How Zambia reduced inequalities in under-five mortality rates over the last two decades: a mixed-methods study.

ABSTRACT:

Background

Zambia experienced a major decline in under-five mortality rates (U5MR), with one of the fastest declines in socio-economic disparities in sub-Saharan Africa in the last two decades. We aimed to understand the extent to which, and how, Zambia has reduced socio-economic inequalities in U5MR since 2000.

Methods

Using nationally-representative data from Zambia Demographic Health Surveys (2001/2, 2007, 2013/14 and 2018), we examined trends and levels of inequalities in under-five mortality, intervention coverage, household water and sanitation, and fertility. This analysis was integrated with an in-depth review of key policy and program documents relevant to improving child survival in Zambia between 1990 and 2020.

Results

The under-five mortality rate (U5MR) d

SUBMITTER: Jacobs C 

PROVIDER: S-EPMC9940360 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature