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The Millennium Development Goals fail poor children: the case for equity-adjusted measures.

Reidpath DD, Morel CM, Mecaskey JW, Allotey P - PLoS Med. (2009)

View Article: PubMed Central - PubMed

Affiliation: Centre for Public Health Research, Brunel University, Uxbridge, UK. dreidpath@gmail.com

ABSTRACT

The Millennium Declaration is a statement of principles about the kind of future that world governments seek; a future that they envisage to be more equitable and more responsive to the socially most vulnerable.

The Millennium Development Goals represent the operational targets by which we may judge their actions.

The reduction of the U5MR by two-thirds by 2015 is one of the Millennium Development Goals (MDG4).

The reduction in U5MR can, however, be achieved through a diversity of policy interventions, some of which could leave the children of the poor worse off. A celebrated MDG4 success can, thus, be a Millennium Declaration failure.

Health policy informed by composite outcome measures that take account of both the U5MR and the distribution of the burden of mortality across social groups would help to overcome this.

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Recent U5MRs and quintile ratios for 56 countries.Data source: http://go.worldbank.org/T6LCN5A340.
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pmed-1000062-g001: Recent U5MRs and quintile ratios for 56 countries.Data source: http://go.worldbank.org/T6LCN5A340.

Mentions: Figure 1 shows a scatter plot of child mortality rates against the quintile ratio data reported by the World Bank for 56 low- and middle-income countries. These data were extracted by the authors from World Bank Country Reports. Each point represents an actual country at a particular point in recent time; some countries (for which there are more than a single year's data) appear more than once. There is considerable diversity in both the mortality rates and the quintile ratios. The column marked by the vertical grey band isolates countries with a child mortality rate around 67.7; i.e., these are countries that have already achieved the 2015 target sought by our hypothetical country described earlier. The inequity as measured by the quintile ratio in U5MR outcome, however, varies between around 1 (equity and equality) and 5 (substantial inequity and substantial inequality). Although the overall mortality rate for these countries is approximately the same, it is difficult to argue that as policy outcomes they are equally successful.


The Millennium Development Goals fail poor children: the case for equity-adjusted measures.

Reidpath DD, Morel CM, Mecaskey JW, Allotey P - PLoS Med. (2009)

Recent U5MRs and quintile ratios for 56 countries.Data source: http://go.worldbank.org/T6LCN5A340.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2667271&req=5

pmed-1000062-g001: Recent U5MRs and quintile ratios for 56 countries.Data source: http://go.worldbank.org/T6LCN5A340.
Mentions: Figure 1 shows a scatter plot of child mortality rates against the quintile ratio data reported by the World Bank for 56 low- and middle-income countries. These data were extracted by the authors from World Bank Country Reports. Each point represents an actual country at a particular point in recent time; some countries (for which there are more than a single year's data) appear more than once. There is considerable diversity in both the mortality rates and the quintile ratios. The column marked by the vertical grey band isolates countries with a child mortality rate around 67.7; i.e., these are countries that have already achieved the 2015 target sought by our hypothetical country described earlier. The inequity as measured by the quintile ratio in U5MR outcome, however, varies between around 1 (equity and equality) and 5 (substantial inequity and substantial inequality). Although the overall mortality rate for these countries is approximately the same, it is difficult to argue that as policy outcomes they are equally successful.

View Article: PubMed Central - PubMed

Affiliation: Centre for Public Health Research, Brunel University, Uxbridge, UK. dreidpath@gmail.com

ABSTRACT

The Millennium Declaration is a statement of principles about the kind of future that world governments seek; a future that they envisage to be more equitable and more responsive to the socially most vulnerable.

The Millennium Development Goals represent the operational targets by which we may judge their actions.

The reduction of the U5MR by two-thirds by 2015 is one of the Millennium Development Goals (MDG4).

The reduction in U5MR can, however, be achieved through a diversity of policy interventions, some of which could leave the children of the poor worse off. A celebrated MDG4 success can, thus, be a Millennium Declaration failure.

Health policy informed by composite outcome measures that take account of both the U5MR and the distribution of the burden of mortality across social groups would help to overcome this.

Show MeSH