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Trends in Between-Country Health Equity in Sub-Saharan Africa from 1990 to 2011: Improvement, Convergence and Reversal

Author

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  • Jiajie Jin

    (Key Laboratory of Health Technology Assessment, Ministry of Health, Fudan University, Shanghai 200032, China
    These authors contributed equally to this work.)

  • Di Liang

    (Department of Health Policy and Management, University of California, Los Angeles, CA 90095, USA
    These authors contributed equally to this work.)

  • Lu Shi

    (Department of Public Health Sciences, Clemson University, Clemson, SC 29631, USA)

  • Jiayan Huang

    (Key Laboratory of Health Technology Assessment, Ministry of Health, Fudan University, Shanghai 200032, China)

Abstract

It is not clear whether between-country health inequity in Sub-Saharan Africa has been reduced over time due to economic development and increased foreign investments. We used the World Health Organization’s data about 46 nations in Sub-Saharan Africa to test if under-5 mortality rate (U5MR) and life expectancy (LE) converged or diverged from 1990 to 2011. We explored whether the standard deviation of selected health indicators decreased over time ( i.e. , sigma convergence), and whether the less developed countries moved toward the average level in the group ( i.e. , beta convergence). The variation of U5MR between countries became smaller from 1990 to 2001. Yet this sigma convergence trend did not continue after 2002. Life expectancy in Africa from 1990–2011 demonstrated a consistent convergence trend, even after controlling for initial differences of country-level factors. The lack of consistent convergence in U5MR partially resulted from the fact that countries with higher U5MR in 1990 eventually performed better than those countries with lower U5MRs in 1990, constituting a reversal in between-country health inequity. Thus, international aid agencies might consider to reassess the funding priority about which countries to invest in, especially in the field of early childhood health.

Suggested Citation

  • Jiajie Jin & Di Liang & Lu Shi & Jiayan Huang, 2016. "Trends in Between-Country Health Equity in Sub-Saharan Africa from 1990 to 2011: Improvement, Convergence and Reversal," IJERPH, MDPI, vol. 13(6), pages 1-15, June.
  • Handle: RePEc:gam:jijerp:v:13:y:2016:i:6:p:620-:d:72494
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    References listed on IDEAS

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    1. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7097, eSocialSciences.
    2. Sala-i-Martin, Xavier X, 1996. "The Classical Approach to Convergence Analysis," Economic Journal, Royal Economic Society, vol. 106(437), pages 1019-1036, July.
    3. Christopher Murray, 2006. "Health Systems Performance Assessment," Monograph 000270, Office of Health Economics.
    4. Ryan D. Edwards, 2011. "Changes in World Inequality in Length of Life: 1970–2000," Population and Development Review, The Population Council, Inc., vol. 37(3), pages 499-528, September.
    5. Theo Hitiris & John Nixon, 2001. "Convergence of health care expenditure in the EU countries," Applied Economics Letters, Taylor & Francis Journals, vol. 8(4), pages 223-228.
    6. Eric Neumayer, 2004. "HIV/AIDS and its impact on convergence in life expectancy, infant and child survival rates," HEW 0405001, University Library of Munich, Germany.
    7. United Nations UN, 2015. "The Millennium Development Goals Report 2015," Working Papers id:7222, eSocialSciences.
    8. Zijun Wang, 2009. "The convergence of health care expenditure in the US states," Health Economics, John Wiley & Sons, Ltd., vol. 18(1), pages 55-70, January.
    Full references (including those not matched with items on IDEAS)

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