What Has Driven the Decline of Infant Mortality in Kenya in the 2000s?

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...

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Main Authors: Demombynes, Gabriel, Trommlerová, Sofia Karina
Format: Journal Article
Language:en_US
Published: Elsevier 2016
Subjects:
Online Access:http://hdl.handle.net/10986/23672
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spelling okr-10986-236722021-04-23T14:04:16Z What Has Driven the Decline of Infant Mortality in Kenya in the 2000s? Demombynes, Gabriel Trommlerová, Sofia Karina infant mortality malaria bednets 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. 2016-01-19T19:38:04Z 2016-01-19T19:38:04Z 2015-11-28 Journal Article Economics and Human Biology 1570-677X http://hdl.handle.net/10986/23672 en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Elsevier Publications & Research :: Journal Article Publications & Research Kenya
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language en_US
topic infant mortality
malaria
bednets
spellingShingle infant mortality
malaria
bednets
Demombynes, Gabriel
Trommlerová, Sofia Karina
What Has Driven the Decline of Infant Mortality in Kenya in the 2000s?
geographic_facet Kenya
description 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.
format Journal Article
author Demombynes, Gabriel
Trommlerová, Sofia Karina
author_facet Demombynes, Gabriel
Trommlerová, Sofia Karina
author_sort Demombynes, Gabriel
title What Has Driven the Decline of Infant Mortality in Kenya in the 2000s?
title_short What Has Driven the Decline of Infant Mortality in Kenya in the 2000s?
title_full What Has Driven the Decline of Infant Mortality in Kenya in the 2000s?
title_fullStr What Has Driven the Decline of Infant Mortality in Kenya in the 2000s?
title_full_unstemmed What Has Driven the Decline of Infant Mortality in Kenya in the 2000s?
title_sort what has driven the decline of infant mortality in kenya in the 2000s?
publisher Elsevier
publishDate 2016
url http://hdl.handle.net/10986/23672
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