English  ✓

Français

Español

Rural-urban disparities in the health of children in Africa

Jacob A. Adetunji, U.S. Agency for International Development (USAID)

This paper investigates three research questions: Is the health of under-five children in rural Africa getting better or worse? Is the rural-urban gap in mortality among under-five children narrowing as urban poverty levels increase in the region? To what extent is the rural-urban health gap a function of socioeconomic differences between parents in rural and urban areas of Africa? DHS data from 18 sub-Saharan African countries were analyzed using multivariate and bivariate techniques. We found that the health of rural children is getting worse in most countries. Rural under-five mortality rates increased in half of the countries. Large rural-urban gaps in under-five mortality rates were found in all 18 countries studied. The urban advantage in childhood mortality is not disappearing over time: rural-urban gaps in under-five mortality widened in 10 countries and narrowed in five. Socioeconomic and behavioral factors account for much of the gap, but not in all countries.

  See extended abstract

Presented in Poster Session 4: Poster Session 4