2010年至2021年,布基纳法索的五岁以下儿童死亡率和相关因素急剧下降:这是组成还是绩效效应?
Hervé Bassinga1, Sibiri Clément Ouedraogo2, Aristide Romaric Bado3
1Institut Supérieur des Sciences de la Population (ISSP), Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso.
Frontiers in public health
|May 13, 2025
概括
布基纳法索的五岁以下儿童死亡率显著下降,原因是行为变化和政策有效性,而不是人口结构变化. 失业的女性失业者
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 卫生经济学 卫生经济学
背景情况:
- 自2010年以来,布基纳法索的五岁以下儿童死亡率大幅下降,到2021年达到48%.
- 历史数据显示波动,包括1993年至1998年间的增加,随后稳步下降.
研究的目的:
- 从2010年到2021年,分析导致布基纳法索五岁以下儿童死亡率下降的变化来源.
- 区分人口组成和影响死亡率降低的行为/政策因素.
主要方法:
- 利用了2010年和2021年的人口和健康调查 (DHS) 数据.
- 采用Oaxaca-Blinder多变量分解方法来分析变化因素.
- 在2010年抽取了15045名儿童,在2021年抽取了12242名儿童.
主要成果:
- 五岁以下儿童死亡率的下降主要是由于未观察到变量的变化 (77%),归因于控制措施和行为变化.
- 人口结构的变化只占观察到的下降的23%.
- 失业妇女的参与是一个重要的因素,为减少儿童死亡率贡献了13.1%.
结论:
- 城市化和改善医疗保健的机会有助于降低五岁以下儿童死亡率.
- 针对性干预对于沙赫尔和西南地区等高死亡率地区至关重要,重点是改善农村医疗保健.
- 综合教育,经济发展,卫生和行为改变沟通的整体方法对于持续减少儿童死亡率至关重要.
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