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Dual Burden Households and Nutritional Inequality in Indonesia

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  • Roemling, Cornelia
  • Qaim, Matin
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    Abstract

    Overweight is an increasing problem in many developing countries, coexisting with underweight and contributing to a dual burden of malnutrition, sometimes in the same households. We analyze the dual burden phenomenon in Indonesia, using panel data that span a time period of 15 years. Today, 17 percent of the Indonesian households are classified as dual burden. In these households, children are often underweight, whereas adults are overweight. The nutrition transition seems to have differential impacts on the body mass index of different age cohorts. Dual burden is a transitory phenomenon. It started in the richer population segments, but today the highest prevalence is observed in the lowest expenditure quintile. Most households that moved out of the dual burden category end up as overweight. We also develop a continuous Theil index of intra-household nutritional inequality. While the prevalence of dual burden households has hardly changed over the last 10 years, the Theil index increased steadily. The reason is that intra-household inequality is also rising within household categories. Such inequality makes policy design more complex; food and nutrition interventions need to be targeted more specifically at subgroups within households. Further socioeconomic determinants are analyzed econometrically. Female decision-making reduces intra-household nutritional inequality.

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    Bibliographic Info

    Paper provided by Georg-August-Universitaet Goettingen, GlobalFood, Department of Agricultural Economics and Rural Development in its series Discussion Papers with number 126943.

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    Date of creation: Jul 2012
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    Handle: RePEc:ags:gagfdp:126943

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    Keywords: Dual burden; Intra-household inequality; Nutrition transition; Asia; Indonesia; Consumer/Household Economics; Food Consumption/Nutrition/Food Safety; Health Economics and Policy; International Development; I10; O12;

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    1. Barry M. Popkin, 2003. "The Nutrition Transition in the Developing World," Development Policy Review, Overseas Development Institute, vol. 21(5-6), pages 581-597, December.
    2. Duncan Thomas, 1990. "Intra-Household Resource Allocation: An Inferential Approach," Journal of Human Resources, University of Wisconsin Press, vol. 25(4), pages 635-664.
    3. Hartwig de Haen & Stephan Klasen & Matin Qaim, 2011. "What do we really know? Metrics for food insecurity and undernutrition," Courant Research Centre: Poverty, Equity and Growth - Discussion Papers 88, Courant Research Centre PEG.
    4. Garrett, James L. & Ruel, Marie T., 2003. "Stunted child - overweight mother pairs," FCND briefs, International Food Policy Research Institute (IFPRI) 148, International Food Policy Research Institute (IFPRI).
    5. Lee, Jounghee & Houser, Robert F. & Must, Aviva & de Fulladolsa, Patricia Palma & Bermudez, Odilia I., 2010. "Disentangling nutritional factors and household characteristics related to child stunting and maternal overweight in Guatemala," Economics & Human Biology, Elsevier, Elsevier, vol. 8(2), pages 188-196, July.
    6. Rogers, Beatrice Lorge, 1996. "The implications of female household headship for food consumption and nutritional status in the Dominican Republic," World Development, Elsevier, Elsevier, vol. 24(1), pages 113-128, January.
    7. Alderman, Harold, et al, 1995. "Unitary versus Collective Models of the Household: Is It Time to Shift the Burden of Proof?," World Bank Research Observer, World Bank Group, World Bank Group, vol. 10(1), pages 1-19, February.
    8. David E. Sahn & Stephen D. Younger, 2009. "Measuring intra‐household health inequality: explorations using the body mass index," Health Economics, John Wiley & Sons, Ltd., vol. 18(S1), pages S13-S36, April.
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