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Decomposing the gap in undernutrition among under-five children between EAG and non-EAG states of India

Author

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  • Chowdhury, Sourav
  • Kasemi, Nuruzzaman
  • Singh, Aditya
  • Chakrabarty, Mahashweta
  • Singh, Shivani

Abstract

In India, the Empowered Action Group (EAG) states (Bihar, Madhya Pradesh, Rajasthan, Uttar Pradesh, Uttarakhand, Odisha, Jharkhand, and Chhattisgarh, including Assam) have a higher prevalence of undernutrition among children under the age of five (U5) than non-EAG states. However, no research has attempted to explain the difference in U5 child undernutrition between EAG and non-EAG states. To fill this gap, this study used data from the fourth round of the National Family Health Survey (NFHS-4) and applied modified Blinder–Oaxaca decomposition (also known as Fairlie decomposition). This decomposition helps quantify the relative contribution of various factors explaining the gap between EAG and non-EAG states in U5 child undernutrition. In EAG states, nearly four out of ten U5 children suffered from being underweight and stunted, and one out of five suffered from wasting. The prevalence of undernutrition was relatively higher in the EAG states than in the non-EAG states. The decomposition results revealed that almost two-thirds of the gap in U5 undernutrition between EAG and Non-EAG states was explained by the variables used in the analysis. Household wealth explained about half the difference in stunting and wasting, while religion accounted for a quarter of the difference in underweight and wasting. Maternal education explained a fourth of the difference in stunting between EAG and Non-EAG states. The disparity in undernutrition between EAG and non-EAG states could be reduced by introducing suitable long- and short-term interventions and programs. Increasing access to the public distribution system (PDS), raising awareness among low-income mothers regarding optimal inter-birth intervals, proper health and hygiene, appropriate family planning, and the importance of maternal and child health care services by frontline workers (ASHAs, Anganwadi workers, etc.) could be some of the ways to bridge the gap in undernutrition between EAG and non-EAG states in the near future.

Suggested Citation

  • Chowdhury, Sourav & Kasemi, Nuruzzaman & Singh, Aditya & Chakrabarty, Mahashweta & Singh, Shivani, 2023. "Decomposing the gap in undernutrition among under-five children between EAG and non-EAG states of India," Children and Youth Services Review, Elsevier, vol. 145(C).
    • Handle: RePEc:eee:cysrev:v:145:y:2023:i:c:s0190740922004327
    DOI: 10.1016/j.childyouth.2022.106796
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    References listed on IDEAS

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    1. Abhishek Kumar & Aditya Singh, 2013. "Decomposing the Gap in Childhood Undernutrition between Poor and Non–Poor in Urban India, 2005–06," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-9, May.
    2. Fairlie, Robert W, 1999. "The Absence of the African-American Owned Business: An Analysis of the Dynamics of Self-Employment," Journal of Labor Economics, University of Chicago Press, vol. 17(1), pages 80-108, January.
    3. J. V. Meenakshi, 2016. "Trends and patterns in the triple burden of malnutrition in India," Agricultural Economics, International Association of Agricultural Economists, vol. 47(S1), pages 115-134, November.
    4. Bhalotra, Sonia & Valente, Christine & van Soest, Arthur, 2010. "The puzzle of Muslim advantage in child survival in India," Journal of Health Economics, Elsevier, vol. 29(2), pages 191-204, March.
    5. Abhishek Singh & Praveen Kumar Pathak & Rajesh Kumar Chauhan & William Pan, 2011. "Infant and Child Mortality in India in the Last Two Decades: A Geospatial Analysis," PLOS ONE, Public Library of Science, vol. 6(11), pages 1-19, November.
    6. Story, William T. & Carpiano, Richard M., 2017. "Household social capital and socioeconomic inequalities in child undernutrition in rural India," Social Science & Medicine, Elsevier, vol. 181(C), pages 112-121.
    7. Ray Miller & Mahesh Karra, 2020. "Birth Spacing and Child Health Trajectories," Population and Development Review, The Population Council, Inc., vol. 46(2), pages 347-371, June.
    8. Rahman, Mohammad Hifz Ur & Malik, Manzoor Ahmad & Chauhan, Shekhar & Patel, Ratna & Singh, Ashish & Mittal, Anshu, 2020. "Examining the linkage between open defecation and child malnutrition in India," Children and Youth Services Review, Elsevier, vol. 117(C).
    9. Pathak, Praveen Kumar & Singh, Abhishek, 2011. "Trends in malnutrition among children in India: Growing inequalities across different economic groups," Social Science & Medicine, Elsevier, vol. 73(4), pages 576-585, August.
    10. Satvika Chalasani & Shea Rutstein, 2014. "Household wealth and child health in India," Population Studies, Taylor & Francis Journals, vol. 68(1), pages 15-41, March.
    11. Shyma Jose, 2017. "Decomposition of gender differential in malnutrition in Indian children," Journal of Social and Economic Development, Springer;Institute for Social and Economic Change, vol. 19(2), pages 299-322, October.
    12. Mr. Holger Floerkemeier & Mr. Nikola Spatafora, 2021. "Regional Disparities, Growth, and Inclusiveness," IMF Working Papers 2021/038, International Monetary Fund.
    13. Elizabeth Brainerd & Nidhiya Menon, 2015. "Religion and Health in Early Childhood: Evidence from South Asia," Population and Development Review, The Population Council, Inc., vol. 41(3), pages 439-463, September.
    14. Saha, Jay & Chouhan, Pradip, 2021. "Do malnutrition, pre-existing morbidities, and poor household environmental conditions aggravate susceptibility to Coronavirus disease (COVID-19)? A study on under-five children in India," Children and Youth Services Review, Elsevier, vol. 128(C).
    15. John Casterline & Elizabeth Cooksey & Abdel Ismail, 1989. "Household income and child survival in Egypt," Demography, Springer;Population Association of America (PAA), vol. 26(1), pages 15-35, February.
    16. Pal, Sarmistha, 1999. "An Analysis of Childhood Malnutrition in Rural India: Role of Gender, Income and Other Household Characteristics," World Development, Elsevier, vol. 27(7), pages 1151-1171, July.
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