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Health trends in Sub-Saharan Africa: Conflicting evidence from infant mortality rates and adult heights

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  • Akachi, Yoko
  • Canning, David

Abstract

We investigate trends in cohort infant mortality rates and adult heights in 39 developing countries since 1961. In most regions of the world improved nutrition, and reduced childhood exposure to disease, have lead to improvements in both infant mortality and adult stature. In Sub-Saharan Africa, however, despite declining infant mortality rates, adult heights have not increased. We argue that in Sub-Saharan Africa the decline in infant mortality may have been due to interventions that prevent infant deaths rather than improved nutrition and childhood morbidity. Despite declining infant mortality, Sub-Saharan Africa may not be experiencing increases in health human capital.

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  • Akachi, Yoko & Canning, David, 2010. "Health trends in Sub-Saharan Africa: Conflicting evidence from infant mortality rates and adult heights," Economics & Human Biology, Elsevier, vol. 8(2), pages 273-288, July.
    • Handle: RePEc:eee:ehbiol:v:8:y:2010:i:2:p:273-288
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    as
    1. John Komlos, 1993. "The secular trend in the biological standard of living in the United Kingdom, 1730-1860," Economic History Review, Economic History Society, vol. 46(1), pages 115-144, February.
    2. Schultz, T. Paul, 2003. "Human capital, schooling and health," Economics & Human Biology, Elsevier, vol. 1(2), pages 207-221, June.
    3. Angus Deaton, 2006. "Global Patterns of Income and Health: Facts, Interpretations, and Policies," NBER Working Papers 12735, National Bureau of Economic Research, Inc.
    4. Gary S. Becker & Tomas J. Philipson & Rodrigo R. Soares, 2005. "The Quantity and Quality of Life and the Evolution of World Inequality," American Economic Review, American Economic Association, vol. 95(1), pages 277-291, March.
    5. Moradi, Alexander, 2009. "Towards an Objective Account of Nutrition and Health in Colonial Kenya: A Study of Stature in African Army Recruits and Civilians, 1880–1980," The Journal of Economic History, Cambridge University Press, vol. 69(3), pages 719-754, September.
    6. Moradi, Alexander & Baten, Joerg, 2005. "Inequality in Sub-Saharan Africa: New Data and New Insights from Anthropometric Estimates," World Development, Elsevier, vol. 33(8), pages 1233-1265, August.
    7. Paul Schultz, T., 2003. "Wage rentals for reproducible human capital: evidence from Ghana and the Ivory Coast," Economics & Human Biology, Elsevier, vol. 1(3), pages 331-366, December.
    8. Robert Fogel & Dora Costa, 1997. "A theory of technophysio evolution, with some implications for forecasting population, health care costs, and pension costs," Demography, Springer;Population Association of America (PAA), vol. 34(1), pages 49-66, February.
    9. Carlos Bozzoli & Angus Deaton & Climent Quintana-Domeque, 2009. "Adult height and childhood disease," Demography, Springer;Population Association of America (PAA), vol. 46(4), pages 647-669, November.
    10. Yoko Akachi & David Canning, 2007. "The Height of Women in Sub-Saharan Africa: the Role of Health, Nutrition, and Income in Childhood," PGDA Working Papers 2207, Program on the Global Demography of Aging.
    11. Doyle, Orla & Harmon, Colm P. & Heckman, James J. & Tremblay, Richard E., 2009. "Investing in early human development: Timing and economic efficiency," Economics & Human Biology, Elsevier, vol. 7(1), pages 1-6, March.
    12. Stephan Klasen, 2008. "Poverty, undernutrition, and child mortality: Some inter-regional puzzles and their implicationsfor research and policy," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 6(1), pages 89-115, March.
    13. David N. Well, 2007. "Accounting for the Effect Of Health on Economic Growth," The Quarterly Journal of Economics, Oxford University Press, vol. 122(3), pages 1265-1306.
    14. Robert William Fogel, 1993. "New Sources and New Techniques for the Study of Secular Trends in Nutritional Status, Health, Mortality, and the Process of Aging," NBER Historical Working Papers 0026, National Bureau of Economic Research, Inc.
    15. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2006. "The Determinants of Mortality," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 97-120, Summer.
    16. Jacobs, Jan & Katzur, Tomek & Tassenaar, Vincent, 2008. "On estimators for truncated height samples," Economics & Human Biology, Elsevier, vol. 6(1), pages 43-56, March.
    17. T. Paul Schultz, 2003. "Human Capital, Schooling and Health Returns," Working Papers 853, Economic Growth Center, Yale University.
    18. Bloom, David E. & Canning, David & Sevilla, Jaypee, 2004. "The Effect of Health on Economic Growth: A Production Function Approach," World Development, Elsevier, vol. 32(1), pages 1-13, January.
    19. Gauri Kartini Shastry & David N. Weil, 2003. "How Much of Cross-Country Income Variation is Explained By Health?," Journal of the European Economic Association, MIT Press, vol. 1(2-3), pages 387-396, 04/05.
    20. Bos, Eduard & Vu, My T. & Stephens, Patience W., 1992. "Sources of World Bank estimates of current mortality rates," Policy Research Working Paper Series 851, The World Bank.
    21. Peck, Maria Nyström & Lundberg, Olle, 1995. "Short stature as an effect of economic and social conditions in childhood," Social Science & Medicine, Elsevier, vol. 41(5), pages 733-738, September.
    22. Schultz, T. Paul, 2005. "Productive Benefits of Health: Evidence from Low-Income Countries," Center Discussion Papers 28532, Yale University, Economic Growth Center.
    23. Peter J. Glick & David E. Sahn, 2008. "Are Africans Practicing Safer Sex? Evidence from Demographic and Health Surveys for Eight Countries," Economic Development and Cultural Change, University of Chicago Press, vol. 56(2), pages 397-439, January.
    24. Johannes Gräb & Jan Priebe, 2009. "Low Malnutrition but High Mortality: Explaining the Paradox of the Lake Victoria Region," Ibero America Institute for Econ. Research (IAI) Discussion Papers 185, Ibero-America Institute for Economic Research.
    25. Mark Hayward & Bridget Gorman, 2004. "The long arm of childhood: The influence of early-life social conditions on men’s mortality," Demography, Springer;Population Association of America (PAA), vol. 41(1), pages 87-107, February.
    26. 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.
    27. John Komlos, 1989. "Nutrition and Economic Development in the Eighteenth-Century Habsburg Monarchy: An Anthropometric History," Books by John Komlos, Department of Economics, University of Munich, number 2, June.
    28. Peter C. B. Phillips & Hyungsik R. Moon, 1999. "Linear Regression Limit Theory for Nonstationary Panel Data," Econometrica, Econometric Society, vol. 67(5), pages 1057-1112, September.
    29. T. Paul Schultz, 2002. "Wage Gains Associated with Height as a Form of Health Human Capital," American Economic Review, American Economic Association, vol. 92(2), pages 349-353, May.
    30. Denis Cogneau & Léa Rouanet, 2009. "Living Conditions in Côte d'Ivoire, Ghana and Western Africa 1925-1985: What Do Survey Data on Height Stature Tell Us?," Working Papers DT/2009/12, DIAL (Développement, Institutions et Mondialisation).
    31. Zeng Yi & Danan Gu & Kenneth Land, 2007. "The association of childhood socioeconomic conditions with healthy longevity at the oldest-old ages in China," Demography, Springer;Population Association of America (PAA), vol. 44(3), pages 497-518, August.
    32. Blackwell, Debra L. & Hayward, Mark D. & Crimmins, Eileen M., 2001. "Does childhood health affect chronic morbidity in later life?," Social Science & Medicine, Elsevier, vol. 52(8), pages 1269-1284, April.
    33. World Bank, 2005. "World Development Indicators 2005," World Bank Publications - Books, The World Bank Group, number 12426, December.
    34. Steckel, Richard H., 2009. "Heights and human welfare: Recent developments and new directions," Explorations in Economic History, Elsevier, vol. 46(1), pages 1-23, January.
    35. Svedberg, Peter, 2002. "Undernutrition Overestimated," Economic Development and Cultural Change, University of Chicago Press, vol. 51(1), pages 5-36, October.
    36. McEvoy, Brian P. & Visscher, Peter M., 2009. "Genetics of human height," Economics & Human Biology, Elsevier, vol. 7(3), pages 294-306, December.
    37. Svedberg, Peter, 2000. "Poverty and Undernutrition: Theory, Measurement, and Policy," OUP Catalogue, Oxford University Press, number 9780198292685, Decembrie.
    38. repec:wbk:wbpubs:12425 is not listed on IDEAS
    39. Komlos, John, 1998. "Shrinking in a Growing Economy? The Mystery of Physical Stature during the Industrial Revolution," The Journal of Economic History, Cambridge University Press, vol. 58(03), pages 779-802, September.
    40. Richard H. Steckel, 2008. "Biological Measures of the Standard of Living," Journal of Economic Perspectives, American Economic Association, vol. 22(1), pages 129-152, Winter.
    41. repec:pri:cheawb:deaton_wider_final_annual_lecture_all is not listed on IDEAS
    42. Zeng Yi & Danan Gu & Kenneth Land, 2007. "Erratum to: The association of childhood socioeconomic conditions with healthy longevity at the oldest-old ages in China," Demography, Springer;Population Association of America (PAA), vol. 44(4), pages 1-1, November.
    43. John Komlos & Benjamin E. Lauderdale, 2007. "Underperformance in Affluence: The Remarkable Relative Decline in U.S. Heights in the Second Half of the 20th Century," Social Science Quarterly, Southwestern Social Science Association, vol. 88(2), pages 283-305, June.
    44. Richard H. Steckel, 1995. "Stature and the Standard of Living," Journal of Economic Literature, American Economic Association, vol. 33(4), pages 1903-1940, December.
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