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rural-urban dynamics_report.pdf - Khazar University

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MDG<br />

4<br />

Reduce child mortality<br />

In most countries around the world, most children’s<br />

deaths occur in the first year. In developing countries, the<br />

under-five mortality rate fell from 87 per 1,000 live births in<br />

1990 to 51 in 2011. This progress is not sufficient to meet<br />

the health-related MDG target of a two-thirds reduction<br />

by 2015. Only 25 countries have achieved this target, and<br />

only an additional 26 have made enough progress to be<br />

able to meet the target by 2015.<br />

For the infant mortality rate, the numbers are worse:<br />

only 5 countries met the target of reducing the infant<br />

mortality rate by two-thirds between 1990 and 2015, and<br />

only 13 countries are making enough progress to reach it<br />

by 2015. More than 120 countries still have not made sufficient<br />

progress to meet the goal on time. Overall, the MDG<br />

health indicators have seen the least progress of all the<br />

MDGs.<br />

As a country <strong>urban</strong>izes, children in <strong>urban</strong> areas tend to<br />

have access to better health services and thus lower rates of<br />

child mortality than children in <strong>rural</strong> areas. In addition, as<br />

countries become more <strong>urban</strong>ized, the proportion of children<br />

in <strong>rural</strong> areas declines, further narrowing the difference<br />

between the mortality rates of <strong>rural</strong> and <strong>urban</strong> children.<br />

Notably, the highest rates of child mortality are in Sub-Saharan<br />

Africa, whose countries are the least <strong>urban</strong>ized.<br />

The disparities between <strong>urban</strong> and <strong>rural</strong> infant mortality<br />

rates display a similar pattern. Higher infant mortality<br />

rates in <strong>rural</strong> areas are in part attributable to the disadvantages<br />

faced by <strong>rural</strong> households, such as lack of access to a<br />

safe source of drinking water and electricity. As discussed<br />

in chapter 2 of the Global Monitoring Report (GMR), governments<br />

need to provide basic services in <strong>rural</strong> areas as well<br />

as in <strong>urban</strong> ones to correct such deficiencies, to the extent<br />

possible.<br />

FIGURE 4a Urban versus <strong>rural</strong> child mortality gap<br />

Child deaths (per 1,000)<br />

250<br />

200<br />

150<br />

100<br />

TCD.04<br />

MLI.06<br />

SLE.08<br />

Rural<br />

Urban<br />

Log (<strong>rural</strong>)<br />

MOZ.03<br />

NER.06<br />

GIN.05<br />

CAF.94 ZMB.07<br />

LBR.07<br />

COD.07<br />

CIV.98<br />

SDN.90<br />

NGA.08<br />

BEN.06<br />

MWI.10<br />

SWZ.06 BFA.10<br />

COG.05<br />

TGO.98<br />

YEM.97<br />

MRT.00<br />

TZA.10<br />

CMR.11<br />

ETH.11 ERI.02<br />

LSO.09<br />

GAB.00<br />

BDI.10 UGA.11<br />

RWA.10<br />

COM.96<br />

PAK.06<br />

KEN.08<br />

ZWE.10<br />

TKM.00 GHA.08 HTI.06<br />

BOL.03<br />

TLS.09 BGD.07<br />

STP.08<br />

IND.06MDG.08<br />

KGZ.97 NAM.06 SEN.10<br />

TUN.88<br />

UZB.96<br />

KAZ.99 AZE.06 BWA.88<br />

TUR.98<br />

CPV.98<br />

MEX.87 BRA.96<br />

NPL.11<br />

ZAF.98<br />

GUY.09<br />

IDN.07<br />

MAR.03<br />

THA.87<br />

GTM.08<br />

TTO.87 KHM.10<br />

EGY.08 PHL.08<br />

HND.05<br />

NIC.06<br />

ECU.04 DOM.07<br />

MDV.09<br />

ROU.99 GEO.05 PRY.08<br />

VNM.02<br />

MDA.05<br />

JAM.08<br />

ARM.10 SLV.08 COL.10<br />

UKR.07<br />

PER.07 JOR.09<br />

ALB.08<br />

50<br />

0<br />

0 25 50<br />

75<br />

100<br />

% of <strong>urban</strong> population<br />

Source: Demographic and Health Surveys (DHS).<br />

32

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