Does Mutual Assistance Contribute to Child Survival? Comparative Analysis of Influencing Factors on Child Mortality in 3 Areas of Tanzania

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  • 相互扶助は子どもの生存に寄与するか
  • 相互扶助は子どもの生存に寄与するか : タンザニア3地域乳幼児死亡要因の比較分析
  • ソウゴ フジョ ワ コドモ ノ セイゾン ニ キヨ スル カ : タンザニア 3 チイキ ニュウヨウジ シボウ ヨウイン ノ ヒカク ブンセキ
  • ─タンザニア3地域乳幼児死亡要因の比較分析─

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Abstract

<p>The importance of mutual assistance and family “care” in the broad sense has been discussed as important in Africa, but its contribution on child survival has not been given attention. This article analyzed factors influencing child death based on questionnaire interviews in three villages with different characteristics in formerly high U5MR regions. As a result, firstly, “care” analyzed by number of family members and women were negatively correlated to children's death, indicating its effectiveness for child survival in Zanzibar, but not in an agro-pastoral village. Secondly, “being able to eat at relatives when lacking food” had a tendency to be beneficial to child survival in two mainland villages with food shortages. However, this mutual assistance was not comprehensive, and food distribution function was ineffective. Thirdly, mothers who received money for children's medicine experienced children's death, indicating ineffectiveness of monetary mutual assistance for medicine. Furthermore, monetary mutual assistance differed among villages: money for food in Swahili villages, and health facility fee in agro-pastoral village were more frequent respectively. As conclusion, mutual food assistance do contribute to infant and child survival. However, this was not comprehensive for the whole village, and substantive number of children were outside of food sharing, increasing their risk of death.</p>

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