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Equitable child health interventions: The impact of improved water and sanitation on inequalities in child mortality in Stockholm, 1878 to 1925

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  • Burström, B.
  • Macassa, G.
  • Öberg, L.
  • Bernhardt, E.
  • Smedman, L.

Abstract

Today, many of the 10 million childhood deaths each year are caused by diseases of poverty - diarrhea and pneumonia, for example, which were previously major causes of childhood death in many European countries. Specific analyses of the historical decline of child mortality may shed light on the potential equity impact of interventions to reduce child mortality. In our study of the impact of improved water and sanitation in Stockholm from 1878 to 1925, we examined the decline in overall and diarrhea mortality among children, both in general and by socioeconomic group. We report a decline in overall mortality and of diarrhea mortality and a leveling out of socioeconomic differences in child mortality due to diarrheal diseases, but not of overall mortality. The contribution of general and targeted policies is discussed.

Suggested Citation

  • Burström, B. & Macassa, G. & Öberg, L. & Bernhardt, E. & Smedman, L., 2005. "Equitable child health interventions: The impact of improved water and sanitation on inequalities in child mortality in Stockholm, 1878 to 1925," American Journal of Public Health, American Public Health Association, vol. 95(2), pages 208-216.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2003.034900_2
    DOI: 10.2105/AJPH.2003.034900
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    Cited by:

    1. Kosec, Katrina, 2014. "The child health implications of privatizing africa's urban water supply," Journal of Health Economics, Elsevier, vol. 35(C), pages 1-19.
    2. Kosec, Katrina, 2013. "The child health implications of privatizing Africa’s urban water supply:," IFPRI discussion papers 1269, International Food Policy Research Institute (IFPRI).
    3. Martin Dribe & Omar Karlsson, 2022. "Inequality in early life: Social class differences in childhood mortality in southern Sweden, 1815–1967," Economic History Review, Economic History Society, vol. 75(2), pages 475-502, May.
    4. David M Bishai & Robert Cohen & Y Natalia Alfonso & Taghreed Adam & Shyama Kuruvilla & Julian Schweitzer, 2016. "Factors Contributing to Maternal and Child Mortality Reductions in 146 Low- and Middle-Income Countries between 1990 and 2010," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-13, January.
    5. Joseph Molitoris, 2017. "Disparities in death: Inequality in cause-specific infant and child mortality in Stockholm, 1878‒1926," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 36(15), pages 455-500.

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