a Department of Geography and Regional Studies , University of Miami , Coral Gables , FL , USA.
b Department of Geography & GIScience , University of Illinois at Urbana-Champaign , Champaign , IL , USA.
Glob Public Health. 2017 Jun;12(6):757-779. doi: 10.1080/17441692.2016.1239268. Epub 2016 Oct 4.
One of the key objectives of the Millennium Development Goals (MDGs) was to improve the lives of infants and children, particularly the reduction of high infant and childhood mortality rates throughout the developing world. This paper examines the experiences of Malawi in tackling the problem of high infant and childhood mortality over recent decades, 1990-2010. We highlight the strategies that were used in Malawi which led to Malawi's stellar performance in achieving the targets set by the MDGs with reference to infant and childhood mortality. The data for the analysis were obtained from Demographic and Health Surveys and from the various censuses the country has conducted. Regression analysis using district as the unit of observation reveals several important factors that have led to the commendable declines in infant mortality. Significant factors included immunisation of infants as well as increasing levels of female education and the availability of skilled birth attendants. What Malawi's case demonstrates is that given a correct mix of strategies, even a poor country such as Malawi can meet some of the lofty targets set by the MDGs.
千年发展目标(MDGs)的主要目标之一是改善婴儿和儿童的生活,特别是降低整个发展中世界的婴儿和儿童高死亡率。本文考察了马拉维在过去几十年中解决婴儿和儿童高死亡率问题的经验,1990-2010 年。我们强调了马拉维所采用的策略,这些策略使得马拉维在实现千年发展目标设定的婴儿和儿童死亡率目标方面表现出色。分析使用的数据集来自人口与健康调查以及该国进行的各种普查。使用地区作为观察单位的回归分析揭示了导致婴儿死亡率显著下降的几个重要因素。重要因素包括婴儿免疫接种以及提高女性教育水平和熟练接生人员的可及性。马拉维的案例表明,只要有正确的策略组合,即使是像马拉维这样的贫穷国家也可以实现千年发展目标设定的一些崇高目标。