Agent-based modelling for rethinking the socioeconomic determinants of child health in sub-Saharan Africa

Abstract

Socioeconomic factors play distal roles in shaping populations’ health. In sub-Saharan Africa, these structural health determinants are strongly associated with intermediate determinants of under-5 mortality such as lifestyle factors, health seeking behaviour, or exposure to a health threat. The aim of the study was to use simulation tools for rethinking the dynamics between socioeconomic factors, preventive health measures, and child health. An agent-based model was developed, consisting of rules and equations based on data from four Demographic and Health Surveys conducted in sub-Saharan countries. The model, visualizing the impact of different factors and complex effects, enhanced the understanding and debate on causal pathways of socioeconomic inequalities in under-5 mortality.