Trends in Between-Country Health Equity in Sub-Saharan Africa from 1990 to 2011: Improvement, Convergence and Reversal | Duke Kunshan University
Trends in Between-Country Health Equity in Sub-Saharan Africa from 1990 to 2011: Improvement, Convergence and Reversal
Speaker: 
Jiayan Huang

Professor of Health Service in Fudan School of Public Health

Mar 08th 2018 12:00 to 13:00
Room 1079, Academic Building
Thursday, August 2, 2018 - 15:45

Summary of talk:     

It is not clear whether between-country health inequity in Sub-Saharan Africa has been reduced overtime due to economic development and increased foreign investments. We used the World Health Organization’s data about 46 nations in Sub-Saharan Africa to test if under-5 mortality rate (U5MR) and life expectancy (LE) converged or diverged from 1990 to 2011. We explored whether the standard deviation of selected health indicators decreased over time (i.e. sigma convergence), and whether the less developed countries moved toward the average level in the group (i.e. beta convergence). The variation of U5MR between countries became smaller from 1990 to 2001. Yet this sigma convergence trend did not continue after 2002. Life expectancy in Africa from 1990-2011 demonstrates a consistent convergence trend, even after controlling for initial differences of country-level factors. The lack of consistent convergence in U5MR partially results from the fact that countries with higher U5MR in 1990 eventually performed better than those countries with lower U5MRs in 1990, constituting a reversal in between-country health inequity. Thus, international aid agencies might consider to reassess the funding priority about which countries to invest in, especially in the field of early childhood health.

Brief Biography:

Jiayan Huang is a full professor of Health Service in Fudan School of Public Health. Prof. Huang graduated with PhD in Management in Fudan School of Public Health in 2005. In 2017 summer, she has been in University of technology, Sydney as visiting professor. During the first half year of 2014, she went to UW department of Global Health as visiting Professor with financial support from UW-CMB fellowship. Prof. Huang has more than 18-year experience in health service research. Her field of interest includes health policy analysis, program evaluation, health technology assessment, global health, and so on. Until now, Prof. Huang, as first author, has published 3 monograph, more than 70 articles in international and Chinese top journals.