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- W590429780 abstract "This report uses Demographic and Health Survey data in the analysis of variations in household structure in sub-Saharan Africa and the relationship between household structure and socioeconomic status to child health outcomes. The analysis pertains to 11 countries and focuses on immunization coverage and management of diarrhea. Households are identified as elementary or extended (laterally or three-generational). Findings indicate that living arrangements varied widely between countries. Elementary families predominated in 4 countries. Extended household predominated in 4 other countries. The remaining 3 countries had an almost equal mix of both types of households. 9 countries had children in rural elementary families who were poorer than children in extended households. Elementary families had lower maternal educational levels and were less likely to have any adult with a secondary or higher education. Higher socioeconomic level was related to a greater likelihood of a child being fully immunized. Household structure was related to full immunization coverage in over 50% of countries and was more strongly related in urban areas. In rural Rwanda and Madagascar the lowest levels of immunization coverage were among children from three-generation households. Children from elementary families in most countries were less likely to receive oral rehydration therapy. Children most likely to be treated for diarrhea and to receive the highest levels of fluid treatment came from laterally extended households. Socioeconomic level was an intervening factor in the relationship between household structure and full immunization but not diarrhea treatment. It is possible that the measure of socioeconomic status may not adequately explain differences in use of health services. Community level health interventions should be adapted to the local needs of children from various family types. More research is needed to determine those most at risk or the constraints to accessing services." @default.
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- W590429780 date "1996-05-01" @default.
- W590429780 modified "2023-09-23" @default.
- W590429780 title "Household structure socioeconomic level and child health in Sub-Saharan Africa." @default.
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