Decomposing the rural-urban gap in the factors of under-five mortality in sub-Saharan Africa? Evidence from 35 countries
Open Access
- 20 May 2019
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 19 (1), 1-10
- https://doi.org/10.1186/s12889-019-6940-9
Abstract
BackgroundUnderstanding urban-rural gap in childhood survival is essential for health care interventions and to explain disparities in the determinants of Under-5 mortality. There is dearth of information about the factors explaining differentials in urban-rural Under-5 mortality especially in sub-Saharan Africa (SSA). In this study, we sought to quantify the contributions of bio-demographic, socioeconomic and proximate factors in explaining the urban-rural gap in Under-5 mortality in SSA.MethodsThis study utilized secondary data from Demographic and Health Survey (DHS) in 35 sub-Saharan countries conducted between 2006 and 2016. Child (aged 0 and 59months) death was the outcome variable in this study. Oaxaca-Blinder decomposition was used to decipher urban-rural gap in the factors of Under-5 mortality.ResultsSignificant urban-rural differentials were observed in Under-5 mortality across bio-demographic, socioeconomic and proximate factors. In the decomposition model, about 44.27% of urban group and 74.71% of rural group had Under-5 mortality in sub-Saharan countries. Maternal age, education, use of newspaper, TV, wealth index, total children ever born, size of baby and age at first birth contributed towards explaining urban-rural gap inUnder-5 mortality.ConclusionThese findings could be contributory to health care system improvement and socioeconomic developmental plans to address under-5 mortality in SSA. Strengthening maternal and child health (MCH) programmes, specifically in rural areas and improving health care services would help to ensure overall child survival.Keywords
This publication has 26 references indexed in Scilit:
- Neonatal mortality in Ethiopia: trends and determinantsBMC Public Health, 2013
- A commentary on studies presenting projections of the future prevalence of dementiaBMC Public Health, 2013
- BIRTH SPACING AND CHILD MORTALITY: AN ANALYSIS OF PROSPECTIVE DATA FROM THE NAIROBI URBAN HEALTH AND DEMOGRAPHIC SURVEILLANCE SYSTEMJournal of Biosocial Science, 2012
- Survival probability and predictors for woman experience childhood death in Nigeria: “analysis of north–south differentials”BMC Public Health, 2012
- Collinearity diagnostics of binary logistic regression modelJournal of Interdisciplinary Mathematics, 2010
- Progress towards the child mortality millennium development goal in urban sub-Saharan Africa: the dynamics of population growth, immunization, and access to clean waterBMC Public Health, 2007
- Cultural Diversity and Population Policy in NigeriaPopulation and Development Review, 2003
- Cultural and Social Factors Influencing Mortality Levels in Developing CountriesThe Annals of the American Academy of Political and Social Science, 1990
- An Analytical Framework for the Study of Child Survival in Developing CountriesPopulation and Development Review, 1984
- Male-Female Wage Differentials in Urban Labor MarketsInternational Economic Review, 1973