Browse for Publications by:

Browse for Journal Articles based on DHS data by:

orange publication summary banner small

Document Type
Analytical Studies
Publication Topic(s)
Child Health, Infant and Child Mortality, Maternal Health, Wealth/Socioeconomics
Recommended Citation
Subramanian, S.V., and Daniel J. Corsi. 2014. Association Among Economic Growth, Coverage of Maternal and Child Health Interventions, and Under-Five Mortality: A Repeated Cross-Sectional Analysis of 36 Sub-Saharan African Countries. DHS Analytical Studies No. 38. Rockville, Maryland, USA: ICF International.
Download Citation
RIS format / Text format / Endnote format
Publication ID

Order a Hard Copy: Please use electronic copies of DHS publications whenever possible. Hardcopies of publications are intended primarily for those in developing countries where internet connections are limited or unavailable.


In this report, using data from 99 Demographic and Health Surveys (DHS) conducted in 36 sub-Saharan African countries, we investigate factors that have contributed to the declines in under-five mortality rates (U5MR) in sub-Saharan Africa. Specifically, we focus on the extent to which changes in country-level economic growth and changes in the coverage of key maternal, neonatal, and child health (MNCH) interventions have contributed to reductions in under-five mortality.. Our results show that changes in country-level per capita GDP (pcGDP) are not consistently associated with a reduction in U5MR across different model specifications. In ecological time series models, a unit increase in pcGDP is associated with a reduction in U5MRof 11.6 deaths per 1000 live births (95% CI: -29.1, 5.9), while a composite index of MNCH interventions is associated with a reduction in U5MR of 31.9 deaths per 1000 live births (95% CI: -48.6, -15.3). The results of the multilevel repeated cross-section data structure suggest that MNCH coverage indicators are important. For example, pcGDP is associated for a decreased likelihood of child mortality with an odds ratio of 0.96 (95% CI: 0.92 -1.00) and an increase of 1 standard deviation in the composite coverage index (CCI) is also associated with a decrease in child mortality [odds ratio 0.92 (95% CI: 0.88 - 0.96)]. A measure of improvements in sanitary facilities is associated with an odds ratio of 0.57 (95% CI: 0.50-0.65) for child mortality.