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Access to Health Infrastructure and Child Health Development: Evidence from Post-Apartheid South Africa

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  • Shinsuke Tanaka

Abstract

A growing body of literature shows that child health has substantial long-term economic impacts. This study examines whether, and to what extent, increased access to health infrastructure leads to better child health status as measured by weight-for-age z-scores. To assess the causal relationship, I exploit plausibly exogenous variation in access induced by the dramatic change in health policy in South Africa immediately after the end of apartheid. Using longitudinal household data, health services are found to improve the nutritional status of not only newly born babies but also children who were already born at low health status. Yet, the effects are significant only for boys.

Suggested Citation

  • Shinsuke Tanaka, 2008. "Access to Health Infrastructure and Child Health Development: Evidence from Post-Apartheid South Africa," ISER Discussion Paper 0768, Institute of Social and Economic Research, Osaka University, revised Jan 2010.
  • Handle: RePEc:dpr:wpaper:0768
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    1. Harold Alderman & John Hoddinott & Bill Kinsey, 2006. "Long term consequences of early childhood malnutrition," Oxford Economic Papers, Oxford University Press, vol. 58(3), pages 450-474, July.
    2. Robert Cameron, 1996. "The Reconstruction and Development Programme," Journal of Theoretical Politics, , vol. 8(2), pages 283-294, April.
    3. Esther Duflo, 2001. "Schooling and Labor Market Consequences of School Construction in Indonesia: Evidence from an Unusual Policy Experiment," American Economic Review, American Economic Association, vol. 91(4), pages 795-813, September.
    4. Sharon Maccini & Dean Yang, 2009. "Under the Weather: Health, Schooling, and Economic Consequences of Early-Life Rainfall," American Economic Review, American Economic Association, vol. 99(3), pages 1006-1026, June.
    5. Anne Case & Angus Deaton, 1999. "School Inputs and Educational Outcomes in South Africa," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 114(3), pages 1047-1084.
    6. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    7. Angus S. Deaton, 2006. "Global Patterns of Income and Health: Facts, Interpretations, and Policies," Working Papers id:777, eSocialSciences.
    8. Futoshi Yamauchi, 2008. "Early Childhood Nutrition, Schooling, and Sibling Inequality in a Dynamic Context: Evidence from South Africa," Economic Development and Cultural Change, University of Chicago Press, vol. 56(3), pages 657-682, April.
    9. Douglas Almond, 2006. "Is the 1918 Influenza Pandemic Over? Long-Term Effects of In Utero Influenza Exposure in the Post-1940 U.S. Population," Journal of Political Economy, University of Chicago Press, vol. 114(4), pages 672-712, August.
    10. Murray Leibbrandt & Ingrid Woolard, 1999. "A comparison of poverty in South Africa's nine provinces," Development Southern Africa, Taylor & Francis Journals, vol. 16(1), pages 37-54.
    11. Carter, Michael R. & Maluccio, John A., 2003. "Social Capital and Coping with Economic Shocks: An Analysis of Stunting of South African Children," World Development, Elsevier, vol. 31(7), pages 1147-1163, July.
    12. Lant Pritchett & Lawrence H. Summers, 1996. "Wealthier is Healthier," Journal of Human Resources, University of Wisconsin Press, vol. 31(4), pages 841-868.
    13. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
    14. Glewwe, Paul & Jacoby, Hanan G. & King, Elizabeth M., 2001. "Early childhood nutrition and academic achievement: a longitudinal analysis," Journal of Public Economics, Elsevier, vol. 81(3), pages 345-368, September.
    15. Hoyt Bleakley, 2007. "Disease and Development: Evidence from Hookworm Eradication in the American South," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 73-117.
    16. Michael Greenstone & Kenneth Y. Chay, 2000. "The Convergence in Black-White Infant Mortality Rates during the 1960's," American Economic Review, American Economic Association, vol. 90(2), pages 326-332, May.
    17. Stephan Klasen, 1997. "Poverty, Inequality and Deprivation in South Africa: An Analysis of the 1993 SALDRU Survey," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 41(1), pages 51-94, July.
    18. Alaka Holla & Michael Kremer, 2009. "Lessons from Randomized Evaluations in Education and Health," Working Papers 158, Center for Global Development.
    19. 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.
    20. Gustavo J. Bobonis & Edward Miguel & Charu Puri-Sharma, 2006. "Anemia and School Participation," Journal of Human Resources, University of Wisconsin Press, vol. 41(4).
    21. Abhijit Banerjee & Angus Deaton & Esther Duflo, 2004. "Wealth, Health, and Health Services in Rural Rajasthan," American Economic Review, American Economic Association, vol. 94(2), pages 326-330, May.
    22. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    23. Oster, Emily, 2009. "Does increased access increase equality? Gender and child health investments in India," Journal of Development Economics, Elsevier, vol. 89(1), pages 62-76, May.
    24. Das, Jishnu & Hammer, Jeffrey, 2007. "Money for nothing: The dire straits of medical practice in Delhi, India," Journal of Development Economics, Elsevier, vol. 83(1), pages 1-36, May.
    25. Julian May & Jorge Aguero & Michael Carter & Ian Timæus, 2007. "The KwaZulu-Natal Income Dynamics Study (KIDS) third wave: methods, first findings and an agenda for future research," Development Southern Africa, Taylor & Francis Journals, vol. 24(5), pages 629-648.
    26. 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.
    27. Harold Alderman & Jere R. Behrman & Victor Lavy & Rekha Menon, 2001. "Child Health and School Enrollment: A Longitudinal Analysis," Journal of Human Resources, University of Wisconsin Press, vol. 36(1), pages 185-205.
    28. Julian May & Michael Carter & Lawrence Haddad & John Maluccio, 2000. "KwaZulu-Natal Income Dynamics Study (KIDS) 1993-98: A longitudinal household database for South African policy analysis," Development Southern Africa, Taylor & Francis Journals, vol. 17(4), pages 567-581.
    29. Deininger, Klaus & Mpuga, Paul, 2004. "Economic and Welfare Effects of the Abolition of Health User Fees : Evidence from Uganda," Policy Research Working Paper Series 3276, The World Bank.
    30. repec:pri:cheawb:deaton_wider_final_annual_lecture_all is not listed on IDEAS
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