The Millennium Development Goals Fail Poor Children: The Case for Equity-Adjusted Measures

Reidpath, Daniel D.; Morel, Chantal M.; Mecaskey, Jeffrey W.; Allotey, Pascale

doi:10.1371/journal.pmed.1000062

Cited by 37 publications

(38 citation statements)

References 4 publications

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“…6 Compared with other approaches to health care, the provision of services at the community level is likely to reach not only more people but also the populations most in need, thus improving equity. [7][8][9][10] Although the mortality rate in children under the age of 5 years has declined by 28% since 1990, 11,12 infectious diseases still contribute to 68% of deaths among such children. 13 Of the 5.9 million children under 5 who die of infectious diseases each year, about 3.6 million are neonates.…”

Section: Introductionmentioning

confidence: 99%

Community case management of childhood illnesses: policy and implementation in Countdown to 2015 countries

Sousa¹,

Tiedje²,

Recht³

et al. 2012

Bull World Health Org

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Section: Introductionmentioning

confidence: 99%

Community case management of childhood illnesses: policy and implementation in Countdown to 2015 countries

Sousa¹,

Tiedje²,

Recht³

et al. 2012

Bull World Health Org

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“…Work on specific MDG indicators, and specifically on analysing progress over time, is sparse. A number of studies have advocated equity-adjusted measures (Reidpath et al, 2009) but rarely has the literature focused on how to measure progress taking whilst equity into account. The literature integrating the scale and shape of progress into a single indicator is sparse.…”

Section: Early Attempts To Integrate Equitymentioning

confidence: 99%

Measuring Equitable MDG Progress

Vandemoortele

Natali²,

Geddes³

2014

Eur J Dev Res

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How do we identify and highlight countries achieving equitable Millennium Development Goal (MDG) progress? The answer lies in how we measure MDG progress. The current approach focuses solely on scale. Most policymakers have focused on the size, rather than the shape of change. Measuring equitable progress will make policymakers work harder towards large-scale and equitable progress. This article proposes an approach to combine scale with equity of progress into a single indicator -it can also be applied to national measurements of progress and provides a concrete manner in which to include equity in the post-2015 agenda. The article applies the methodology to 62 countries, and compares standard average progress with equity-adjusted progress. It then isolates the equity component of progress, and highlights the strengths and challenges of this approach. Finally, the article illustrates that when indicators incorporate both the size and shape of progress valuable new policy objectives emerge that would otherwise be missed.Comment identifier et mettre en lumière les pays progressant vers la réalisation des OMD de manière équitable? La réponse réside dans la manière dont nous mesurons le progrès vers cette réalisation. L'approche actuelle ne considère que l'échelle. La plupart des responsables politiques s'intéressent donc à la taille plutôt qu'aux formes du changement. La mesure du progrès équitablement réalisé incitera les décideurs politiques à oeuvrer en faveur d'un progrès équitable et à grande échelle. Cet article propose une approche intégrant l'échelle et l'équité des progrès en un seul indicateur, lequel peut également être appliqué aux mesures du progrès au niveau national et offre une manière concrète d'intégrer l'équité dans l'agenda post-2015. Il applique cette méthodologie à 62 pays et compare les moyennes standards du progrès aux moyennes ajustées en fonction de l'équité. Il isole ensuite la composante équité du progrès et met en évidence les forces et faiblesses de cette approche. Enfin, il illustre que l'utilisation d'indicateurs intégrant à la fois la taille et la forme du progrès fait émerger de nouveaux objectifs stratégiques clés qui nous échapperaient autrement.

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“…In a sense, Figure 3 is a visualization of the level of inequity in a society when expressed as bearing the burden of mortality. A substantial effort has been invested in recent years to understand and explore the differences in mortality rates between the equity strata in low and middle-income countries [9,14,16,17].…”

Section: Figurementioning

confidence: 99%

Understanding the determinants of the complex interplay between cost-effectiveness and equitable impact in maternal and child mortality reduction

2012

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The Millennium Development Goals Fail Poor Children: The Case for Equity-Adjusted Measures

Abstract: Daniel Reidpath and colleagues use the fourth Millennium Development Goal (MDG) as an illustrative example to highlight the potential to neglect equity in the race to achieve the MDGs.

Cited by 37 publications

References 4 publications

Community case management of childhood illnesses: policy and implementation in Countdown to 2015 countries

Community case management of childhood illnesses: policy and implementation in Countdown to 2015 countries

Measuring Equitable MDG Progress

Understanding the determinants of the complex interplay between cost-effectiveness and equitable impact in maternal and child mortality reduction

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