ArticleBMJ open2019
Testing the socioeconomic and environmental determinants of better child-health outcomes in Africa: a cross-sectional study among nations.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.
What it found
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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.
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Who cites it
7 citing papers in PubMed.
- Association between the rule of law and health-related sustainable development goals: an ecological study.BMC public health · 2025Article
- Article
- Lower infant mortality, higher household size, and more access to contraception reduce fertility in low- and middle-income nations.PloS one · 2023Article
- Wealth inequalities in reproductive and child health preventive care in Mozambique: a decomposition analysis.Global health action · 2022Article
- Household Microenvironment and Under-Fives Health Outcomes in Uganda: Focusing on Multidimensional Energy Poverty and Women Empowerment Indices.International journal of environmental research and public health · 2022Article
- Biomass fuel use and birth weight among term births in Nigeria.PLOS global public health · 2022Article
- The Role of African Nurse Diaspora in Addressing Public Health Priorities in Africa.Global qualitative nursing researchArticle
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe sought to test hypotheses regarding the principal correlates of child-health performance among African nations based on previous evidence collected at finer spatial scales.
designRetrospective, cross-sectional study.
settingAll countries in Africa, excluding small-island nations. PRIMARY AND SECONDARY OUTCOME MEASURES: We defined a composite child-health indicator for each country comprising the incidence of stunting, deaths from respiratory disease, deaths from diarrhoeal disease, deaths from other infectious disease and deaths from injuries for children aged under 5 years. We also compiled national-level data for Africa to test the effects of country-level water quality, air pollution, food supply, breast feeding, environmental performance, per capita wealth, healthcare investment, population density and governance quality on the child-health indicator.
resultsAcross nations, child health was lowest when water quality, improved sanitation, air quality and environmental performance were lowest. There was also an important decline in child health as household size (a proxy for population density) increased. The remaining variables had only weak effects, but in the directions we hypothesised.
conclusionsThese results emphasise the importance of continued investment in clean water and sanitation services, measures to improve air quality and efforts to restrict further environmental degradation, to promote the UN's Sustainable Development Goal 3 target to '… end preventable deaths of newborns and children under 5' and Goal 6 to '… ensure access to water and sanitation for all' by 2030.
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