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Exhibiting the Changes in Nutritional Status of Children in India: An Empirical Insight from the Human Opportunity Index

Author

Listed:
  • Rahul Kumar

    (Birla Institute of Technology and Science (BITS))

  • Balakrushna Padhi

    (Birla Institute of Technology and Science (BITS))

  • Debi Prasad Bal

    (Birla Institute of Technology and Science (BITS))

  • Soumen Ray

    (UNICEF)

Abstract

Enhancing the nutritional status is essential for fostering human resource development and attaining sustainable development. The objective of this study is to analyse the temporal change in the opportunity to access adequate nutritional outcomes (Normal height for age, Normal weight for age, and Normal weight for height) for children under the age of five in India. The analysis of the study is based on three sets (2005–06, 2015–16 and 2019–21) of National Family Health Survey (NFHS) data, at both the national and sub-national levels. It used the Human Opportunity Index (HOI), D-index, Shapley decomposition of D-index and time decomposition of HOI to examine temporal change in the opportunity to access adequate nutritional outcomes. At the national level, HOI increased in all three nutritional opportunities from 2005–06 to 2019–21, owing to the increase in coverage rate and decline in D-index. On the contrary, a sub-national analysis for the same period finds HOI to increase in all major states only in the case of Normal height for age and Normal weight for age. Whereas, states such as Punjab, West Bengal, Assam, Manipur, Mizoram, Nagaland, Sikkim, Andhra Pradesh, Karnataka, Uttar Pradesh, Goa, Maharashtra and Gujarat saw negative change in HOI for normal weight for height. Estimates from Shapley decomposition of D-index indicated that mother's education, wealth, social group, and access to toilet had major contribution to the unequal distribution of opportunities across all survey years. Further, the time decomposition of HOI revealed that the equalisation effect, which is the heart of the principle of equal opportunity, did not play a prominent role in expanding access to opportunities. Even a negative equalization effect is observed in Jammu & Kashmir, some states of the northeast, and even the rich states like Karnataka and Maharashtra. The study suggests a multi-pronged approach to address challenges, including increasing coverage and decreasing inequity in accessibility. Possible solutions include augmenting spending, minimizing leakages, and guaranteeing the delivery of services to the final recipients. A nuanced balance between "equality of outcomes" and "equality of opportunity" is needed.

Suggested Citation

  • Rahul Kumar & Balakrushna Padhi & Debi Prasad Bal & Soumen Ray, 2024. "Exhibiting the Changes in Nutritional Status of Children in India: An Empirical Insight from the Human Opportunity Index," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 17(3), pages 1161-1193, June.
    • Handle: RePEc:spr:chinre:v:17:y:2024:i:3:d:10.1007_s12187-024-10111-y
    DOI: 10.1007/s12187-024-10111-y
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    1. Fujii, Tomoki & Shonchoy, Abu S. & Xu, Sijia, 2018. "Impact of Electrification on Children’s Nutritional Status in Rural Bangladesh," World Development, Elsevier, vol. 102(C), pages 315-330.
    2. Sonalde Desai & Veena Kulkarni, 2008. "Changing educational inequalities in india in the context of affirmative action," Demography, Springer;Population Association of America (PAA), vol. 45(2), pages 245-270, May.
    3. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    4. Dean Spears & Arabinda Ghosh & Oliver Cumming, 2013. "Open Defecation and Childhood Stunting in India: An Ecological Analysis of New Data from 112 Districts," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-1, September.
    5. Hyun H. Son, 2013. "Inequality of Human Opportunities in Developing Asia," Asian Development Review, MIT Press, vol. 30(2), pages 110-130, September.
    6. Stella Lartey & Rasheda Khanam & Shingo Takahashi, 2016. "The Impact Of Household Wealth On Child Survival In Ghana," Working Papers EMS_2016_01, Research Institute, International University of Japan.
    7. Alderman, Harold & Hoogeveen, Hans & Rossi, Mariacristina, 2006. "Reducing child malnutrition in Tanzania: Combined effects of income growth and program interventions," Economics & Human Biology, Elsevier, vol. 4(1), pages 1-23, January.
    8. Borooah, Vani K., 2004. "Gender bias among children in India in their diet and immunisation against disease," Social Science & Medicine, Elsevier, vol. 58(9), pages 1719-1731, May.
    9. 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.
    10. Karmaker, Shamal Chandra & Sen, Kanchan Kumar & Singha, Bipasha & Hosan, Shahadat & Chapman, Andrew J. & Saha, Bidyut Baran, 2022. "The mediating effect of energy poverty on child development: Empirical evidence from energy poor countries," Energy, Elsevier, vol. 243(C).
    11. Smith, Lisa C. & Ruel, Marie T. & Ndiaye, Aida, 2005. "Why Is Child Malnutrition Lower in Urban Than in Rural Areas? Evidence from 36 Developing Countries," World Development, Elsevier, vol. 33(8), pages 1285-1305, August.
    12. Swaminathan, Harini & Sharma, Anurag & Shah, Narendra G., 2019. "Does the relationship between income and child health differ across income groups? Evidence from India," Economic Modelling, Elsevier, vol. 79(C), pages 57-73.
    13. Indunil De Silva & Sudarno Sumarto, 2018. "Child Malnutrition in Indonesia: Can Education, Sanitation and Healthcare Augment the Role of Income?," Journal of International Development, John Wiley & Sons, Ltd., vol. 30(5), pages 837-864, July.
    14. Swati Dutta, 2021. "Multidimensional Deprivation among Children in India and Bangladesh," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 14(3), pages 917-955, June.
    15. Wolfe, Barbara L. & Behrman, Jere R., 1982. "Determinants of child mortality, health, and nutrition in a developing country," Journal of Development Economics, Elsevier, vol. 11(2), pages 163-193, October.
    16. Gupta, Srishti & Gupta, Eshita & Sarangi, Gopal K., 2020. "Household Energy Poverty Index for India: An analysis of inter-state differences," Energy Policy, Elsevier, vol. 144(C).
    17. Judith Blake, 1981. "Family size and the quality of children," Demography, Springer;Population Association of America (PAA), vol. 18(4), pages 421-442, November.
    18. José R. Molinas Vega & Ricardo Paes de Barros & Jaime Saavedra Chanduvi & Marcelo Giugale & Louise J. Cord & Carola Pessino & Amer Hasan, 2012. "Do Our Children Have a Chance? A Human Opportunity Report for Latin America and the Caribbean," World Bank Publications - Books, The World Bank Group, number 2374, August.
    19. Binayak Kandapan & Jalandhar Pradhan & Itishree Pradhan, 2023. "An Individual-Specific Approach to Multidimensional Child Poverty in India: a Study of Regional Disparities," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 16(5), pages 2075-2105, October.
    20. Boyle, Michael H. & Racine, Yvonne & Georgiades, Katholiki & Snelling, Dana & Hong, Sungjin & Omariba, Walter & Hurley, Patricia & Rao-Melacini, Purnima, 2006. "The influence of economic development level, household wealth and maternal education on child health in the developing world," Social Science & Medicine, Elsevier, vol. 63(8), pages 2242-2254, October.
    21. Duncan Thomas & John Strauss & Maria-Helena Henriques, 1991. "How Does Mother's Education Affect Child Height?," Journal of Human Resources, University of Wisconsin Press, vol. 26(2), pages 183-211.
    22. Emmanuel Skoufias, 1999. "Parental Education and child Nutrition in Indonesia," Bulletin of Indonesian Economic Studies, Taylor & Francis Journals, vol. 35(1), pages 99-119.
    23. 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.
    24. Nadimi, Reza & Tokimatsu, Koji, 2018. "Modeling of quality of life in terms of energy and electricity consumption," Applied Energy, Elsevier, vol. 212(C), pages 1282-1294.
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    More about this item

    Keywords

    Inequality; Opportunity; Children; Undernutrition; Coverage Rate;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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