Development of the Demographic Dividend Effort Index, a novel tool to measure existing efforts to create a favourable environment to harness a demographic dividend: results from an experts’ survey from six sub-Saharan African countries

ObjectiveThis study aimed to develop a tool to measure the extent of national efforts in policies, services, research and programmes implemented to cultivate and harness the benefits of a potential demographic dividend in six sub-Saharan African countries.DesignThe survey was self-administered onlin...

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Bibliographic Details
Published in:BMJ open 2023-03, Vol.13 (3), p.e059937-e059937
Main Authors: Rusatira, Jean Christophe, Cardona, Carolina, Martinez-Baack, Michelle, Rimon, Jose G, Ahmed, Saifuddin
Format: Article
Language:English
Subjects:
Age
Child
Child mortality
Children & youth
Demography
Economic growth
Economic stabilization
Empowerment
Family planning
Female
Fertility
Global Health
health economics
Human capital
Humans
international health services
Job creation
Maternal & child health
Population
public health
Questionnaires
Reproducibility of Results
Senegal
Skilled workers
statistics & research methods
Strategic planning
Surveys and Questionnaires
Tanzania
Women
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Summary:ObjectiveThis study aimed to develop a tool to measure the extent of national efforts in policies, services, research and programmes implemented to cultivate and harness the benefits of a potential demographic dividend in six sub-Saharan African countries.DesignThe survey was self-administered online using the SurveyMonkey platform. The survey questionnaire covered six key sectors: family planning, maternal and child health, education, women's empowerment, labour market, and governance and economic institution. Each sector-specific questionnaire was structured around five practice domains: policymaking, services and programmes, advocacy, research and civil society. Each item was scored from 1 to 10. Factor analysis was used to select the items to be retained for final score estimation. Simple averages were computed to estimate sectoral and domain scores and overall country scores were estimated using weighted country mean scores. Internal consistency, construct validity and reliability were examined using factor analysis and Cronbach’s alpha.SettingSub-Saharan Africa.ParticipantsA total of 440 knowledgeable informants from six countries; namely, Ethiopia (73), Kenya (69), Nigeria (67), Rwanda (54), Senegal (81) and Tanzania (96).ResultsBased on the results from factor analysis, 38 items were dropped from the analysis and Cronbach’s alpha results ranged from 0.84 to 0.98 across domains. The overall demographic dividend effort index (DDEI) scores ranged between 5.4 (95% CI 5.1 to 5.8) in Ethiopia to 7.7 (95% CI 7.5 to 8.0) in Rwanda. In most countries, the disaggregated scores by sector revealed low scores in the labour market and women’s empowerment.ConclusionThe DDEI scores highlight important gaps in key health and development sectors. The DDEI proved to be a reliable and internally consistent tool for effort measurement in key demographic dividend sectors. The DDEI can serve as a self-evaluation tool for local actors and may complement existing quantitative tools such as the Global Gender Gap and the Human Capital Index.
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2021-059937