The central concern of this pioneering study is the high rate of
child mortality worldwide and the prospects for its reduction.
Taking as his major focus socioeconomic factors and their effect on
children's survival, George Kent asks not only what technical
interventions might be undertaken within meager health budgets, but
also why are those budgets so inadequate? He examines the social
and political roots of child mortality around the world and finds
that the problem arises from widespread powerlessness in the
populations of less developed countries. Thus, he argues, remedies
should center on strategies of empowerment, designed in such a way
that their benefits persist long after the intervention has
ended.
Following an introductory chapter which describes overall
patterns of children's mortality, the author examines the
individual and household factors which contribute to the problem
and the programmatic responses associated with these factors.
Subsequent chapters explore child survival in relation to larger
societal issues, discussing in turn food, poverty, war, repression,
and population as they affect child mortality. Kent then turns his
attention to strategies for child survival that are sensitive to
these social factors. Separate chapters address alternative designs
of social systems, the idea of viewing children as a form of human
capital, the problem of motivating the politically powerful to
support child-survival work, rethinking the meaning of national
development, and the challenge of planning for children's survival
in concrete, site-specific situations. Finally, Kent discusses the
potential of national and international law and institutions for
improving children's prospects. An ideal supplemental text for
courses in economic development and political economy, this book is
also essential reading for policymakers and relief organization
managers concerned with the widespread problem of child
mortality.
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