This paper focuses on the determinants of infant and child mortality in Kenya. It specifically examines how infant and child mortality is related to the household's environmental and socio-economic characteristics, such as mother's education, source of drinking water, sanitation facility, type of cooking fuels and access to electricity. A hazard rate framework is used to analyze the determinants of child mortality. Duration models are easily applicable to the problem of child mortality as this class of models straightforwardly accounts for problems like right-censoring, structural modeling and time varying covariates which traditional econometric techniques cannot handle adequately.A household's environmental and socio-economic characteristics are found to have significant impact on child mortality. Policies aimed at achieving the goal of reduced child mortality should be directed on improving the household's environmental and or socio-economic status if this goal is to be realized.
Adaptation, Climate change, National Adaptation Programmes of Action (NAPAs), Population, Reproductive health/family planning (RH/FP), National development strategies,
Using 2016 household survey data from Tanzania, we define and measure resilience within the context of Population, Health, and Environment programming and quantify the link between resilience and family planning. We created a multicomponent model using confirmatory factor analysis in a structural equation modeling context. Factor loadings for eight defined latent factors of resilience were statistically significant (p < 0.001). We created a factor called “FP-MCH” reflecting awareness, attitudes, and access to family planning (FP) and health care services and use of maternal and child health care (MCH) facilities. Analysis, with controls, shows that a 1 standard deviation (SD) increase in FP/MCH was associated with a 0.68 SD increase in resilience (p < 0.01), suggesting that the association between FP/MCH and resilience is robust across a range of factors. Analyses showed that the association between FP/MCH is broadly related to the construct of resilience and not through any single component. This study supports the importance of including FP/MCH as part of integrated projects to enhance resilience.
Integrated family planning and economic growth Background: programming has the potential to be more equitable and cost-effective, to garner high levels of support from communities, and to support countries on their journey to self-reliance. The available evidence is limited, but demonstrates that such integrated programming can catalyze improved outcomes in both sectors. We reviewed available program evidence to explore what information is available to implementers regarding potential best practices.Economic growth is a broad sector; we focused specifically on Methods: the need for evidence related to integration of family planning with microfinance and livelihood programs. We conducted an extensive literature search and reviewed both published and gray literature according to two criteria: whether the papers explicitly focused on FP/EG integration and whether they included program descriptions, including discussions of what specific interventions were implemented.We find that only limited information exists regarding how best to Results: design and implement such programs for FP/RH and economic growth. We provide ideas drawn from the identified program evidence about potential best practices for FP/RH and economic growth integrated programs, and find an increasing need for tools and resources on related best practices.Both family planning and economic growth programs should Conclusions: consider strengthening linkages between the two sectors, to accelerate the achievement of global family planning goals as well as to improve economic growth outcomes. We call for additional research and improved documentation to clarify the apparent contributions and effectiveness of FP/EG integration, as well as to confirm promising practices. The integration of family planning and economic growth sectors is particularly important as the global community works toward achieving broader global and country-level development goals.
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