IDEAS home Printed from https://ideas.repec.org/a/oup/jafrec/v21y2012i2p192-227.html

Wealthiest Is Not Always Healthiest: What Explains Differences in Child Mortality in West Africa?

Author

Listed:
  • Amy Ickowitz

Abstract

Ghana has the lowest under-five mortality rate in West Africa. Understanding why Ghana's child mortality rate is lower than in neighbouring countries may offer useful insights for other developing countries that are trying to improve child health. This paper explores whether Ghana's lower mortality rate is mostly a result of greater household wealth, better implementation of national health policies, or more favourable geography. The paper uses micro level data for children under five to examine relative child mortality risk between Ghana and each of its three immediate neighbours—Burkina Faso, the Ivory Coast and Togo. A Cox proportional hazards model is used to test which of the three ‘contenders’—health policy, wealth or geography—best explains Ghana's mortality advantage. The results of the analysis indicate that wealth variables are not able to explain any of the child mortality variation between Ghana and its neighbours. Geography and health policy variables each explain about 40% of the mortality gap between Ghana and Burkina Faso. Health policy differences alone are able to explain about 70% of the child mortality gap between Ghana and the Ivory Coast. These results suggest that even poor countries that have been ‘cursed’ by bad geography can potentially improve development outcomes and save children's lives. Copyright 2012 , Oxford University Press.

Suggested Citation

  • Amy Ickowitz, 2012. "Wealthiest Is Not Always Healthiest: What Explains Differences in Child Mortality in West Africa?," Journal of African Economies, Centre for the Study of African Economies, vol. 21(2), pages 192-227, March.
    • Handle: RePEc:oup:jafrec:v:21:y:2012:i:2:p:192-227
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1093/jae/ejr035
    Download Restriction: Access to full text is restricted to subscribers.
    ---><---

    As the access to this document is restricted, you may want to look for a different version below or

    for a different version of it.

    Other versions of this item:

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Lilipramawanty Kewok Liwin & Brian Houle, 2019. "The effects of household and community context on mortality among children under five in Sierra Leone: Evidence from the 2013 Demographic and Health Survey," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 40(11), pages 279-306.
    2. Pérez-Moreno, Salvador & Blanco-Arana, María C. & Bárcena-Martín, Elena, 2016. "Economic cycles and child mortality: A cross-national study of the least developed countries," Economics & Human Biology, Elsevier, vol. 22(C), pages 14-23.

    More about this item

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O10 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - General
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development
    • O55 - Economic Development, Innovation, Technological Change, and Growth - - Economywide Country Studies - - - Africa

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:oup:jafrec:v:21:y:2012:i:2:p:192-227. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Oxford University Press (email available below). General contact details of provider: https://edirc.repec.org/data/csaoxuk.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.