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Inequality of opportunity in infant mortality in South Asia: A decomposition analysis of survival data

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  • Aizawa, Toshiaki

Abstract

Early-life environments into which newborn babies are born play principal roles in their development. This study explores inequalities in infant mortality that are rooted in household and parental socio-economic backgrounds in five South-Asian countries: Afghanistan, Bangladesh, India, Nepal and Pakistan. Considering multidimensional aspects of socio-demographic and socio-economic status, this study explores disparities in the trajectory of survival rates across infants with dissimilar circumstantial backgrounds over the first 12 months of their lives. This study proposes a new method to first cluster the data into advantaged and disadvantaged types and explore the differences in survival rates by a clustering approach and a random survival forest. Furthermore, this study extends a Shapley-value decomposition method to explore the determinants of inequality. The results indicate that demographic factors, parental educational background and household living standards are major factors contributing to inequality. In order to ameliorate the inequality of opportunity, priority should be given to protecting marginalised infants by compensating for their disadvantaged backgrounds.

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  • Aizawa, Toshiaki, 2021. "Inequality of opportunity in infant mortality in South Asia: A decomposition analysis of survival data," Economics & Human Biology, Elsevier, vol. 43(C).
    • Handle: RePEc:eee:ehbiol:v:43:y:2021:i:c:s1570677x21000836
    DOI: 10.1016/j.ehb.2021.101058
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    as
    1. Adato, Michelle & Hoddinott, John, 2007. "Conditional cash transfer programs: A "magic bullet" for reducing poverty?," 2020 vision briefs BB17 Special Edition, International Food Policy Research Institute (IFPRI).
    2. Paolo Brunori & Alain Trannoy & Caterina Francesca Guidi, 2021. "Ranking populations in terms of inequality of health opportunity: A flexible latent type approach," Health Economics, John Wiley & Sons, Ltd., vol. 30(2), pages 358-383, February.
    3. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    4. Janet Currie, 2011. "Inequality at Birth: Some Causes and Consequences," American Economic Review, American Economic Association, vol. 101(3), pages 1-22, May.
    5. Chen, Yuyu & Li, Hongbin, 2009. "Mother's education and child health: Is there a nurturing effect?," Journal of Health Economics, Elsevier, vol. 28(2), pages 413-426, March.
    6. Cleland, John G. & van Ginneken, Jerome K., 1988. "Maternal education and child survival in developing countries: The search for pathways of influence," Social Science & Medicine, Elsevier, vol. 27(12), pages 1357-1368, January.
    7. Oaxaca, Ronald, 1973. "Male-Female Wage Differentials in Urban Labor Markets," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 14(3), pages 693-709, October.
    8. Janet Currie & Tom Vogl, 2013. "Early-Life Health and Adult Circumstance in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 5(1), pages 1-36, May.
    9. Christopher J. Ruhm, 2004. "Parental Employment and Child Cognitive Development," Journal of Human Resources, University of Wisconsin Press, vol. 39(1).
    10. Vincenzo Carrieri & Apostolos Davillas & Andrew M. Jones, 2020. "A latent class approach to inequity in health using biomarker data," Health Economics, John Wiley & Sons, Ltd., vol. 29(7), pages 808-826, July.
    11. Ghulam Mustafa Zahid, 1996. "Mother’s Health-seeking Behaviour and Childhood Mortality in Pakistan," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 35(4), pages 719-731.
    12. Brent Heard & Huong Trinh Thi & Dharani Dhar Burra & Martin C. Heller & Shelie A. Miller & Thanh Thi Duong & Michel Simioni & Andrew D. Jones, 2020. "The influence of household refrigerator ownership on diets in Vietnam," Post-Print hal-02985449, HAL.
    13. Alan S. Blinder, 1973. "Wage Discrimination: Reduced Form and Structural Estimates," Journal of Human Resources, University of Wisconsin Press, vol. 8(4), pages 436-455.
    14. Anne Case & Christina Paxson, 2008. "Stature and Status: Height, Ability, and Labor Market Outcomes," Journal of Political Economy, University of Chicago Press, vol. 116(3), pages 499-532, June.
    15. Paolo Brunori & Vito Peragine & Laura Serlenga, 2019. "Upward and downward bias when measuring inequality of opportunity," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 52(4), pages 635-661, April.
    16. Anne Case & Christina Paxson, 2010. "Causes and consequences of early-life health," Demography, Springer;Population Association of America (PAA), vol. 47(1), pages 65-85, March.
    17. David M. Blau & David K. Guilkey & Barry M. Popkin, 1996. "Infant Health and the Labor Supply of Mothers," Journal of Human Resources, University of Wisconsin Press, vol. 31(1), pages 90-139.
    18. Aizawa, Toshiaki, 2019. "Ex-ante Inequality of Opportunity in Child Malnutrition: New Evidence from Ten Developing Countries in Asia," Economics & Human Biology, Elsevier, vol. 35(C), pages 144-161.
    19. Heard, Brent R. & Thi, Huong Trinh & Burra, Dharani Dhar & Heller, Martin C. & Miller, Shelie A. & Duong, Thanh Thi & Simioni, Michel & Jones, Andrew D., 2020. "The Influence of Household Refrigerator Ownership on Diets in Vietnam," Economics & Human Biology, Elsevier, vol. 39(C).
    20. Cameron, Lisa & Chase, Claire & Haque, Sabrina & Joseph, George & Pinto, Rebekah & Wang, Qiao, 2021. "Childhood stunting and cognitive effects of water and sanitation in Indonesia," Economics & Human Biology, Elsevier, vol. 40(C).
    21. Case, Anne & Fertig, Angela & Paxson, Christina, 2005. "The lasting impact of childhood health and circumstance," Journal of Health Economics, Elsevier, vol. 24(2), pages 365-389, March.
    22. Toshiaki Aizawa, 2020. "Trajectory of inequality of opportunity in child height growth: Evidence from the Young Lives study," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 42(7), pages 165-202.
    23. Sonia Bhalotra & Samantha Rawlings, 2013. "Gradients of the Intergenerational Transmission of Health in Developing Countries," The Review of Economics and Statistics, MIT Press, vol. 95(2), pages 660-672, May.
    24. Paolo Li Donni & Juan Rodríguez & Pedro Rosa Dias, 2015. "Empirical definition of social types in the analysis of inequality of opportunity: a latent classes approach," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 44(3), pages 673-701, March.
    25. Joseph Molitoris & Kieron Barclay & Martin Kolk, 2019. "When and Where Birth Spacing Matters for Child Survival: An International Comparison Using the DHS," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1349-1370, August.
    26. Mogensen, Ulla B. & Ishwaran, Hemant & Gerds, Thomas A., 2012. "Evaluating Random Forests for Survival Analysis Using Prediction Error Curves," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 50(i11).
    27. repec:pri:cheawb:case_and_paxson_early_life_health_w15637 is not listed on IDEAS
    28. Paolo Brunori & Paul Hufe & Daniel Gerszon Mahler, 2017. "The Roots of Inequality: Estimating Inequality of Opportunity from Regression Trees," Working Papers - Economics wp2017_18.rdf, Universita' degli Studi di Firenze, Dipartimento di Scienze per l'Economia e l'Impresa.
    29. Janet Currie & Enrico Moretti, 2003. "Mother's Education and the Intergenerational Transmission of Human Capital: Evidence from College Openings," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(4), pages 1495-1532.
    30. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    31. repec:pri:cheawb:case_and_paxson_early_life_health_w15637.pdf is not listed on IDEAS
    32. Anthony Shorrocks, 2013. "Decomposition procedures for distributional analysis: a unified framework based on the Shapley value," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 11(1), pages 99-126, March.
    33. Ariel Fiszbein & Norbert Schady & Francisco H.G. Ferreira & Margaret Grosh & Niall Keleher & Pedro Olinto & Emmanuel Skoufias, 2009. "Conditional Cash Transfers : Reducing Present and Future Poverty," World Bank Publications - Books, The World Bank Group, number 2597, December.
    34. Kathrin Ziegelbauer & Benjamin Speich & Daniel Mäusezahl & Robert Bos & Jennifer Keiser & Jürg Utzinger, 2012. "Effect of Sanitation on Soil-Transmitted Helminth Infection: Systematic Review and Meta-Analysis," PLOS Medicine, Public Library of Science, vol. 9(1), pages 1-17, January.
    35. Paolo Brunori & Alain Trannoy & Caterina Francesca Guidi, 2021. "Ranking populations in terms of inequality of health opportunity: A flexible latent type approach," Health Economics, John Wiley & Sons, Ltd., vol. 30(2), pages 358-383, February.
    36. Barham, Tania, 2011. "A healthier start: The effect of conditional cash transfers on neonatal and infant mortality in rural Mexico," Journal of Development Economics, Elsevier, vol. 94(1), pages 74-85, January.
    37. Bassett, Lucy, 2008. "Can conditional cash transfer programs play a greater role in reducing child undernutrition?," Social Protection Discussion Papers and Notes 46687, The World Bank.
    38. repec:pri:rpdevs:case_and_paxson_early_life_health_w15637 is not listed on IDEAS
    39. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
    40. Laura B. Rawlings, 2005. "Evaluating the Impact of Conditional Cash Transfer Programs," The World Bank Research Observer, World Bank, vol. 20(1), pages 29-55.
    41. Smith, Lisa C. & Ruel, Marie T. & Ndiaye, Aida, 2005. "Why Is Child Malnutrition Lower in Urban Than in Rural Areas? Evidence from 36 Developing Countries," World Development, Elsevier, vol. 33(8), pages 1285-1305, August.
    42. Ahsan, Md Nazmul & Maharaj, Riddhi, 2018. "Parental human capital and child health at birth in India," Economics & Human Biology, Elsevier, vol. 30(C), pages 130-149.
    43. Trommlerová, Sofia K., 2020. "When children have children: The effects of child marriages and teenage pregnancies on early childhood mortality in Bangladesh," Economics & Human Biology, Elsevier, vol. 39(C).
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    More about this item

    Keywords

    Infant mortality; Clustering; Random survival forest; Inequality of opportunity; South Asia;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

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