Reducing child deaths among the poor in Asian cities: the cultural, social and institutional determinants of child survival

与富裕的同胞相比，城市贫困人口的儿童死亡率更高，也更具变数。虽然有许多促成因素，包括物质贫困、不卫生的住房、无法获得卫生服务以及父母对良好的儿童保育一无所知，但这些并不能完全解释不平等的程度。一个关键因素是贫困户使用其资源的兴趣和能力，以及保健服务保护其子女健康的兴趣和能力。该项目将在达卡和雅加达使用人类学-人口学方法，调查影响健康信念的文化、社会和体制因素，从而在家庭一级作出治疗决定。

The urban poor experience more, and more variable, child mortality than richer compatriots. Although there are many contributing factors including material poverty, insanitary housing, inaccessible health services, and parental ignorance of good childcare, these do not explain the full extent of the inequities. A key factor is the interest and ability of poor households to use their resources, and those of the health services to protect their children's health. This project will use an anthropological-demographic approach in Dhaka and Jakarta to investigate the cultural, social and institutional factors influencing health beliefs and hence treatment decisions at the household level.