A tale of two continents: Infant death clustering in India and sub-Saharan Africa

نویسندگان

  • Nyovani Madise
  • Zoë Matthews
  • Alison Whitworth
چکیده

The reasons for death clustering within families and the mechanisms which give rise to the phenomena are of interest to researchers and policymakers. Multilevel discrete-time hazard models are fitted to data from 34 demographic and health surveys from India and Africa to estimate the magnitude of death clustering within families after adjusting for socio-economic and demographic factors. A further stage of the analysis relates death clustering with country-level social, economic, and development indicators. The results show that levels of death clustering are lower in India than in Africa with average intrafamily correlation coefficients of 0.01 in India and 0.05 in Africa. A positive association is found of death clustering with poverty, HIV prevalence, overall mortality and fertility, but the association with aggregate income and child under-nutrition is negative. Death clustering is higher in those Indian states with wider gender inequality in literacy. SRI Applications Working Paper A03/14 A tale of two continents: Infant death clustering in India and sub-Saharan Africa Nyovani Madise, Zoë Matthews and Alison Whitworth

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Is the Role of Physicians Really Evolving Due to Non-physician Clinicians Predominance in Staff Makeup in Sub-Saharan African Health Systems?; Comment on “Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians”

Health workforce shortages in Sub-Saharan Africa are widely recognized, particularly of physicians, leading the training and deployment of Non-physician clinicians (NPCs). The paper by Eyal et al provides interesting and legitimate viewpoints on evolving role of physicians in context of decisive increase of NPCss in Sub-Saharan Africa. Certainly, in short or mid-term, NPCs will continue to be a...

متن کامل

Non-physician Clinicians – A Gain for Physicians’ Working in Sub-Saharan Africa; Comment on “Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians”

The changing demands on the health sectors in low- and middle-income countries especially sub-Saharan African countries continue to challenge efforts to address critical shortages of the health workforce. Addressing these challenges have led to the evolution of “non-physician clinicians” (NPCs), that assume some physician roles and thus mitigate the continuing shortage of doctors in these count...

متن کامل

A New Generation of Physicians in Sub-Saharan Africa?; Comment on “Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians”

This commentary follows up on an editorial by Eyal and colleagues in which these authors discuss the implications of the emergence of non-physician clinicians (NPCs) on the health labour market for the education of medical doctors. We generally agree with those authors and we want to stress the importance of clarifying the terminology to describe these practitioners and of defining more formall...

متن کامل

Vaccinations of International Travellers From Greece to Sub-Saharan Africa

Introduction: The number of travellers from Greece who travel to sub-Saharan Africa has increased during the last decade. Our aim in this research was to study vaccination patterns for travellers travelling to sub-Saharan Africa.Methods: A cross-sectional study was conducted from January 2011 until December 2014 in all (57) public health departments in Gr...

متن کامل

Global Surgery – Informing National Strategies for Scaling Up Surgery in Sub-Saharan Africa

Surgery has the potential to address one of the largest, neglected burdens of disease in low- and middle-income countries (LMICs), especially in sub-Saharan Africa (SSA). The Lancet Commission on Global Surgery (LCoGS) has provided a blueprint for a systems approach to making safe emergency and elective surgery accessible and affordable and has started to enable African governments to develop n...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2003