Factors Contributing to Maternal and Child Mortality Reductions in 146 Low- and Middle-Income Countries between 1990 and 2010

PloS One
David BishaiJulian Schweitzer

Abstract

From 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. This 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. The 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 aggrega...Continue Reading

References

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Citations

May 6, 2016·Bulletin of the World Health Organization·Shyama KuruvillaAnthony Costello
Feb 15, 2017·Archives of Disease in Childhood·B Williams, S Taylor
Aug 23, 2018·Health Promotion Practice·Dale Ainsworth, Julie A Chesley
Sep 15, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Manarangi De SilvaRoxanne Hastie
May 8, 2018·Reviews on Environmental Health·Yahaya YakubuEmilia Zainal Abidin
Feb 6, 2020·Frontiers in Public Health·Asharaf Abdul Salam, Rshood M Al-Khraif
Mar 20, 2019·Human Resources for Health·Siyuan LiangQingyue Meng
Mar 7, 2020·BMJ Global Health·Agbessi AmouzouUNKNOWN Countdown 2030 Coverage Technical Working Group
Nov 2, 2019·Bulletin of the World Health Organization·Bernadette Ann-Marie O'Hare
Jun 13, 2017·Bulletin of the World Health Organization·Barbara MadajNynke van den Broek
Nov 13, 2020·Bulletin of the World Health Organization·Luke N AllenJonny Currie
Jan 30, 2019·Lancet·Rocco FriebelKalipso Chalkidou
May 7, 2021·Epidemiology and Health·Franklin Barbosa da SilvaPaulo Frazão
Jul 30, 2021·Global Health Action·Kathleen L StrongRalf Weigel
Aug 14, 2021·Nursing Open·Sakineh Ghasemi YngykndMojgan Mirghafourvand

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Software Mentioned

nldecompose
Stata
IGME

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