Successes and Failures in the Fight against Child Mortality in Sub-Saharan Africa: Lessons from Senegal
AbstractChild mortality has declined in Sub-Saharan Africa over the last 60 years but the decrease has not been regular: it has accelerated over some periods, as during the last decade, and slowed down in others. This is not solely attributable to HIV/AIDS. This paper examines in detail the trends observed in Senegal, an example of a country with low HIV prevalence but where trends in mortality have resembled those of the whole region. Both national and local level data are used, in particular the data on mortality and causes of deaths produced by the demographic surveillance systems (DSS) in the three rural areas of Bandafassi, Mlomp and Niakhar. Although Senegal experienced an appreciable fall in under-five mortality from the end of World War II, the country experienced a fifteen year stagnation in child mortality in the late 1980s and 1990s. This halt was due to a slowdown in vaccination efforts and a resurgence of malaria mortality linked to the spread of chloroquine resistance. The decrease in malaria and other infectious diseases thanks to renewed vaccination efforts and investment in anti-malaria programmes appears to be the main factor responsible for the return to a very rapid decline in under-five mortality observed during the 2000s.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Institut National d'Études Démographiques (INED) in its series Working Papers with number 195.
Date of creation: 2013
Date of revision:
Contact details of provider:
Postal: 133 boulevard Davout, 75980 PARIS CEDEX 20
Phone: 33 1 56 06 20 00
Fax: 33 1 56062229
Web page: http://www.ined.fr/fr/ressources_documentation/publications/documents_travail/
More information through EDIRC
This paper has been announced in the following NEP Reports:
- NEP-AFR-2013-06-30 (Africa)
- NEP-AGR-2013-06-30 (Agricultural Economics)
- NEP-ALL-2013-06-30 (All new papers)
- NEP-DEM-2013-06-30 (Demographic Economics)
- NEP-DEV-2013-06-30 (Development)
- NEP-HEA-2013-06-30 (Health Economics)
You can help add them by filling out this form.
reading list or among the top items on IDEAS.Access and download statisticsgeneral information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Ined).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.