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What has driven the decline of infant mortality in Kenya ?

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  • Demombynes, Gabriel
  • Trommlerova, Sofia Karina

Abstract

Substantial declines in infant and under-5 mortality have taken place in recent years in many countries in Sub-Saharan Africa. Kenya's infant mortality rate has fallen by 7.6 percent per year, the fastest rate of decline among the 20 countries in the region for which recent Demographic and Health Survey data is available. Kenya's rate of postneonatal deaths per 1,000 live births fell by more than half over a five-year period, dropping from 47 to 22, as measured using data from the 2003 and 2008-09 Demographic and Health Surveys. Among the possible causes of the decline are various targeted new public health initiatives and improved access to water and sanitation. A Oaxaca-Blinder decomposition using Demographic and Health Survey data shows that the increased ownership of insecticide-treated bednets in endemic malaria zones explains 39 percent of the decline in postneonatal mortality and 58 percent of the decline in infant mortality. Changes in other observable candidate factors do not explain substantial portions of the decline. The portion of the decline not explained may be associated with generalized trends such as the overall improvement in living standards that has taken place with economic growth. The widespread ownership of insecticide-treated bednets in areas of Kenya where malaria is rare suggests that better targeting of insecticide-treated bednet provision programs could improve the cost-effectiveness of such programs.

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Bibliographic Info

Paper provided by The World Bank in its series Policy Research Working Paper Series with number 6057.

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Date of creation: 01 May 2012
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Handle: RePEc:wbk:wbrwps:6057

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Keywords: Population Policies; Health Monitoring&Evaluation; Early Child and Children's Health; Adolescent Health; Disease Control&Prevention;

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  1. Nava Ashraf & Günther Fink & David N. Weil, 2014. "Evaluating the Effects of Large Scale Health Interventions in Developing Countries: The Zambian Malaria Initiative," NBER Chapters, in: African Successes: Human Capital National Bureau of Economic Research, Inc.
  2. Ben Jann, 2008. "A Stata implementation of the Blinder-Oaxaca decomposition," ETH Zurich Sociology Working Papers 5, ETH Zurich, Chair of Sociology, revised 14 May 2008.
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  1. Les liens du 11 mai 2012
    by jcbriquet in Ressources pour économistes on 2012-05-11 11:17:16
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Cited by:
  1. Lant Pritchett, Charles Kenny, 2013. "Promoting Millennium Development Ideals: The Risks of Defining Development Down-Working Paper 338," Working Papers 338, Center for Global Development.
  2. von Grebmer, Klaus & Headey, Derek & Bene, Christophe & Haddad, Lawrence & Olofinbiyi, Tolulope & Wiesmann, Doris & Fritschel, Heidi & Yin, Sandra & Yohannes, Yisehac & Foley, Connell & von Oppeln, Co, 2013. "Indice globale della fame: La sfida della fame 2013: Sviluppare la resilienza delle comunita per la sicurezza alimentare e nutrizionale," IFPRI books, International Food Policy Research Institute (IFPRI), number 978-0-89629-954-2 edited by von Oppeln, Constanze & Labahn, Marius & Towey, Olive & von Grebmer, Klaus.
  3. Nwaobi, Godwin, 2014. "Inequality,Poverty and Hunger in Developing Countries: Sustainability Implications," MPRA Paper 53962, University Library of Munich, Germany.
  4. von Grebmer, Klaus & Ringler, Claudia & Rosegrant, Mark W. & Olofinbiyi, Tolulope & Wiesmann, Doris & Fritschel, Heidi & Badiane, Ousmane & Torero, Maximo & Yohannes, Yisehac & Thompson, Jennifer & vo, 2012. "2012 Global hunger index: The challenege of hunger: ensuring sustainable food security under land, water, and energy stresses," Issue briefs 70, International Food Policy Research Institute (IFPRI).
  5. von Grebmer, Klaus & Ringler, Claudia & Rosegrant, Mark W. & Olofinbiyi, Tolulope & Wiesmann, Doris & Fritschel, Heidi & Badiane, Ousmane & Torero, Maximo & Yohannes, Yisehac & Thompson, Jennifer & vo, 2012. "2012 Indice de la faim dans le monde:: Relever le defi de la faim: Assurer une sécurité alimentaire durable dan un monde sous contraintes en eau, en énergie et en terres," IFPRI books, International Food Policy Research Institute (IFPRI), number 2012 GHI French.
  6. von Grebmer, Klaus & Headey, Derek & Bene, Christophe & Haddad, Lawrence & Olofinbiyi, Tolulope & Wiesmann, Doris & Fritschel, Heidi & Yin, Sandra & Yohannes, Yisehac & Foley, Connell & von Oppeln, Co, 2013. "2013 Global Hunger Index: The challenge of hunger: Building resilience to achieve food and nutrition security," Issue briefs 9780896298330, International Food Policy Research Institute (IFPRI).
  7. repec:fpr:export:2012ghifrench is not listed on IDEAS
  8. von Grebmer, Klaus & Ringler, Claudia & Rosegrant, Mark W. & Olofinbiyi, Tolulope & Wiesmann, Doris & Fritschel, Heidi & Badiane, Ousmane & Torero, Maximo & Yohannes, Yisehac & Thompson, Jennifer & vo, 2012. "2012 Indice de la faim dans le monde:: Relever le defi de la faim: Assurer une sécurité alimentaire durable dan un monde sous contraintes en eau, en énergie et en terres," Research reports 2012ghifrench, International Food Policy Research Institute (IFPRI).
  9. Aksan, Anna-Maria & Chakraborty, Shankha, 2013. "Twin Transitions," MPRA Paper 49929, University Library of Munich, Germany.
  10. Li, Jun, 2013. "Foreign aid, urbanization and green cities," Working Paper Series UNU-WIDER Research Paper , World Institute for Development Economic Research (UNU-WIDER).
  11. repec:fpr:ifprib:2012ghifrench is not listed on IDEAS
  12. Pritchett, Lant & Kenny, Charles, 2013. "Promoting Millennium Development Ideals: The Risks of Defining Development Down," Working Paper Series rwp13-033, Harvard University, John F. Kennedy School of Government.
  13. repec:fpr:ifprib:2012ghienglish is not listed on IDEAS
  14. von Grebmer, Klaus & Headey, Derek & Bene, Christophe & Haddad, Lawrence & Olofinbiyi, Tolulope & Wiesmann, Doris & Fritschel, Heidi & Yin, Sandra & Yohannes, Yisehac & Foley, Connell & von Oppeln, Co, 2013. "2013 Welthunger-Index: Herausforderung Hunger: Widerstandsfahigkeit starken Ernahrung sichern," IFPRI books, International Food Policy Research Institute (IFPRI), number 978-0-89629-835-4 edited by von Oppeln, Constanze & Labahn, Marius & Towey, Olive & von Grebmer, Klaus.
  15. Michael Clemens, Gabriel Demombynes, 2013. "The New Transparency in Development Economics: Lessons from the Millennium Villages Controversy," Working Papers 342, Center for Global Development.

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