title: Social, economic, and political factors in progress towards improving child survival in developing nations.
abstract: Child mortality is a persistent health problem faced by developing nations. In 2000 the United Nations (UN) established a set of high priority goals to address global problems of poverty and health, the Millennium Development Goals, which address extreme poverty, hunger, primary education, child mortality, maternal health, infectious diseases, environmental sustainability, and partnerships for development. Goal 4 aims to reduce by two thirds, between 2000 and 2015, the under-five mortality rate in developing countries. In sub-Saharan Africa from 2000 to 2006 these rates have only been reduced from 167 per 1,000 live births to 157, and 27 nations in this region have made no progress towards the goal. A country-specific database was developed from the UN Millennium Development Goal tracking project and other international sources which include age distribution, under-nutrition, per capita income, government expenditures on health, external resources for health, civil liberties, and political rights. A multiple regression analysis examined the extent to which these factors explain the variance in child mortality rates in developing countries. Nutrition, external resources, and per capita income were shown to be significant factors in child survivability. Policy options include developed countries' renewed commitment of resources, and developing nations' commitments towards governance, development, equity, and transparency.
authors.affiliation: School of Public Health at University of North Texas Health Science Center at Fort Worth, TX 76107, USA. klykens@hsc.unt.edu
authors.forename: Kristine
authors.initials: K
authors.lastname: Lykens
authors.forename: Karan P
authors.initials: KP
authors.lastname: Singh
authors.forename: Elewichi
authors.initials: E
authors.lastname: Ndukwe
authors.forename: Sejong
authors.initials: S
authors.lastname: Bae
mesh_terms: D000349:Africa / Q000453:epidemiology; D002423:Cause of Death; D046688:Child Mortality / Q000639:trends*; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D002961:Civil Rights; D003906:Developing Countries / Q000706:statistics & numerical data*; D014943:Global Health; D006291:Health Policy; D054624:Health Status Disparities; D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena; D009752:Nutritional Status; D012044:Regression Analysis; D012944:Social Support; D012959:Socioeconomic Factors; D014480:United Nations