The Effects of Population Growth on the Achievement of the MDG on Child Mortality in Urban Sub-Sahar...
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The Effects of Population Growth on the Achievement of the MDG on Child Mortality in Urban Sub-Saharan Africa. Memorandum Submitted t o the UK APPG-PDRH By APHRC, Nairobi, Kenya Dr Jean-Christophe Fotso, Dr Alex Ezeh Dr Nyovani Madise, and Mr James Ciera London, UK, June 5, 2006.

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Memorandum Submitted t o the UK APPG-PDRH By APHRC, Nairobi, Kenya

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The Effects of Population Growth on the Achievement of the MDG on Child Mortality in Urban Sub-Saharan Africa

Memorandum Submitted to the UK APPG-PDRH

By APHRC, Nairobi, Kenya

Dr Jean-Christophe Fotso, Dr Alex Ezeh

Dr Nyovani Madise, and Mr James Ciera

London, UK, June 5, 2006


Is SSA on Target to Meeting the MDG?

-13%

-67%

Current and projected trends in under-five mortality in SSA

Source: UNICEF (data online)


Why Should we Focus on Urban Areas?

  • Urban explosion amidst declining economies

    • 15% in 1950; 32% in 1990; 54% in 2030

    • Urban population growth of 4.7% in 1980-2000

    • Decline in per capita GDP by 0.8%

  • Increasing proportion of urban dwellers living below the poverty line in slums and shantytowns

    • Unsafe drinking water and poor environmental sanitation

    • Limited access to health facilities

  • Increased susceptibility of slum children to various health problems


The Evidence


Implications

  • Failing to target the urban poor:

    • Pulling down of national average of health indicators

    • Move countries away from achieving the MDG on child mortality

  • Newly assembled evidence indicates:

    • Gradual shift in the locus of poverty from rural to urban areas

    • Higher levels of morbidity and mortality among urban poor children than among their rural counterparts (Nairobi, Kenya)


Case Study in Nairobi, Kenya


Poor-rich fertility gaps

Source: Kenya DHS 2003


Conclusion

  • SSA is not on target to meet the MDG on child mortality

  • Arouse attention and commitment on urban population growth in SSA and the associated growing urban poverty

  • Commitment of APHRC to:

    • Improving the well-being of populations through policy-relevant research on population & health

    • Key area of work: Clarifying the changing linkages between urbanization, poverty and health in SSA


Thank you


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