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

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  • Misselhorn, Mark
  • Harttgen, Kenneth

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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Bibliographic Info

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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References

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Cited by:
  1. Marta Jankowska & Magdalena Benza & John R. Weeks, 2013. "Estimating spatial inequalities of urban child mortality," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 28(2), pages 33-62, January.
  2. Stephan Klasen, 2007. "Poverty, Undernutrition, and Child Mortality: Some Inter-Regional Puzzles and their Implications for Research and Policy," Ibero America Institute for Econ. Research (IAI) Discussion Papers 156, Ibero-America Institute for Economic Research.
  3. 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.
  4. Yoko Akachi & David Canning, 2008. "The Mortality and Morbidity Transitions in Sub-Saharan Africa: Evidence from Adult Heights," PGDA Working Papers 3308, Program on the Global Demography of Aging.
  5. 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.
  6. Lay, Jann & Robilliard, Anne-Sophie, 2009. "The complementarity of MDG achievements : the case of child mortality in Sub-Saharan Africa," Policy Research Working Paper Series 5062, The World Bank.
  7. Kenneth Harttgen & Stephan Klasen & Sebastian Vollmer, 2012. "Economic Growth and Child Undernutrition in Africa," Working Papers 2012-013, United Nations Development Programme, Regional Bureau for Africa (UNDP/RBA).
  8. Priebe, Jan & Gräb, Johannes, 2009. "Low Malnutrition but High Mortality: Explaining the Paradox of the Lake Victoria Region," Proceedings of the German Development Economics Conference, Frankfurt a.M. 2009 26, Verein für Socialpolitik, Research Committee Development Economics.
  9. Maria Carmela Lo Bue, 2014. "What drives child health improvements in Indonesian households? A micro-level perspective on complementarities in MDG achievements," Courant Research Centre: Poverty, Equity and Growth - Discussion Papers 155, Courant Research Centre PEG.
  10. Foraita, Ronja & Klasen, Stephan & Pigeot, Iris, 2008. "Using graphical chain models to analyze differences in structural correlates of undernutrition in Benin and Bangladesh," Economics & Human Biology, Elsevier, vol. 6(3), pages 398-419, December.
  11. Kenneth Harttgen & Stephan Klasen, 2010. "A Household-Based Human Development Index," Human Development Research Papers (2009 to present) HDRP-2010-22, Human Development Report Office (HDRO), United Nations Development Programme (UNDP).
  12. Harttgen, Kenneth & Vollmer, Sebastian, 2013. "Using an asset index to simulate household income," Economics Letters, Elsevier, vol. 121(2), pages 257-262.
  13. Furukawa, Mitsuaki & Takahata, Junichiro, 2013. "Is GBS Still a Preferable Aid Modality?," Working Papers 50, JICA Research Institute.
  14. 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.

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