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Trends in childhood mortality in Kenya: The urban advantage has seemingly been wiped out
BACKGROUND: We describe trends in childhood mortality in Kenya, paying attention to the urban–rural and intra-urban differentials. METHODS: We use data from the Kenya Demographic and Health Surveys (KDHS) collected between 1993 and 2008 and the Nairobi Urban Health and Demographic Surveillance Syste...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158907/ https://www.ncbi.nlm.nih.gov/pubmed/25024120 http://dx.doi.org/10.1016/j.healthplace.2014.06.003 |
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author | Kimani-Murage, E.W. Fotso, J.C. Egondi, T. Abuya, B. Elungata, P. Ziraba, A.K. Kabiru, C.W. Madise, N. |
author_facet | Kimani-Murage, E.W. Fotso, J.C. Egondi, T. Abuya, B. Elungata, P. Ziraba, A.K. Kabiru, C.W. Madise, N. |
author_sort | Kimani-Murage, E.W. |
collection | PubMed |
description | BACKGROUND: We describe trends in childhood mortality in Kenya, paying attention to the urban–rural and intra-urban differentials. METHODS: We use data from the Kenya Demographic and Health Surveys (KDHS) collected between 1993 and 2008 and the Nairobi Urban Health and Demographic Surveillance System (NUHDSS) collected in two Nairobi slums between 2003 and 2010, to estimate infant mortality rate (IMR), child mortality rate (CMR) and under-five mortality rate (U5MR). RESULTS: Between 1993 and 2008, there was a downward trend in IMR, CMR and U5MR in both rural and urban areas. The decline was more rapid and statistically significant in rural areas but not in urban areas, hence the gap in urban–rural differentials narrowed over time. There was also a downward trend in childhood mortality in the slums between 2003 and 2010 from 83 to 57 for IMR, 33 to 24 for CMR, and 113 to 79 for U5MR, although the rates remained higher compared to those for rural and non-slum urban areas in Kenya. CONCLUSIONS: The narrowing gap between urban and rural areas may be attributed to the deplorable living conditions in urban slums. To reduce childhood mortality, extra emphasis is needed on the urban slums. |
format | Online Article Text |
id | pubmed-4158907 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-41589072014-09-10 Trends in childhood mortality in Kenya: The urban advantage has seemingly been wiped out Kimani-Murage, E.W. Fotso, J.C. Egondi, T. Abuya, B. Elungata, P. Ziraba, A.K. Kabiru, C.W. Madise, N. Health Place Article BACKGROUND: We describe trends in childhood mortality in Kenya, paying attention to the urban–rural and intra-urban differentials. METHODS: We use data from the Kenya Demographic and Health Surveys (KDHS) collected between 1993 and 2008 and the Nairobi Urban Health and Demographic Surveillance System (NUHDSS) collected in two Nairobi slums between 2003 and 2010, to estimate infant mortality rate (IMR), child mortality rate (CMR) and under-five mortality rate (U5MR). RESULTS: Between 1993 and 2008, there was a downward trend in IMR, CMR and U5MR in both rural and urban areas. The decline was more rapid and statistically significant in rural areas but not in urban areas, hence the gap in urban–rural differentials narrowed over time. There was also a downward trend in childhood mortality in the slums between 2003 and 2010 from 83 to 57 for IMR, 33 to 24 for CMR, and 113 to 79 for U5MR, although the rates remained higher compared to those for rural and non-slum urban areas in Kenya. CONCLUSIONS: The narrowing gap between urban and rural areas may be attributed to the deplorable living conditions in urban slums. To reduce childhood mortality, extra emphasis is needed on the urban slums. Elsevier 2014-09 /pmc/articles/PMC4158907/ /pubmed/25024120 http://dx.doi.org/10.1016/j.healthplace.2014.06.003 Text en © 2014 The Authors https://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Article Kimani-Murage, E.W. Fotso, J.C. Egondi, T. Abuya, B. Elungata, P. Ziraba, A.K. Kabiru, C.W. Madise, N. Trends in childhood mortality in Kenya: The urban advantage has seemingly been wiped out |
title | Trends in childhood mortality in Kenya: The urban advantage has seemingly been wiped out |
title_full | Trends in childhood mortality in Kenya: The urban advantage has seemingly been wiped out |
title_fullStr | Trends in childhood mortality in Kenya: The urban advantage has seemingly been wiped out |
title_full_unstemmed | Trends in childhood mortality in Kenya: The urban advantage has seemingly been wiped out |
title_short | Trends in childhood mortality in Kenya: The urban advantage has seemingly been wiped out |
title_sort | trends in childhood mortality in kenya: the urban advantage has seemingly been wiped out |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158907/ https://www.ncbi.nlm.nih.gov/pubmed/25024120 http://dx.doi.org/10.1016/j.healthplace.2014.06.003 |
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