IDEAS home Printed from https://ideas.repec.org/
MyIDEAS: Log in (now much improved!) to save this article

What has driven the decline of infant mortality in Kenya in the 2000s?

Listed author(s):
  • Demombynes, Gabriel
  • Trommlerová, Sofia Karina

Substantial declines in early childhood mortality have taken place in many countries in Sub-Saharan Africa. Kenya's infant mortality rate fell by 7.6 percent per year between 2003 and 2008, the fastest rate of decline among the 20 countries in the region for which recent Demographic and Health Survey (DHS) data are available. The average rate of decline across all 20 countries was 3.6 percent per year. Among the possible causes of the observed decline in Kenya is a large-scale campaign to distribute insecticide-treated bednets (ITN) which started in 2004. A Oaxaca–Blinder decomposition using DHS data shows that the increased ownership of bednets in endemic malaria zones explains 79 percent of the decline in infant mortality. Although the Oaxaca–Blinder method cannot identify causal effects, given the wide evidence basis showing that ITN usage can reduce malaria prevalence and the huge surge in ITN ownership in Kenya, it is likely that the decomposition results reflect at least in part a causal effect. The widespread ownership of ITNs in areas of Kenya where malaria is rare suggests that better targeting of ITN provision could improve the cost-effectiveness of such programs.

If 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.

File URL: http://www.sciencedirect.com/science/article/pii/S1570677X1500091X
Download Restriction: Full text for ScienceDirect subscribers only

As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

Article provided by Elsevier in its journal Economics & Human Biology.

Volume (Year): 21 (2016)
Issue (Month): C ()
Pages: 17-32

as
in new window

Handle: RePEc:eee:ehbiol:v:21:y:2016:i:c:p:17-32
DOI: 10.1016/j.ehb.2015.11.004
Contact details of provider: Web page: http://www.elsevier.com/locate/inca/622964

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:

as
in new window


  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, Volume II: Human Capital, pages 13-57 National Bureau of Economic Research, Inc.
  2. Vikram Pathania, 2014. "The Impact of Malaria Control on Infant Mortality in Kenya," Economic Development and Cultural Change, University of Chicago Press, vol. 62(3), pages 459-487.
  3. Foraita, Ronja & Klasen, Stephan & Pigeot, Iris, 2008. "Using graphical chain models to analyze differences in structural correlates of undernutrition in Benin and Bangladesh," Economics & Human Biology, Elsevier, vol. 6(3), pages 398-419, December.
  4. Oaxaca, Ronald, 1973. "Male-Female Wage Differentials in Urban Labor Markets," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 14(3), pages 693-709, October.
  5. Moradi, Alexander, 2010. "Nutritional status and economic development in sub-Saharan Africa, 1950-1980," Economics & Human Biology, Elsevier, vol. 8(1), pages 16-29, March.
  6. Demombynes, Gabriel & Trommlerova, Sofia Karina, 2012. "What has driven the decline of infant mortality in Kenya ?," Policy Research Working Paper Series 6057, The World Bank.
  7. Bhargava, Alok, 2013. "Iron status, malaria parasite loads and food policies: Evidence from sub-Saharan Africa," Economics & Human Biology, Elsevier, vol. 11(1), pages 108-112.
  8. 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.
  9. Adebayo, Samson B. & Fahrmeir, Ludwig & Klasen, Stephan, 2004. "Analyzing infant mortality with geoadditive categorical regression models: a case study for Nigeria," Economics & Human Biology, Elsevier, vol. 2(2), pages 229-244, June.
  10. Akachi, Yoko & Canning, David, 2010. "Health trends in Sub-Saharan Africa: Conflicting evidence from infant mortality rates and adult heights," Economics & Human Biology, Elsevier, vol. 8(2), pages 273-288, July.
Full references (including those not matched with items on IDEAS)

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

When requesting a correction, please mention this item's handle: RePEc:eee:ehbiol:v:21:y:2016:i:c:p:17-32. See general 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: (Dana Niculescu)

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.

This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.