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The impact of rural-urban migration on child survival
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The impact of rural-urban migration on child survival
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Save the Children’s “Saving Newborn Lives” (SNL) program is testing and evaluating a critical set of community-based neonatal healthcare tools and technologies. in Sylhet, Bangladesh, community health workers demonstrated effective management of serious neonatal illnesses using interventions such as clean cord care, thermal control, and sepsis management in the home, which led to a 34 percent reduction in neonatal mortality. in Shivgarh, Uttar Pradesh, india, community health workers promoted preventive neonatal care practices through targeted household visits and community mobilization, resulting in a 54 percent reduction in neonatal mortality. in nepal, new evidence on community-based care of newborns,. | Health Transition Review 4 1994 127 - 149 The impact of rural-urban migration on child survival Martin Brockerhoff Research Division The Population Council One Dag Hammarskjold Plaza New York NY 10017 USA Abstract Large rural-urban child mortality differentials in many developing countries suggest that rural families can improve their children s survival chances by leaving the countryside and settling in towns and cities. This study uses data from Demographic and Health Surveys in 17 countries to assess the impact of maternal rural-urban migration on the survival chances of children under age two in the late 1970s and 1980s. Results show that before migration children of migrant women had similar or slightly higher mortality risks than children of women who remained in the village. In the two-year period surrounding their mother s migration their chances of dying increased sharply as a result of accompanying their mothers or being left behind to levels well above those of rural and urban non-migrant children. Children born after migrants had settled in the urban area however gradually experienced much better survival chances than children of rural non-migrants as well as lower mortality risks than migrants children born in rural areas before migration. The study concludes that many disadvantaged urban children would probably have been much worse off had their mothers remained in the village and that millions of children s lives may have been saved in the 1980s as a result of mothers moving to urban areas. Recent demographic surveys in several developing countries including Ghana Guatemala Morocco Niger Nigeria Pakistan Uganda and Zambia indicate that child mortality decline in rural areas has slowed or halted since the 1970s and that rural-urban child mortality differentials remained large or increased between the 1970s and 1980s Cleland Bicego and Fegan 1992 . The most important reasons for persistent high child mortality in rural areas of many countries remain .
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