Determinants of child mortality risk in Kazakhstan

Abstract

Child mortality rate is one of the key indicators of the Sustainable Development Goals from the United Nations. In the last two decades, this indicator became 6 times smaller during 1990 to 2017 (from 54.1 deaths/1,000 live births to 8.9) in Kazakhstan. This decrease in child mortality rate have been much faster in Kazakhstan than in other countries of Central Asia, so it would be useful to understand the reasons why. Thus, the aim of the paper is to analyze the socio-economic determinants of child mortality in Kazakhstan in order to shed light on the factors behind its huge reduction. In order to estimate the determinants of child mortality we run a logit model based on Multiple Indicator Cluster Surveys (MICS) database provided by UNICEF for Kazakhstan in 2006, 2010-2011, 2015. Results show that household composition may be a relevant variable for explaining child mortality: head of household is a relevant variable; however maternal education doesn’t come out significant. Additionally, the access to health resources also reduce infant mortality. On the one hand, the probability that women had experienced the death of a children increases for the 2th and 3th quintile of wealth, i.e. for those who have a worse access to the health resources. On the other hand, the probability that the child dies are higher for families living the rural areas compared with urban areas (explained for the difficulties of reaching the health facilities in rural areas). Results of this paper can be used to keep the positive path in the infant mortality decrease for Kazakhstan and taken as an example for other countries in Central Asia where infant mortality is still high