Child Health In Africa Research Articles

Improving Implementation: Building Research Capacity in Maternal, Neonatal, and Child Health in Africa

As part of a series on maternal, neonatal, and child health in sub-Saharan Africa, Valerie Snewin and colleagues discuss the challenges of implementation and research capacity in Africa.

Closing the Gaps: From Science to Action in Maternal, Newborn, and Child Health in Africa

This essay focuses on the to policy and gap and addresses what is already known about how scientific evidence has influenced maternal newborn and child health (MNCH) policy and practice. In addition it considers some of the key challenges in closing the science to policy and practice gap and concludes by identifying promising paths for future action.

Contextualising the paediatric HIV epidemic: a review

To draw attention to the sub-optimal care that HIV-infected children are receiving in Africa. Relevant published literature. Sub-optimal response to paediatric HIV infection has aggravated the negative impact that the epidemic has had on child health in Africa. Recently the African Network for the Care of Children Affected by HIV/AIDS (ANNECA) released an advocacy statement that called for the optimisation of prevention, diagnosis, treatment and care for children affected by the AIDS pandemic. Effective prevention strategies if comprehensively implemented, could prevent more than 500 000 paediatric infections per annum at current antenatal HIV prevalence rates. Improved care that includes universal utilisation of early diagnostic testing systems, cotrimoxazole prophylaxis, nutritional support and the timely introduction of antiretroviral therapy could improve the quality of life and lifespan of most infected children. Political leaders, public health officials and fellow child health professionals are urged to redouble their efforts to reverse the magnitude of the paediatric epidemic in Africa.

Family Migration: A Vehicle of Child Morbidity in the Informal Settlements of Nairobi City, Kenya?

Parental migration is often found to be negatively correlated with child health in Africa, yet the causal mechanisms are poorly understood. The paper uses a dataset that provides information from the respondent parent on child morbidity both in the rural and urban settings. Households first endogenously determine whether they will gain from participating in migration and, if they do, whether they will leave the children behind or not. The final choice is made to ensure the optimal survival chances for the child. This paper contributes to understanding the health consequences of raising the children in the context of increasing urban poverty in Nairobi, Kenya. The findings indicate that households who migrated together with their children in the slums of Nairobi experience higher child morbidity (43 per cent have at least one sick child in the last one month) as compared to households who leave children in their upcountry homes (31 per cent of morbidity rate). Even though children of migrants are safer upcountry, not all households can afford this strategy. Households are able to choose this strategy only if they have a strong social support network in their origin community and/or they are big size households. This is an important finding in targeting the Millennium Development Goals.