title: Contributing determinants of overall and wealth-related inequality in under-5 mortality in 13 African countries.
abstract: OBJECTIVE
  To investigate and compare the main determinants of overall inequality and wealth-related inequality in under-5 mortality in 13 African countries.
  
  
  METHODS
  Data from Demographic and Health Surveys conducted in 2007-2010 in African countries were used. The study assessed the contribution of determinants to (1) overall inequality in under-5 mortality measured by the Gini index and (2) wealth-related inequality in under-5 mortality measured by the concentration index. Techniques used were multivariate logistic regression and decomposition of Gini and concentration indexes.
  
  
  RESULTS
  Birth order and interval and region contributed the most to overall inequality in under-5 mortality in a majority of countries. A significant wealth-related inequality was observed in five countries: DRCongo, Egypt, Madagascar, Nigeria and Sao Tome & Principe. Overall, household wealth, father's occupation and mother's education contributed the most to this inequality, though the ranking of the most important determinants differed across countries.
  
  
  CONCLUSIONS
  Assessing the contribution of determinants to overall inequality and to wealth-related inequality in under-5 mortality help in prioritising interventions aiming at improving child survival and equity.
authors.affiliation: Institute of Health and Society (IRSS), Université catholique de Louvain, Brussels, Belgium. carine.vanmalderen@uclouvain.be
authors.forename: Carine
authors.initials: C
authors.lastname: Van Malderen
authors.forename: Herman
authors.initials: H
authors.lastname: Van Oyen
authors.forename: Niko
authors.initials: N
authors.lastname: Speybroeck
mesh_terms: D000349:Africa / Q000453:epidemiology; D046688:Child Mortality; D002675:Child, Preschool; D005191:Family Characteristics; D005260:Female; D054624:Health Status Disparities; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D011203:Poverty / Q000706:statistics & numerical data; D012307:Risk Factors; D012923:Social Class; D012959:Socioeconomic Factors
keywords: CHILD HEALTH; INEQUALITIES; INTERNATIONAL HLTH; PUBLIC HEALTH; SOCIO-ECONOMIC