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What explains the Rural-Urban Gap in Infant Mortality — Household or Community Characteristics?

Ellen Van de Poel (), Owen O'Donnell and Eddy Van Doorslaer

No 07-067/3, Tinbergen Institute Discussion Papers from Tinbergen Institute

Abstract: The rural-urban gap in infant mortality rates is explained using a new decomposition method that permits identification of the ontribution of unobserved heterogeneity at the household and the community level. Using Demographic and Health Survey data for six Francophone countries in Western Sub-Saharan Africa, we find that differences in the distributions of factors that determine mortality – not differences in their effects – explain almost the entire gap. Higher infant mortality rates in rural areas mainly derive from the rural disadvantage in household level characteristics; both observed and unobserved, which explain three-quarters of the gap. Among the observed characteristics, household environmental factors—potable water, electricity and quality of housing materials—are the most important contributors explaining 38% of the gap. Unobserved household level determinants explain 10% of the gap. Community level determinants explain 13% of the gap, including 3% that is due to unobservable community level heterogeneity.

This discussion paper has resulted in a publication in Demography , 2009, 46(4), 827-51.

Keywords: Sub-Saharan Africa; rural-urban inequality; infant mortality; decomposition; unobserved heterogeneity (search for similar items in EconPapers)
JEL-codes: I12 I31 O53 (search for similar items in EconPapers)
Date: 2007-08-28
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (10)

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