Global Child Health

 
 

How has global infant mortality changes over time?

Watch Hans Rosling’s “The River of Myths” (1) - (3min)

Read the Annual Letter from Bill Gates: http://billsletter.com. Hans Rosling shows how measurement reveals incredible progress in saving the lives of children in what were once labeled "developing countries". If the few countries that still have high child mortality rates can follow the path of Ethiopia, preventable child deaths may be history by 2030.

How does the United States compare to other countries in terms of infant mortality?

Watch Healthcare Triage’s “Infant Mortality in the United States is Surprisingly High” (2) - (6min)

Many more babies die in the United States than you might think. In 2014, more than 23,000 infants died in their first year of life, or about six for every 1,000 born. According to the Centers for Disease Control and Prevention, 25 other industrialized nations do better than the United States at keeping babies alive.

What are the most important trends in child mortality worldwide?

Check out the interactive graphs at Our World in Data (3) - (5min)

 
 
 
 

Within the US, what are the racial disparities in infant mortality?

Watch Unnatural Causes “Unraveling the Mystery of Black-White Differences in Infant Mortality” (4) - (5min)

VIDEO EXCERPT, Unnatural Causes Neonatologists James Collins and Richard David specialize in the care of infants born too soon or too small. Their research on differences in birth outcomes between African American and white American women points to a provocative idea: the cumulative stress of racism is taking a toll on African American families even before they are born.

How does infant mortality in New York State compare to the rest of the world?

Watch PBS “Surviving Year One” (5) - (26min)

 

Geographies of Interest

Washington Heights and Inwood, NYC

 The population of Washington Heights and Inwood is 71% Hispanic, 17% White, 7% Black, 3% Asian, and 1% Other (6). Almost 50% of residents are foreign-born, and 39% have limited English proficiency (6). Washington Heights and Inwood have similar rates of preterm births to New York City overall at 8.5% of all live births (6). While the infant mortality rate is similar to Manhattan overall at 3.6 per 1,000 lives births, it is still more than 3 times the rate on the Upper East Side (6).

 

Harlem, NYC

 Harlem Hospital’s patient population is 44.5% African American, 40.8% Hispanic, 9.5% White, 3% Asian, and 1.7% other (7). Racial disparities in health are reflected in the high rates of certain health outcomes amongst this population. Central Harlem also has the 3rd highest infant mortality rate at 8.1 per 1,000 live births compared to 3.4 per 1,000 in Manhattan overall (6). Central Harlem also has the 7th highest premature mortality rate in NYC at 293.1 per 100,000 compared with 152.7 per 100,000 in Manhattan overall (6).

 

If I am interested in this topic, where can I learn more?

Watch the documentary “Welcome to the World (8) - (58min)

This documentary looks at childbirth, maternal mortality, and infant health around the world, including Cambodia, Sierra Leone, and the United States.

Is it worse to be born poor than to die poor? To find out more and get teaching resources, go to www.whypoverty.net 130 million babies are born each year, and not one of them decides where they'll be born or how they'll live.

Watch Yale Essentials of Global Health lecture “Child Health” (9) - (24min)

This Yale lecture discusses the most important causes and trends in infant mortality worldwide.

Watch Frontline documentary “Poor Kids” (10) - (54min)

The documentary talks with families about their experiences with childhood poverty across the United States, including childhood hunger and housing insecurity.

Listen to WBUR “U.S. Child Poverty is On the Rise” (11) - (46min)

This radio program discusses a recent study that showed almost 1 in 4 children lives in poverty in the United States overall, and in some states like New Mexico, the rate is almost 30%.

 

Sources

 1.       Freakonomics. (2013, February 22). Taking on the Myths of Child Mortality. Retrieved from http://freakonomics.com/2013/02/22/taking-on-the-myths-of-child-mortality/

2.       Health Triage. (2016, August 22). Infant Mortality in the United States is Surprisingly High. Retrieved from https://www.youtube.com/watch?v=5ToJbhLEbdM

3.       Child Mortality. (n.d.). Retrieved from https://ourworldindata.org/child-mortality

4.       Newsreel, C. (2014, October 22). Unraveling the Mystery of Black-White Differences in Infant Mortality. Retrieved from https://www.youtube.com/watch?v=TJK9cL0BE4Q

5.       Surviving Year One. Retrieved from http://www.pbs.org/wgbh/america-by-the-numbers/episodes/episode-107/

6.       New York City Community Health Profiles. Retrieved February 21, 2017, from https://www1.nyc.gov/site/doh/data/data-publications/profiles.page#mn

7.       HARLEM HOSPITAL CENTER - nychealthandhospitals.org. Retrieved February 20, 2017, from http://www.nychealthandhospitals.org/harlem/wp-content/uploads/sites/13/2016/08/chna-harlem-2013.pdf

8.       The Why. (2013, January 11). Welcome To The World - Why Poverty? Retrieved from https://www.youtube.com/watch?time_continue=2&v=KigXe6RIczw

9.       Child Health - Module 4: Cross-Cutting Themes in Global Health - Part II. Retrieved from https://www.coursera.org/lecture/essentials-global-health/child-health-xoJN7

10.    Poor Kids. Retrieved from https://www.pbs.org/wgbh/frontline/film/poor-kids/

11.    WBUR. (2013, June 25). U.S. Child Poverty Is On The Rise. Retrieved from https://www.wbur.org/onpoint/2013/06/25/child-poverty-america