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Decreasing child mortality, spatial clustering and decreasing disparity in North‐Western Burkina Faso
Author(s) -
Becher Heiko,
Müller Olaf,
Dambach Peter,
Gabrysch Sabine,
Niamba Louis,
Sankoh Osman,
Simboro Seraphin,
Schoeps Anja,
Stieglbauer Gabriele,
Yé Yazoume,
Sié Ali
Publication year - 2016
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/tmi.12673
Subject(s) - geography , child mortality , demography , socioeconomics , population , medicine , environmental health , sociology
Summary Within relatively small areas, there exist high spatial variations of mortality between villages. In rural Burkina Faso, with data from 1993 to 1998, clusters of particularly high child mortality were identified in the population of the Nouna Health and Demographic Surveillance System ( HDSS ), a member of the INDEPTH Network. In this paper, we report child mortality with respect to temporal trends, spatial clustering and disparity in this HDSS from 1993 to 2012. Poisson regression was used to describe village‐specific child mortality rates and time trends in mortality. The spatial scan statistic was used to identify villages or village clusters with higher child mortality. Clustering of mortality in the area is still present, but not as strong as before. The disparity of child mortality between villages has decreased. The decrease occurred in the context of an overall halving of child mortality in the rural area of Nouna HDSS between 1993 and 2012. Extrapolated to the Millennium Development Goals target period 1990–2015, this yields an estimated reduction of 54%, which is not too far off the aim of a two‐thirds reduction.