Overcoming stagnation in the levels and distribution of child mortality: the case of the Philippines

Bermejo, Raoul, III, Firth, Sonja, Hodge, Andrew, Jimenez-Soto, Eliana and Zeck, Willibald (2015) Overcoming stagnation in the levels and distribution of child mortality: the case of the Philippines. PL o S One, 10 10: 1-13. doi:10.1371/journal.pone.0139458

Author Bermejo, Raoul, III
Firth, Sonja
Hodge, Andrew
Jimenez-Soto, Eliana
Zeck, Willibald
Title Overcoming stagnation in the levels and distribution of child mortality: the case of the Philippines
Journal name PL o S One   Check publisher's open access policy
ISSN 1932-6203
Publication date 2015-10
Sub-type Article (original research)
DOI 10.1371/journal.pone.0139458
Open Access Status DOI
Volume 10
Issue 10
Start page 1
End page 13
Total pages 13
Place of publication San Francisco, CA, United States
Publisher Public Library of Science
Collection year 2016
Language eng
Formatted abstract
Background: Health-related within-country inequalities continue to be a matter of great interest and concern to both policy makers and researchers. This study aims to assess the level and the distribution of child mortality outcomes in the Philippines across geographical and socioeconomic indicators.

Methodology: Data on 159,130 children ever borne were analysed from five waves of the Philippine Demographic and Health Survey. Direct estimation was used to construct under-five and neonatal mortality rates for the period 1980–2013. Rate differences and ratios, and where possible, slope and relative indices of inequality were calculated to measure disparities on absolute and relative scales. Stratification was undertaken by levels of rural/urban location, island groups and household wealth.

Findings: National under-five and neonatal mortality rates have shown considerable albeit differential reductions since 1980. Recently released data suggests that neonatal mortality has declined following a period of stagnation. Declines in under-five mortality have been accompanied by decreases in wealth and geography-related absolute inequalities. However, relative inequalities for the same markers have remained stable over time. For neonates, mixed evidence suggests that absolute and relative inequalities have remained stable or may have risen.

Conclusion: In addition to continued reductions in under-five mortality, new data suggests that the Philippines have achieved success in addressing the commonly observed stagnated trend in neonatal mortality. This success has been driven by economic improvement since 2006 as well as efforts to implement a nationwide universal health care campaign. Yet, such patterns, nonetheless, accorded with persistent inequalities, particularly on a relative scale. A continued focus on addressing universal coverage, the influence of decentralisation and armed conflict, and issues along the continuum of care is advocated.
Keyword Systematic Analysis
Global Burden
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
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