High Child Mortality and Interventions Coverage in the City of Dar es Salaam, Tanzania: Are the Poorest Paying an Urban Penalty?
The 'urban penalty' in health refers to the loss of a presumed survival advantage due to adverse consequences of urban life. This study investigated the levels and trends in neonatal, post-neonatal and under-5 mortality rate and key determinants of child survival using data from Tanzania Demographic...
| Publicado en: | Journal of Urban Health Vol. 101; no. 1; pp. 92 - 107 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | Artículo |
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Springer Nature
2024 Suppl 1
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=181201643&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 181201643 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: 2024 Suppl 1 vid: 101 iid: 1 pid: 237 pub: Springer Nature artinfo: ui: 181201643 10.1007/s11524-023-00813-z ppf: 92 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P size: 756KB tig: atl: High Child Mortality and Interventions Coverage in the City of Dar es Salaam, Tanzania: Are the Poorest Paying an Urban Penalty? aug: au: Kagoye, Sophia Minja, Jacqueline Ricardo, Luiza Shabani, Josephine Bajaria, Shraddha Msuya, Sia Hanson, Claudia Mahundi, Masoud Msuya, Ibrahim Simba, Daudi Ismail, Habib Boerma, Ties Masanja, Honorati affil: https://ror.org/05fjs7w98 National Institute for Medical Research, Mwanza, Tanzania https://ror.org/04js17g72 Ifakara Health Institute, Dar Es Salaam, Tanzania https://ror.org/05msy9z54 Federal University of Pelotas, Pelotas, Brazil Kilimanjaro Christian Medical University College, Kilimanjaro, Tanzania https://ror.org/00a0jsq62 London School of Hygiene and Tropical Medicine, London, UK https://ror.org/0479aed98 University of Dar Es Salaam, Dar Es Salaam, Tanzania https://ror.org/027pr6c67 Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania Ministry of Health, Dodoma, Tanzania https://ror.org/02gfys938 University of Manitoba, Winnipeg, Canada su: Child mortality Demographic surveys Poor children Health behavior Rural children Neonatal mortality sug: subj: Child mortality Demographic surveys Poor children Health behavior Rural children Neonatal mortality keyword: Child Mortality Urban Penalty Child Mortality Urban Penalty ab: The 'urban penalty' in health refers to the loss of a presumed survival advantage due to adverse consequences of urban life. This study investigated the levels and trends in neonatal, post-neonatal and under-5 mortality rate and key determinants of child survival using data from Tanzania Demographic and Health Surveys (TDHS) (2004/05, 2010 and 2015/16), AIDS Indicator Survey (AIS), Malaria Indicator survey (MIS) and health facility data in Tanzania mainland. We compared Dar es Salaam results with other urban and rural areas in Tanzania mainland, and between the poorest and richest wealth tertiles within Dar es Salaam. Under-5 mortality declined by 41% between TDHS 2004/05 and 2015/2016 from 132 to 78 deaths per 1000 live births, with a greater decline in rural areas compared to Dar es Salaam and other urban areas. Neonatal mortality rate was consistently higher in Dar es Salaam during the same period, with the widest gap (> 50%) between Dar es Salaam and rural areas in TDHS 2015/2016. Coverage of maternal, new-born and child health interventions as well as living conditions were generally better in Dar es Salaam than elsewhere. Within the city, neonatal mortality was 63 and 44 per 1000 live births in the poorest 33% and richest 33%, respectively. The poorest had higher rates of stunting, more overcrowding, inadequate sanitation and lower coverage of institutional deliveries and C-section rate, compared to richest tertile. Children in Dar es Salaam do not have improved survival chances compared to rural children, despite better living conditions and higher coverage of essential health interventions. This urban penalty is higher among children of the poorest households which could only partly be explained by the available indicators of coverage of services and living conditions. Further research is urgently needed to understand the reasons for the urban penalty, including quality of care, health behaviours and environmental conditions. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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