Development Assistance and Private Voluntary Support for Reproductive, Maternal, Neonatal, and Child Health in Guinea-Bissau: Assessing Trends and Effectiveness.Children (Basel, Switzerland) · 2025Article
- Does population density impact maternal and child health? Mediating effects of the Universal Health Coverage Service Coverage Index.BMC public health · 2025Article
- Applying group-based trajectory modeling to understand under-five mortality trends and determinants in low-and lower-middle income countries.Population health metrics · 2025Article
- Nursing and midwifery workforce expansion as a strategic lever to reduce maternal mortality: Global evidence and policy implications from an ecological study.AIMS public health · 2025Article
- Exploring the determinants of under-five mortality and morbidity from infectious diseases in Cambodia-a traditional and machine learning approach.Scientific reports · 2024Article
- Analysing the drivers of stunting reduction in twelve sub-saharan African countries using the RIF decomposition approach.BMC public health · 2024Article
- Article
- Care Beyond Newborn Survival Including Child Health and Early Childhood Development; Mental and Psychological Health.Indian journal of pediatrics · 2023Review
- Converging global health agendas and universal health coverage: financing whole-of-government action through UHC.The Lancet. Global health · 2023Review
- Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionFrom 1990-2010, worldwide child mortality declined by 43%, and maternal mortality declined by 40%. This paper compares two sources of progress: improvements in societal coverage of health determinants versus improvements in the impact of health determinants as a result of technical change.
methodsThis paper decomposes the progress made by 146 low- and middle-income countries (LMICs) in lowering childhood and maternal mortality into one component due to better health determinants like literacy, income, and health coverage and a second component due to changes in the impact of these health determinants. Health determinants were selected from eight distinct health-impacting sectors. Health determinants were selected from eight distinct health-impacting sectors. Regression models are used to estimate impact size in 1990 and again in 2010. Changes in the levels of health determinants were measured using secondary data.
findingsThe model shows that respectively 100% and 89% of the reductions in maternal and child mortality since 1990 were due to improvements in nationwide coverage of health determinants. The relative share of overall improvement attributable to any single determinant varies by country and by model specification. However, in aggregate, approximately 50% of the mortality reductions were due to improvements in the health sector, and the other 50% of the mortality reductions were due to gains outside the health sector.
conclusionsOverall, countries improved maternal and child health (MCH) from 1990 to 2010 mainly through improvements in the societal coverage of a broad array of health system, social, economic and environmental determinants of child health. These findings vindicate efforts by the global community to obtain such improvements, and align with the post-2015 development agenda that builds on the lessons from the MDGs and highlights the importance of promoting health and sustainable development in a more integrated manner across sectors.
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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.