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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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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
Is SSA on Target to Meeting the MDG? MDG on Child Mortality in Urban Sub-Saharan Africa

-13%

-67%

Current and projected trends in under-five mortality in SSA

Source: UNICEF (data online)


Why should we focus on urban areas
Why Should we Focus on Urban Areas? MDG on Child Mortality in Urban Sub-Saharan Africa

  • 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
The Evidence MDG on Child Mortality in Urban Sub-Saharan Africa


Implications
Implications MDG on Child Mortality in Urban Sub-Saharan Africa

  • 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
Case Study in Nairobi, Kenya MDG on Child Mortality in Urban Sub-Saharan Africa


Poor rich fertility gaps
Poor-rich fertility gaps MDG on Child Mortality in Urban Sub-Saharan Africa

Source: Kenya DHS 2003


Conclusion
Conclusion MDG on Child Mortality in Urban Sub-Saharan Africa

  • 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 MDG on Child Mortality in Urban Sub-Saharan Africa


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