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Decomposing socioeconomic gap in chronic malnutrition among preschool children in Pakistan

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  • Naz, Lubna
  • Patel, Kamalesh Kumar

Abstract

In developing countries, the high prevalence of chronic malnutrition is a complex development issue due to its close association with poverty and inequality. This study makes the first attempt to explore the factors contributing to the socioeconomic gap (SEG) in stunting among preschool children in Pakistan. This research used a sample of 3,478 under-five children extracted from the Pakistan Demographic and Health Survey 2017–18, a cross-sectional data set. A Chi-square test was used to analyze the association between stunting and socio-demographic characteristics. Fairlie nonlinear inequality-decomposition technique was used to elucidate the factors contributing to the stunting between poor and rich. Univariate analysis showed a higher prevalence of stunting among children aged 24–48 months, short birth-spacing, non-utilization of complete antenatal care services, children without immunization, small birth size, uneducated parents, Sindh and Balochistan, and poor. In Decomposition analysis, an overall gap in the mean prediction of stunting estimated to be 17% between the rich and poor. In the overall inequality, the share of the explained gap was 93.16%, while unexplained accounted for 6.84% of the total gap. Maternal education (43.6%), father’s education (28.3%), antenatal care index (21.1%), mother body mass index (11.8%), and birth size (5.2%) were found to be leading contributing factors of explain socioeconomic gap in stunting. The knowledge generated through this study may help policymakers to develop synergies between nutrition programs and poverty reduction strategies.

Suggested Citation

  • Naz, Lubna & Patel, Kamalesh Kumar, 2020. "Decomposing socioeconomic gap in chronic malnutrition among preschool children in Pakistan," Children and Youth Services Review, Elsevier, vol. 119(C).
  • Handle: RePEc:eee:cysrev:v:119:y:2020:i:c:s0190740920320065
    DOI: 10.1016/j.childyouth.2020.105583
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    1. Oecd, 2018. "National Legislative And Regulatory Activities," Nuclear Law Bulletin, OECD Publishing, vol. 2016(2), pages 65-84.
    2. Oecd, 2018. "National legislative and regulatory activities," Nuclear Law Bulletin, OECD Publishing, vol. 2017(1), pages 75-95.
    3. William Dudley, 2012. "The national and regional economy," Speech 92, Federal Reserve Bank of New York.
    4. G. M. Arif & Shujaat Farooq & Saman Nazir & Maryam Satti, 2014. "Child Malnutrition and Poverty: The Case of Pakistan," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 53(2), pages 99-118.
    5. Chen, Yuyu & Li, Hongbin, 2009. "Mother's education and child health: Is there a nurturing effect?," Journal of Health Economics, Elsevier, vol. 28(2), pages 413-426, March.
    6. Cleland, John G. & van Ginneken, Jerome K., 1988. "Maternal education and child survival in developing countries: The search for pathways of influence," Social Science & Medicine, Elsevier, vol. 27(12), pages 1357-1368, January.
    7. Burchi, Francesco, 2010. "Child nutrition in Mozambique in 2003: The role of mother's schooling and nutrition knowledge," Economics & Human Biology, Elsevier, vol. 8(3), pages 331-345, December.
    8. Xiaohuan Lan & Ben G. Li, 2015. "The Economics of Nationalism," American Economic Journal: Economic Policy, American Economic Association, vol. 7(2), pages 294-325, May.
    9. Kuntal K. Saha & Masum Billah & Purnima Menon & Shams El Arifeen & Nkosinathi V.N. Mbuya, 2015. "Bangladesh National Nutrition Services," World Bank Publications - Books, The World Bank Group, number 22377, December.
    10. Christina Paxson & Norbert Schady, 2007. "Cognitive Development among Young Children in Ecuador: The Roles of Wealth, Health, and Parenting," Journal of Human Resources, University of Wisconsin Press, vol. 42(1).
    11. Yi Xu & Zhihong Shi & Bas Leeuwen & Yuping Ni & Zipeng Zhang & Ye Ma, 2017. "Chinese National Income, ca. 1661–1933," Australian Economic History Review, Economic History Society of Australia and New Zealand, vol. 57(3), pages 368-393, November.
    12. Oecd, 2015. "National legislative and regulatory activities," Nuclear Law Bulletin, OECD Publishing, vol. 2014(2), pages 119-132.
    13. Hossain, Sorif & Chowdhury, Promit Barua & Biswas, Raaj Kishore & Hossain, Md. Amir, 2020. "Malnutrition status of children under 5 years in Bangladesh: A sociodemographic assessment," Children and Youth Services Review, Elsevier, vol. 117(C).
    14. Oecd, 2015. "National legislative and regulatory activities," Nuclear Law Bulletin, OECD Publishing, vol. 2015(1), pages 69-84.
    15. Ministry of Health and Family Welfare H & FW, 2015. "National Family Health Survey (NFHS-3): 2005–06," Working Papers id:6748, eSocialSciences.
    16. Bicego, George T. & Ties Boerma, J., 1993. "Maternal education and child survival: A comparative study of survey data from 17 countries," Social Science & Medicine, Elsevier, vol. 36(9), pages 1207-1227, May.
    17. Glewwe, Paul & Jacoby, Hanan G, 1995. "An Economic Analysis of Delayed Primary School Enrollment in a Low Income Country: The Role of Early Childhood Nutrition," The Review of Economics and Statistics, MIT Press, vol. 77(1), pages 156-169, February.
    18. Government of India GOI, 2018. "National Policy on Biofuels," Working Papers id:12780, eSocialSciences.
    19. Miller, Barbara D., 1997. "Social class, gender and intrahousehold food allocations to children in South Asia," Social Science & Medicine, Elsevier, vol. 44(11), pages 1685-1695, June.
    20. Ministry of Health and Family Welfare H & FW, 2015. "National Health Policy - 2002," Working Papers id:6808, eSocialSciences.
    21. Oecd, 2018. "National legislative and regulatory activities," Nuclear Law Bulletin, OECD Publishing, vol. 2018(1), pages 93-106.
    22. Paul Glewwe, 1999. "Why Does Mother's Schooling Raise Child Health in Developing Countries? Evidence from Morocco," Journal of Human Resources, University of Wisconsin Press, vol. 34(1), pages 124-159.
    23. Government of India Ministry of Women and Child Development, 2015. "National Policy for Children, 2013," Working Papers id:7260, eSocialSciences.
    24. Sabiha Ibrahim, 1999. "Anthropometric Patterns and Correlates of Growth Attainment in Under-five Pakistani Children," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 38(2), pages 131-152.
    Full references (including those not matched with items on IDEAS)

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