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Measuring Development

Two social measures: infant mortality and adult literacy

  • 3 things to know
  • Unit AS 2

Overview

Infant mortality rate and how is it calculated, difference between infant mortality and child mortality and adult literacy rate and how is it calculated.

What you need to know

Answer each one before you reveal it.

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Key term

What is the infant mortality rate and how is it calculated?

Key term

Why is infant mortality regarded as one of the most sensitive single indicators of development?

Key term

What is the difference between infant mortality and child mortality, and why does it matter?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What is the infant mortality rate and how is it calculated?

    Model answer

    The infant mortality rate is the number of deaths of children under one year of age per 1,000 live births in a given year. It is calculated by dividing the number of deaths of infants under one during the year by the number of live births in the same year, then multiplying by 1,000. Expressing it per 1,000 births allows countries of very different sizes to be compared directly.

  2. 2

    Why is infant mortality regarded as one of the most sensitive single indicators of development?

    Model answer

    Because a baby's survival depends on almost everything that development consists of. It reflects the mother's nutrition and health, whether she had skilled care at the birth, access to clean water and sanitation, immunisation coverage, availability of clinics and drugs, housing quality, household income and, very strongly, the mother's own education. A change in any of these shows up quickly in the rate. It also discriminates well between the poorest countries, where income figures are unreliable and clustered, because the rate varies widely across them.

  3. 3

    What sort of range in infant mortality would you expect between MEDCs and the poorest LEDCs?

    Model answer

    In western Europe, Japan and similar MEDCs the rate is typically below about 4 deaths per 1,000 live births. In the poorest countries of sub-Saharan Africa and parts of South Asia it commonly runs at 40 to 70 or more per 1,000. A gap of roughly ten- to twentyfold is therefore normal, which is far wider than the gap in most other social indicators and makes the measure a striking illustration of global contrasts.

  4. 4

    What does the infant mortality rate fail to tell you?

    Model answer

    It is a national average, so it hides urban-rural, regional and wealth differences that are often larger than the differences between countries. It measures only the first year of life, so it says nothing about the welfare of older children or adults, about incomes, education, employment, housing or freedom. It measures deaths rather than the health of survivors, so it misses the burden of stunting, chronic illness and disability. And it can be improved by targeted public health measures without any broader improvement in living standards.

  5. 5

    Why can under-registration of births and deaths distort the infant mortality rate, and in which direction?

    Model answer

    In countries without complete civil registration, births and infant deaths in remote rural areas, informal settlements and among the poorest households are the most likely to go unrecorded. Because an infant death is more likely to be missed than a surviving child is, under-registration usually makes the recorded rate lower than the true rate, flattering the countries with the worst outcomes. Where registration is incomplete the figure is estimated from household surveys and demographic modelling rather than counted directly, so it carries a margin of error.

  6. 6

    What is the difference between infant mortality and child mortality, and why does it matter?

    Model answer

    Infant mortality counts deaths before the first birthday; child or under-five mortality counts all deaths before the fifth birthday, also per 1,000 live births. Under-five mortality is always the larger figure and captures deaths from malnutrition, malaria, diarrhoeal disease and accidents that occur after infancy, so it gives a fuller picture of children's welfare in LEDCs. Infant mortality is the more sensitive indicator of maternal and newborn health care specifically. Confusing the two produces figures that appear inconsistent, so the definition should always be stated.

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