Child mortality inequalities and linkage with sanitation facilities in Bangladesh.

Content Provider	Europe PMC
Author	Halder, Amal K. Kabir, M.
Copyright Year	2008
Abstract	Principal component analysis (PCA) was applied to assets and other household data, collected as part of the Bangladesh Demographic and Health Survey (BDHS) in 2004, to rank individuals according to a household socioeconomic index and to investigate whether this predicts access to the sanitation system or outcomes. PCA was used for determining wealth indices for 11,440 women in 10,500 households in Bangladesh. The index was based on the presence or absence of items from a list of 13 specific household assets and three housing characteristics. PCA revealed 35 components, of which the first component accounted for 18% of the total variance. Ownership of assets and housing features contributed almost equally to the variance in the first component. In this study, ownership of latrines was examined as an example of sanitation-intervention access, and rates of mortality of neonates, infant, and children aged less than five years (under-five mortality) as examples of health outcomes. The analysis demonstrated significant gradients in both access and outcome measures across the wealth quintiles. The findings call for more attention to approaches for reducing health inequalities. These could include reforms in the health sector to provide more equitable allocation of resources, improvement in the quality of health services offered to the poor, and redesigning interventions and their delivery to ensure that they are more pro-poor.
ISSN	16060997
Journal	Journal of Health, Population, and Nutrition
Volume Number	26
PubMed Central reference number	PMC2740686
Issue Number	1
PubMed reference number	18637529
Language	English
Publisher	International Centre for Diarrhoeal Disease Research, Bangladesh
Publisher Date	2008-03-01
Access Restriction	Open
Rights License	This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. © INTERNATIONAL CENTRE FOR DIARRHOEAL DISEASE RESEARCH, BANGLADESH
Subject Keyword	Child mortality Concentration index Health equity Inequalities Infant mortality Mortality Neonatal mortality Principal component analysis Sanitation Socioeconomic status Bangladesh
Content Type	Text
Resource Type	Article
Subject	Health, Toxicology and Mutagenesis Public Health, Environmental and Occupational Health Food Science