Mdg4 - hope or despair for africa? Report as inadecuate

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Alison Holder ;Revista de Economía Mundial 2011, 27

Author: Nouria Brikci



Revista de Economía Mundial ISSN: 1576-0162 Sociedad de Economía Mundial España Brikci, Nouria; Holder, Alison MDG4 - HOPE OR DESPAIR FOR AFRICA? Revista de Economía Mundial, núm.
27, 2011, pp.
71-94 Sociedad de Economía Mundial Huelva, España Disponible en: Cómo citar el artículo Número completo Más información del artículo Página de la revista en Sistema de Información Científica Red de Revistas Científicas de América Latina, el Caribe, España y Portugal Proyecto académico sin fines de lucro, desarrollado bajo la iniciativa de acceso abierto issn: 1576-0162 MDG4 – Hope or Despair for Africa? ODM4: ¿esperanza o frustración para África? Nouria Brikci Save the Children Reino Unido Alison Holder Save the Children Reino Unido Recibido: junio de 2010; aceptado: diciembre de 2010. Abstract. 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 failed to 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.
Overall however, real challenges rema...


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