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| Format: | Artículo científico |
| Language: | es |
| Published: |
Universidad de Huelva
2011
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| Online Access: | https://www.redalyc.org/articulo.oa?id=86617253003 |
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Table of Contents:
- MDG4 - HOPE OR DESPAIR FOR AFRICA? Nouria Brikci Alison Holder Economía y Finanzas Child Health Health Systems Millenium Development Goals Sub-Saharan Africa is repeatedly painted as a failure in achieving the Millennium Development Goals (MDGs). This article focuses on MDG4 (reduction of two thirds in the under-five mortality rate between 1990 and 2015) and analyses the relative merit of the MDG framework as well as the success or failure of SSA in achieving this target. The authors argue that despite the positive impetus which the MDG4 target has represented for child health, it has failedto provide a framework within which equity considerations could be analysed, has detracted from the recognition of the importance of social determinants of health and has failed to highlight the interconnectedness of all MDGs. Further, whilst SSA is fairing worst in terms of MDG4, some countries have managed to get on track to achieve MDG4 or improve the health prospects of their children. A combination of intervention scale-up, additional resource allocation, health systems strengthening approach, partly explain these successes. Overallhowever, real challenges remain: lack of international and national resources, lack of health systems strengthening, lack of human resources at all levels of the health system, limited social protection mechanisms, slow 'diagonalisation' of programmes, and persistent environmental and socio-political factors. 2011 artículo científico 1576-0162 https://www.redalyc.org/articulo.oa?id=86617253003 es http://www.redalyc.org/revista.oa?id=866 REM. Revista de Economía Mundial application/pdf Universidad de Huelva REM. Revista de Economía Mundial (España) Num.27