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Reducing child malnutrition in Tanzania - combined effects of income growth and program interventions

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  • Alderman, Harold
  • Hoogeveen, Hans
  • Rossi, Mariacristina

Abstract

Malnutrition is associated with an inadequate diet, poor health and sanitation services, and insufficient care for young children. A combination of income growth and nutrition interventions are therefore suggested to adequately tackle this issue, yet evidence to support this claim is often not available, especially for African settings. The authors evaluate the joint contribution of income growth and nutrition interventions toward the reduction of malnutrition. Using a four-round panel data set from northwestern Tanzania they estimate the determinants of a child's nutritional status, including household income and the presence of nutrition interventions in the community. The results show that better nutrition is associated with higher income, and that nutrition interventions have a substantial beneficial effect. Policy simulations make clear that if one intends to halve malnutrition rates by 2015 (the Millennium Development Goals objective), income growth will have to be complemented by large-scale program interventions.

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Bibliographic Info

Paper provided by The World Bank in its series Policy Research Working Paper Series with number 3567.

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Date of creation: 01 Apr 2005
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Handle: RePEc:wbk:wbrwps:3567

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Keywords: Health Monitoring&Evaluation; Early Child and Children's Health; Health Economics&Finance; Governance Indicators; Nutrition;

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  1. Quisumbing, Agnes R., 2003. "Food Aid and Child Nutrition in Rural Ethiopia," World Development, Elsevier, vol. 31(7), pages 1309-1324, July.
  2. Abdulai, Awudu & Aubert, Dominique, 2004. "A cross-section analysis of household demand for food and nutrients in Tanzania," Agricultural Economics, Blackwell, vol. 31(1), pages 67-79, July.
  3. Breusch, T.S. & Pagan, A.R., . "The Lagrange multiplier test and its applications to model specification in econometrics," CORE Discussion Papers RP -412, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  4. Heckman, James J. & Lalonde, Robert J. & Smith, Jeffrey A., 1999. "The economics and econometrics of active labor market programs," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 3, chapter 31, pages 1865-2097 Elsevier.
  5. Rosenzweig, Mark R & Wolpin, Kenneth I, 1986. "Evaluating the Effects of Optimally Distributed Public Programs: ChildHealth and Family Planning Interventions," American Economic Review, American Economic Association, vol. 76(3), pages 470-82, June.
  6. Takashi Yamano & Harold Alderman & Luc Christiaensen, 2003. "Child growth, shocks, and food aid in rural Ethiopia," Policy Research Working Paper Series 3128, The World Bank.
  7. Lawrence Haddad & Stuart Gillespie, 2001. "Effective food and nutrition policy responses to HIV|AIDS: what we know and what we need to know," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(4), pages 487-511.
  8. Christiaensen, Luc & Alderman, Harold, 2004. "Child Malnutrition in Ethiopia: Can Maternal Knowledge Augment the Role of Income?," Economic Development and Cultural Change, University of Chicago Press, vol. 52(2), pages 287-312, January.
  9. Lawrence Haddad & Harold Alderman & Simon Appleton & Lina Song & Yisehac Yohannes, 2003. "Reducing Child Malnutrition: How Far Does Income Growth Take Us?," World Bank Economic Review, World Bank Group, vol. 17(1), pages 107-131, June.
  10. Jere R. Behrman & Yingmei Cheng & Petra E. Todd, 2004. "Evaluating Preschool Programs When Length of Exposure to the Program Varies: A Nonparametric Approach," The Review of Economics and Statistics, MIT Press, vol. 86(1), pages 108-132, February.
  11. Arellano, Manuel & Bond, Stephen, 1991. "Some Tests of Specification for Panel Data: Monte Carlo Evidence and an Application to Employment Equations," Review of Economic Studies, Wiley Blackwell, vol. 58(2), pages 277-97, April.
  12. Hoddinott, John & Kinsey, Bill, 2001. " Child Growth in the Time of Drought," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 63(4), pages 409-36, September.
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