IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0241049.html
   My bibliography  Save this article

Social inequality in infant mortality in Angola: Evidence from a population based study

Author

Listed:
  • Gebretsadik Shibre

Abstract

Introduction: Within country inequality in infant mortality poses a big challenge for countries moving towards the internationally agreed upon targets on child mortality by 2030. There is a lack of high-quality evidence on infant mortality measured through different dimensions of social inequality in Angola. Thus, this paper was carried out to address the knowledge gap by conducting in-depth examination of infant mortality rate (IMR) inequality among population subgroups to provide more nuanced evidence to help end IMR disparity in the country. Methods: The World Health Organization’s (WHO) Health Equity Assessment Toolkit (HEAT) was used to analyze IMR inequality. HEAT is a software application that facilitates examination of disparities in reproductive, maternal, neonatal and child health indicators using the WHO Health Equity Monitor (HEM) database. Inequality of IMR was analyzed through disaggregation by five equity stratifiers: education, wealth, gender, subnational region and residence. These were analyzed through three inequality measures: Population Attributable Risk, Ratio and Slope Index of Inequality. A 95% confidence Interval (CI) was built around point estimates to determine statistical significance. Results: A notable disadvantage was found for children born to poor (Population Attributable Risk (PAR): -27.0; -28.4, -26.0) and uneducated (PAR: -17.0; -17.9, -16.0), women who live in rural areas (PAR: -7.3;-7.8, -6.7) and those residing in certain regions of the country (PAR: -43.0; 45.3, -4). Male infants had a higher risk of death than female infants (PAR: -6.8;-7.5, -6.2). The subnational regional variation of IMR had been the most evident when compared with the disparities in the other equity stratifers. Conclusions: Policymakers and planners need to address the disproportionately higher clustering of IMR among infants born to disadvantaged subpopulations through interventions that benefit such subgroups.

Suggested Citation

  • Gebretsadik Shibre, 2020. "Social inequality in infant mortality in Angola: Evidence from a population based study," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-12, October.
    • Handle: RePEc:plo:pone00:0241049
    DOI: 10.1371/journal.pone.0241049
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0241049
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0241049&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0241049?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Hajizadeh, Mohammad & Nandi, Arijit & Heymann, Jody, 2014. "Social inequality in infant mortality: What explains variation across low and middle income countries?," Social Science & Medicine, Elsevier, vol. 101(C), pages 36-46.
    2. Waldron, Ingrid, 1983. "Sex differences in human mortality: The role of genetic factors," Social Science & Medicine, Elsevier, vol. 17(6), pages 321-333, January.
    3. Knöbel, Harald H. & Yang, Wen-Shan & Ho, Mei-Shang, 1994. "Urban-rural and regional differences in infant mortality in Taiwan," Social Science & Medicine, Elsevier, vol. 39(6), pages 815-822, September.
    4. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Makate, Marshall & Makate, Clifton, 2016. "Is poor sanitation killing more children in rural Zimbabwe? Results of propensity score matching method," MPRA Paper 72831, University Library of Munich, Germany, revised 02 Aug 2016.
    2. Paulina Schiappacasse & Bernhard Müller & Le Thuy Linh, 2019. "Towards Responsible Aggregate Mining in Vietnam," Resources, MDPI, vol. 8(3), pages 1-15, August.
    3. Pina Puntillo, 2023. "Circular economy business models: Towards achieving sustainable development goals in the waste management sector—Empirical evidence and theoretical implications," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 30(2), pages 941-954, March.
    4. Schlör, Holger & Venghaus, Sandra & Hake, Jürgen-Friedrich, 2018. "The FEW-Nexus city index – Measuring urban resilience," Applied Energy, Elsevier, vol. 210(C), pages 382-392.
    5. Jean-Louis Combes & Alexandru Minea & Pegdéwendé Nestor Sawadogo, 2019. "Assessing the effects of combating illicit financial flows on domestic tax revenue mobilization in developing countries," CERDI Working papers halshs-02019073, HAL.
    6. Nelson, Ewan & Warren, Peter, 2020. "UK transport decoupling: On track for clean growth in transport?," Transport Policy, Elsevier, vol. 90(C), pages 39-51.
    7. Ibrahim Ari & Muammer Koc, 2018. "Sustainable Financing for Sustainable Development: Understanding the Interrelations between Public Investment and Sovereign Debt," Sustainability, MDPI, vol. 10(11), pages 1-25, October.
    8. R. Ebrahimi & S. Choobchian & H. Farhadian & I. Goli & E. Farmandeh & H. Azadi, 2022. "Investigating the effect of vocational education and training on rural women’s empowerment," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-11, December.
    9. Benjamin Nölting & Bettina König & Anne B. Zimmermann & Antonietta Di Giulio & Martina Schäfer & Flurina Schneider, 2022. "Dealing with the COVID-19 pandemic: an opportunity to reflect on sustainability research," NachhaltigkeitsManagementForum | Sustainability Management Forum, Springer, vol. 30(1), pages 11-27, December.
    10. Rashmi Jaipal, 2017. "Psychology at the Crossroads," Psychology and Developing Societies, , vol. 29(2), pages 125-159, September.
    11. Bárbara Galleli & Elder Semprebon & Joyce Aparecida Ramos dos Santos & Noah Emanuel Brito Teles & Mateus Santos de Freitas-Martins & Raquel Teodoro da Silva Onevetch, 2021. "Institutional Pressures, Sustainable Development Goals and COVID-19: How Are Organisations Engaging?," Sustainability, MDPI, vol. 13(21), pages 1-21, November.
    12. Sagarika Dey & Priyanka Devi, 2019. "Impact of TVET on Labour Market Outcomes and Women’s Empowerment in Rural Areas: A Case Study from Cachar District, Assam," Indian Journal of Human Development, , vol. 13(3), pages 357-371, December.
    13. Rostami-Tabar, Bahman & Ali, Mohammad M. & Hong, Tao & Hyndman, Rob J. & Porter, Michael D. & Syntetos, Aris, 2022. "Forecasting for social good," International Journal of Forecasting, Elsevier, vol. 38(3), pages 1245-1257.
    14. Maria Sassi, 2020. "A SEM Approach to the Direct and Indirect Links between WaSH Services and Access to Food in Countries in Protracted Crises: The Case of Western Bahr-el-Ghazal State, South Sudan," Sustainability, MDPI, vol. 12(22), pages 1-13, November.
    15. Christina Tsouti & Christina Papadaskalopoulou & Angeliki Konsta & Panagiotis Andrikopoulos & Margarita Panagiotopoulou & Sofia Papadaki & Christos Boukouvalas & Magdalini Krokida & Katerina Valta, 2023. "Investigating the Environmental Benefits of Novel Films for the Packaging of Fresh Tomatoes Enriched with Antimicrobial and Antioxidant Compounds through Life Cycle Assessment," Sustainability, MDPI, vol. 15(10), pages 1-22, May.
    16. Olga Stepanova & Magdalena Romanov, 2021. "Urban Planning as a Strategy to Implement Social Sustainability Policy Goals? The Case of Temporary Housing for Immigrants in Gothenburg, Sweden," Sustainability, MDPI, vol. 13(4), pages 1-17, February.
    17. Alberto Bertossi & Stefania Troiano & Francesco Marangon, 2022. "Where is sustainability? An assessment of vending products," RIVISTA DI STUDI SULLA SOSTENIBILITA', FrancoAngeli Editore, vol. 0(1), pages 155-180.
    18. Michel, Hanno, 2020. "From local to global: The role of knowledge, transfer, and capacity building for successful energy transitions," Discussion Papers, Research Group Digital Mobility and Social Differentiation SP III 2020-603, WZB Berlin Social Science Center.
    19. Hervé Corvellec & Johan Hultman & Anne Jerneck & Susanne Arvidsson & Johan Ekroos & Niklas Wahlberg & Timothy W. Luke, 2021. "Resourcification: A non‐essentialist theory of resources for sustainable development," Sustainable Development, John Wiley & Sons, Ltd., vol. 29(6), pages 1249-1256, November.
    20. Wilson Charles Wilson & Maja Slingerland & Frederick P. Baijukya & Hannah Zanten & Simon Oosting & Ken E. Giller, 2021. "Integrating the soybean-maize-chicken value chains to attain nutritious diets in Tanzania," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 13(6), pages 1595-1612, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0241049. See general information about how to correct material in RePEc.

    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 CitEc recognized a bibliographic reference but did not link an item in RePEc 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 RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.