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

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  • Demombynes, Gabriel
  • Trommlerová, Sofia Karina

Abstract

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.

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  • Demombynes, Gabriel & Trommlerová, Sofia Karina, 2016. "What has driven the decline of infant mortality in Kenya in the 2000s?," Economics & Human Biology, Elsevier, vol. 21(C), pages 17-32.
    • Handle: RePEc:eee:ehbiol:v:21:y:2016:i:c:p:17-32
    DOI: 10.1016/j.ehb.2015.11.004
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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, Volume II: Human Capital, pages 13-57, 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.
    3. Tessa Bold & Mwangi Kimenyi & Germano Mwabu & Alice Ng'ang'a & Justin Sandefur, 2013. "Scaling-up What Works: Experimental Evidence on External Validity in Kenyan Education," CSAE Working Paper Series 2013-04, Centre for the Study of African Economies, University of Oxford.
    4. 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.
    5. 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.
    6. 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.
    7. 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.
    8. 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.
    9. 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.
    10. Abdisalan M Noor & Abdinasir A Amin & Willis S Akhwale & Robert W Snow, 2007. "Increasing Coverage and Decreasing Inequity in Insecticide-Treated Bed Net Use among Rural Kenyan Children," PLOS Medicine, Public Library of Science, vol. 4(8), pages 1-8, August.
    11. 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.
    12. 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.
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    1. McCord, Gordon C. & Conley, Dalton & Sachs, Jeffrey D., 2017. "Malaria ecology, child mortality & fertility," Economics & Human Biology, Elsevier, vol. 24(C), pages 1-17.
    2. Andrew Dabalen & Isis Gaddis & Nga Thi Viet Nguyen, 2020. "CPI Bias and its Implications for Poverty Reduction in Africa," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 18(1), pages 13-44, March.
    3. Beimer, Waldemar & Maennig, Wolfgang, 2020. "On the price gap between single family houses and apartments," Journal of Housing Economics, Elsevier, vol. 49(C).

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