The Complementarity of MDG Achievements : The Case of Child Mortality in Sub-Saharan Africa

Lay, Jann; Robilliard, Anne-Sophie

dc.creator	Lay, Jann
dc.creator	Robilliard, Anne-Sophie
dc.date	2012-03-19T19:12:39Z
dc.date	2012-03-19T19:12:39Z
dc.date	2009-09-09
dc.date.accessioned	2023-02-18T19:37:32Z
dc.date.available	2023-02-18T19:37:32Z
dc.identifier	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20090923134848
dc.identifier	http://hdl.handle.net/10986/4253
dc.identifier.uri	http://localhost:8080/xmlui/handle/CUHPOERS/249753
dc.description	This paper analyzes complementarities between different Millennium Development Goals, focusing on child mortality and how it is influenced by progress in the other goals, in particular two goals related to the expansion of female education: universal primary education and gender equality in education. The authors provide evidence from eight Sub-Saharan African countries using two rounds of Demographic and Health Surveys per country and applying a consistent micro-econometric methodology. In contrast to the mixed findings of previous studies, for most countries the findings reveal strong complementarities between mothers educational achievement and child mortality. Mothers schooling lifts important demand-side constraints impeding the use of health services. Children of mothers with primary education are much more likely to receive vaccines, a crucial proximate determinant of child survival. In addition, better educated mothers tend to have longer birth intervals, which again increase the chances of child survival. For the variables related to the other goals, for example wealth proxies and access to safe drinking water, the analysis fails to detect significant effects on child mortality, a finding that may be related to data limitations. Finally, the study carries out a set of illustrative simulations to assess the prospects of achieving a reduction by two-thirds in the under-five mortality rate. The findings indicate that some countries, which have been successful in the past, seem to have used their policy space for fast progress in child mortality, for example by extending vaccination coverage. This is the main reason why future achievements will be more difficult and explains why the authors have a fairly pessimistic outlook.
dc.language	English
dc.relation	Paper is funded by the Knowledge for Change Program (KCP),Policy Research working paper ; no. WPS 5062
dc.rights	CC BY 3.0 IGO
dc.rights	http://creativecommons.org/licenses/by/3.0/igo/
dc.rights	World Bank
dc.subject	ACCESSIBILITY OF HEALTH SERVICES
dc.subject	AGED
dc.subject	ALLOCATION OF RESOURCES
dc.subject	BASIC HEALTH SERVICES
dc.subject	BIRTH SPACING
dc.subject	BIRTHS
dc.subject	BREASTFEEDING
dc.subject	CHANCES OF SURVIVAL
dc.subject	CHILD CARE
dc.subject	CHILD DEATH
dc.subject	CHILD HEALTH
dc.subject	CHILD HEALTH CARE
dc.subject	CHILD IMMUNIZATION
dc.subject	CHILD LABOR
dc.subject	CHILD MORTALITY
dc.subject	CHILD MORTALITY ESTIMATES
dc.subject	CHILD MORTALITY RATE
dc.subject	CHILD MORTALITY RATES
dc.subject	CHILD REARING
dc.subject	CHILD SURVIVAL
dc.subject	CHILDHOOD
dc.subject	CHILDHOOD DISEASES
dc.subject	CHILDHOOD MORTALITY
dc.subject	COMMUNITY HEALTH
dc.subject	DEMOGRAPHIC FACTORS
dc.subject	DEPENDENCY RATIO
dc.subject	DEVELOPMENT STRATEGIES
dc.subject	DIARRHEA
dc.subject	DIET
dc.subject	DIPHTHERIA
dc.subject	ECONOMIC STATUS
dc.subject	EDUCATED MOTHERS
dc.subject	EDUCATION OF WOMEN
dc.subject	EDUCATIONAL ATTAINMENT
dc.subject	EPIDEMIC
dc.subject	ETHNIC GROUP
dc.subject	ETHNIC GROUPS
dc.subject	EXERCISES
dc.subject	FEMALE EDUCATION
dc.subject	FERTILITY
dc.subject	FERTILITY REGULATION
dc.subject	FEWER HOUSEHOLDS
dc.subject	FOOD PREPARATION
dc.subject	GENDER
dc.subject	GENDER EQUALITY
dc.subject	GIRLS
dc.subject	HEALTH CENTERS
dc.subject	HEALTH FACILITIES
dc.subject	HEALTH FACILITY
dc.subject	HEALTH INFRASTRUCTURE
dc.subject	HEALTH OUTCOMES
dc.subject	HEALTH POLICY
dc.subject	HEALTH SECTOR
dc.subject	HEALTH SERVICES
dc.subject	HEALTH SYSTEM
dc.subject	HIV
dc.subject	HIV/AIDS
dc.subject	HOUSEHOLD INCOME
dc.subject	HOUSEHOLD LEVEL
dc.subject	HOUSEHOLD SIZE
dc.subject	HYGIENE
dc.subject	ILLNESS
dc.subject	IMMUNIZATION
dc.subject	IMMUNIZATION COVERAGE
dc.subject	INCOME-GENERATING ACTIVITIES
dc.subject	INFANCY
dc.subject	INFANT
dc.subject	INFANT DEATH
dc.subject	INFANT MORTALITY
dc.subject	INFECTION
dc.subject	INFECTIONS
dc.subject	INJURIES
dc.subject	INTERVENTION
dc.subject	IRON
dc.subject	LEVELS OF CHILD MORTALITY
dc.subject	LONGER BIRTH INTERVALS
dc.subject	LOW-INCOME COUNTRIES
dc.subject	MALARIA
dc.subject	MALARIA PROPHYLAXIS
dc.subject	MALNUTRITION
dc.subject	MATERIAL RESOURCES
dc.subject	MATERIAL WEALTH
dc.subject	MATERNAL FACTORS
dc.subject	MATERNAL HEALTH
dc.subject	MEASLES
dc.subject	MIGRANTS
dc.subject	MILLENNIUM DEVELOPMENT GOALS
dc.subject	MODERN HEALTH
dc.subject	MORTALITY DIFFERENTIALS
dc.subject	MORTALITY LEVELS
dc.subject	MORTALITY RATE
dc.subject	MORTALITY REDUCTION
dc.subject	MORTALITY REDUCTIONS
dc.subject	MORTALITY RISK
dc.subject	MOTHER
dc.subject	NATIONAL LEVELS
dc.subject	NURSE
dc.subject	NUTRITION
dc.subject	NUTRITION OUTCOMES
dc.subject	NUTRITIONAL REQUIREMENTS
dc.subject	NUTRITIONAL STATUS
dc.subject	OLDER CHILDREN
dc.subject	POLICY CHANGE
dc.subject	POLICY RESEARCH
dc.subject	POLICY RESEARCH WORKING PAPER
dc.subject	POLIO
dc.subject	POPULATION GROWTH
dc.subject	PREGNANCY
dc.subject	PRENATAL CARE
dc.subject	PREVENTIVE HEALTH
dc.subject	PREVENTIVE HEALTH CARE
dc.subject	PRIMARY SCHOOL
dc.subject	PRIMARY SCHOOLING
dc.subject	PROGRESS
dc.subject	PROPHYLAXIS
dc.subject	PUBLIC HEALTH
dc.subject	PUBLIC HEALTH SERVICES
dc.subject	PUBLIC SERVICES
dc.subject	PUBLIC TAPS
dc.subject	QUALITATIVE APPROACH
dc.subject	RACIAL INEQUITIES
dc.subject	RADIO
dc.subject	REPRODUCTIVE BEHAVIOR
dc.subject	REPRODUCTIVE CHOICES
dc.subject	RESOURCE REQUIREMENTS
dc.subject	RESPECT
dc.subject	RICHER COUNTRIES
dc.subject	RURAL AREAS
dc.subject	RURAL POPULATION
dc.subject	SAFE DRINKING WATER
dc.subject	SAFE WATER
dc.subject	SANITATION
dc.subject	SECONDARY EDUCATION
dc.subject	SERVICE UTILIZATION
dc.subject	SOCIAL NORMS
dc.subject	TELEVISION
dc.subject	TETANUS
dc.subject	TUBERCULOSIS
dc.subject	UNEDUCATED MOTHERS
dc.subject	UNEDUCATED WOMEN
dc.subject	UNIVERSAL IMMUNIZATION
dc.subject	UNIVERSAL PRIMARY EDUCATION
dc.subject	URBAN AGGLOMERATIONS
dc.subject	URBAN AREAS
dc.subject	URBAN BIAS
dc.subject	URBAN MIGRATION
dc.subject	USE OF HEALTH SERVICES
dc.subject	USER FEES
dc.subject	VACCINATION
dc.subject	VACCINES
dc.subject	WHOOPING COUGH
dc.subject	YOUNG MOTHERS
dc.title	The Complementarity of MDG Achievements : The Case of Child Mortality in Sub-Saharan Africa
dc.type	Publications & Research :: Policy Research Working Paper
dc.type	Publications & Research
dc.coverage	Africa
dc.coverage	Africa
dc.coverage	Africa