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A Multilevel Approach to Explain Child Mortality and Undernutrition in South Asia and Sub-Saharan Africa

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Author Info
Harttgen, Kenneth
Misselhorn, Mark
Abstract

While undernutrition among children is very pervasive both in Sub- Saharan Africa and South Asia, child mortality is rather low in South Asia. In contrast to that Sub-Saharan African countries suffer by far the worst from high rates of child mortality. This different pattern of child mortality and undernutrition in both regions is well known, but approaches using aggregated macro data have not been able to explain it appropriately. In this paper we analyze the determinants of child mortality as well as child undernutrition based on DHS data sets for a sample of six developing countries in South Asia and Sub-Saharan Africa. We investigate the effects of individual, household and cluster socioeconomic characteristics using a multilevel model approach and examine their respective influences on both phenomena. We find that the determinants of child mortality and undernutrition differ significantly from each other. Access to health infrastructure is more important for child mortality, whereas the individual characteristics like wealth and educational and nutritional characteristics of mothers play a larger role for anthropometric shortfalls. Although very similar patterns in the determinants of each phenomenon are discernable, there are large differences in the magnitude of the coefficients. Besides regressions using a combined data set of all six countries show, that there are still significant differences between the two regions although taking account of a large set of covariates.

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Paper provided by Verein für Socialpolitik, Research Committee Development Economics in its series Proceedings of the German Development Economics Conference, Berlin 2006 with number 20.

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Date of creation: 2006
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Handle: RePEc:zbw:gdec06:4743

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Keywords: Child mortality child undernutrition multilevel modelling

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Find related papers by JEL classification:
C40 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods: Special Topics - - - General
I12 - Health, Education, and Welfare - - Health - - - Health Production
I31 - Health, Education, and Welfare - - Welfare and Poverty - - - General Welfare
I32 - Health, Education, and Welfare - - Welfare and Poverty - - - Measurement and Analysis of Poverty
O57 - Economic Development, Technological Change, and Growth - - Economywide Country Studies - - - Comparative Studies of Countries

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Cora J. M. Maas & Joop J. Hox, 2004. "Robustness issues in multilevel regression analysis," Statistica Neerlandica, Netherlands Society for Statistics and Operations Research, vol. 58(2), pages 127-137. [Downloadable!] (restricted)
  2. Smith, Lisa C. & Haddad, Lawrence James, 2000. "Explaining child malnutrition in developing countries: a cross-country analysis," Research reports 111, International Food Policy Research Institute (IFPRI). [Downloadable!]
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  3. Adebayo, Samson B. & Fahrmeir, Ludwig & Klasen, Stephan, 2004. "Analyzing infant mortality with geoadditive categorical regression models: a case study for Nigeria," Economics and Human Biology, Elsevier, vol. 2(2), pages 229-244, June. [Downloadable!] (restricted)
  4. Svedberg, Peter, 2002. "Hunger in India - Facts and Challenges," Seminar Papers 699, Stockholm University, Institute for International Economic Studies. [Downloadable!]
  5. Pritchett, Lant & Summers, Lawrence H., 1993. "Wealthier is healthier," Policy Research Working Paper Series 1150, The World Bank. [Downloadable!]
  6. Subbarao, K & Raney, Laura, 1995. "Social Gains from Female Education: A Cross-National Study," Economic Development and Cultural Change, University of Chicago Press, vol. 44(1), pages 105-28, October.
  7. Alain Marcoux, 2002. "Sex Differentials in Undernutrition: A Look at Survey Evidence," Population and Development Review, The Population Council, Inc., vol. 28(2), pages 275-284. [Downloadable!] (restricted)
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Kenneth Harttgen, 2007. "The Impact of HIV on Children´s Welfare," Ibero America Institute for Econ. Research (IAI) Discussion Papers 157, Ibero-America Institute for Economic Research. [Downloadable!]
  2. Ellen van de Poel & Owen O'Donnell & Eddy van Doorslaer, 2007. "Are Urban Children really healthier?," Tinbergen Institute Discussion Papers 07-035/3, Tinbergen Institute. [Downloadable!]
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