Child health outcomes in sub-Saharan Africa: A comparison of changes in climate and socio-economic factors

2017 ◽  
Vol 46 ◽  
pp. 72-87 ◽  
Author(s):  
Frank Davenport ◽  
Kathryn Grace ◽  
Chris Funk ◽  
Shraddhanand Shukla
2016 ◽  
Vol 9 (1) ◽  
pp. 187 ◽  
Author(s):  
Oluwatomisin M. Ogundipe ◽  
Oluranti I. Olurinola ◽  
Adeyemi A. Ogundipe

The study investigates the role of health interventions on child health in developing Africa for the period 1990-2013 using a dynamic panel approach. Among others, the study examines the effect of millennium development intervention programme on child health outcomes. Our analysis reveals MDG intervention as extremely pertinent in reducing the incidence of child mortality in Africa. It implies that introduction of MDGs culminates into increasing the rate of child survival in Africa. Similarly, maternal literacy, maternal health and other child protective measures adopted were found to be statistically significant in improving child health outcomes. The proportion of under-five mortality (proxy for child health) responds more strongly and negatively to immunization coverage, exclusive breastfeeding and DPT vaccines. On the other hand, the quality of institution contributively impact under-five mortality in Africa. Finally, there is need to strengthen institutional arrangement, ensure compulsory basic education for women and strengthen the health system to achieve full packages of intervention, curtain the rising incidence of child deaths and attain the MDGs.


Energies ◽  
2021 ◽  
Vol 15 (1) ◽  
pp. 144
Author(s):  
Peter Msumali Rogers ◽  
Mathias Fridahl ◽  
Pius Yanda ◽  
Anders Hansson ◽  
Noah Pauline ◽  
...  

Biochar may contribute to both agricultural productivity and atmospheric carbon dioxide removal. However, despite the many potential upsides of adding biochar to amend carbon-depleted soils in sub-Saharan Africa, deployment is largely lacking. This paper explores the socio-economic factors that can explain tendencies to avoid action. Based on a survey of 172 farming households, key informant interviews, and focus group discussions in the Mbeya and Songwe regions of Tanzania, which were targeted for a biochar aid program in 2014, several socio-economic drivers behind the continued use of biochar deployment were identified in this follow-up study. A key deployment driver was the increased crop yields, perceived to be the result of adding biochar to soils, increasing yields from 1 metric ton per hectare to 3 metric tons per hectare. Food security and family income were cited as the main reasons to engage in biochar production and use. Climate change mitigation and increased resilience were other key reasons that motivated adoption. In terms of socio-economic factors, farmers with low education and income, the majority being males aged 40–60 years, contributed to low adoption rates in the study area. Respondents often cited the alternative usage of biochar feedstocks, lack of government involvement or extension services, traditions, and farming customs as the main constraints limiting biochar deployment.


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262688
Author(s):  
Sunday A. Adedini ◽  
Sunday Matthew Abatan ◽  
Adesoji Dunsin Ogunsakin ◽  
Christiana Alake Alex-Ojei ◽  
Blessing Iretioluwa Babalola ◽  
...  

Context Considering the persistent poor maternal and child health outcomes in sub-Saharan Africa (SSA), this study undertook a comparative analysis of the timing and adequacy of antenatal care uptake between women (aged 20–24 years) who married before age 18 and those who married at age 18 or above. Method Data came from Demographic and Health Surveys of 20 SSA countries. We performed binary logistic regression analysis on pooled data of women aged 20–24 (n = 33,630). Results Overall, the percentage of child brides in selected countries was 57.1%, with the lowest prevalence found in Rwanda (19.1%) and the highest rate in Chad (80.9%). Central and West African countries had the highest prevalence of child marriage compared to other sub-regions. Bivariate results indicate that a lower proportion of child brides (50.0%) had 4+ ANC visits compared to the adult brides (60.9%) and a lower percentage of them (34.0%) initiated ANC visits early compared to the adult brides (37.5%). After controlling for country of residence and selected socio-economic and demographic characteristics, multivariable results established significantly lower odds of having an adequate/prescribed number of ANC visits among women who married before age 15 (OR: 0.63, CI: 0.57–0.67, p<0.001), and women who married at ages 15–17 (OR: 0.81, CI: 0.75–0.84, p<0.001) compared to those who married at age 18+. Similar results were established between age at first marriage and timing of first ANC visit. Other interesting results emerged that young women who married earlier than age 18 and those who married at age 18+ differ significantly by several socio-economic and demographic characteristics. Conclusion Efforts to improve maternal and child health outcomes in SSA must give attention to address the underutilization and late start of antenatal care uptake among child brides.


2016 ◽  
Vol 43 (12) ◽  
pp. 1386-1399 ◽  
Author(s):  
Ashiabi Nicholas ◽  
Nketiah-Amponsah Edward ◽  
Senadza Bernardin

Purpose The purpose of this paper is to investigate the effect of public and private health expenditures on selected maternal-child health outcomes in Sub-Saharan Africa (SSA). Design/methodology/approach The study utilizes panel data on 40 SSA countries spanning the period 2000-2010. The data are analyzed using the fixed effects estimation technique. Findings The results indicate that public health expenditure is inversely and significantly related to infant (IMRR) and under-five (U5MR) mortalities in SSA. Though public health expenditure has the a priori negative sign, it has no significant effect on maternal mortality (MMR) in SSA. Further, private health expenditure did not prove to be significant in improving maternal-child health outcomes (IMRR, U5MR and MMR) in SSA. Practical implications The implication of the findings is that a percentage point increase in public health expenditure (as a share of GDP) across the region will result in saving the lives of about 7,040 children every year. Hence, it is important for governments in SSA to increase their shares of health expenditure (public health expenditure) in order to achieve improved health outcomes. Originality/value Previous studies have not adequately explored the effect of various components of health expenditures – public and private – on health outcomes in the context of SSA. In addition to the focus on maternal-child health variables such as infant, under-five and maternal mortalities, the study accounts for the possibility of a non-linear and non-monotonic relationship between healthcare expenditures and health outcomes.


Author(s):  
Karin Stenberg ◽  
Rory Watts ◽  
Melanie Y. Bertram ◽  
Kaia Engesveen ◽  
Blerta Maliqi ◽  
...  

Background: Information on cost-effectiveness allows policy-makers to evaluate if they are using currently available resources effectively and efficiently. Our objective is to examine the cost-effectiveness of health interventions to improve maternal, newborn and child health (MNCH) outcomes, to provide global evidence relative to the context of two geographic regions. Methods: We consider interventions across the life course from adolescence to pregnancy and for children up to 5 years old. Interventions included are those that fall within the areas of immunization, child healthcare, nutrition, reproductive health, and maternal/newborn health, and for which it is possible to model impact on MNCH mortality outcomes using the Lives Saved Tool (LiST). Generalized cost-effectiveness analysis (GCEA) was used to derive average cost-effectiveness ratios (ACERs) for individual interventions and combinations (packages). Costs were assessed from the health system perspective and reported in international dollars. Health outcomes were estimated and reported as the gain in healthy life years (HLYs) due to the specific intervention or combination. The model was run for 2 regions: Eastern sub-Saharan Africa (SSA-E) and South-East Asia (SEA). Results: The World Health Organization (WHO) recommended interventions to improve MNCH are generally considered cost-effective, with the majority of interventions demonstrating ACERs below I$100/HLY saved in the chosen settings (low-and middle-income countries [LMICs]). Best performing interventions are consistent across the two regions, and include family planning, neonatal resuscitation, management of pneumonia and neonatal infection, vitamin A supplementation, and measles vaccine. ACERs below I$100 can be found across all delivery platforms, from community to hospital level. The combination of interventions into packages (such as antenatal care) produces favorable ACERs. Conclusion: Within each region there are interventions which represent very good value for money. There are opportunities to gear investments towards high-impact interventions and packages for MNCH outcomes. Cost-effectiveness tools can be used at national level to inform investment cases and overall priority setting processes.


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