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Remoteness, Urbanization and Child Nutrition in sub-Saharan Africa

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  • Stifel, D.
  • Headey, D.
  • You, L.
  • Guo, Z.

Abstract

Reducing undernutrition requires improving access to goods and services from a wide range of economic and social sectors, including agriculture, education and health. Yet despite broad agreement on the multisectoral nature of the global burden of undernutrition, relatively little research has analyzed how different dimensions of accessibility, such as urbanization and travel times to urban centers, affect child nutrition and dietary outcomes. In this paper we study these relationships in sub-Saharan Africa, a highly rural continent still severely hindered by remoteness problems. We link spatial data on travel times to 20,000 person cities to survey data from 10,900 communities in 23 countries. We document strong negative associations between nutrition indicators and rural livelihoods, but only moderately strong associations with remoteness to cities. Moreover, the harmful effects of remoteness and rural living largely disappear once education, wealth, and social/infrastructural services indicators are added to the model. This implies that the key nutritional disadvantage of rural populations stems chiefly from social and economic poverty. Combating these problems requires either an acceleration of urbanization processes, or finding innovative cost-effective mechanisms for extending basic services to isolated rural communities. Acknowledgement : This paper was funded by The Bill and Melinda Gates Foundation under the project Advancing Research on Nutrition and Agriculture (ARENA), Phase II, as well as the CGIAR program on Agriculture for Nutrition and Health (A4NH). We thank Marie Ruel for comments and suggestions. The usual disclaimer applies.

Suggested Citation

  • Stifel, D. & Headey, D. & You, L. & Guo, Z., 2018. "Remoteness, Urbanization and Child Nutrition in sub-Saharan Africa," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 277147, International Association of Agricultural Economists.
  • Handle: RePEc:ags:iaae18:277147
    DOI: 10.22004/ag.econ.277147
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    9. Sophie Bruin & Just Dengerink & Jasper Vliet, 2021. "Urbanisation as driver of food system transformation and opportunities for rural livelihoods," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 13(4), pages 781-798, August.
    10. Pieter Rutsaert & Jordan Chamberlin & Kevin Ong’are Oluoch & Victor Ochieng Kitoto & Jason Donovan, 2021. "The geography of agricultural input markets in rural Tanzania," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 13(6), pages 1379-1391, December.
    11. Ardyn Nordstrom & Christopher Cotton, 2020. "Impact of a Severe Drought on Education: More Schooling but Less Learning," Working Paper 1430, Economics Department, Queen's University.
    12. Mohammad Rafiqul Islam & Masud Alam & Munshi Naser .Ibne Afzal, 2021. "Nighttime Light Intensity and Child Health Outcomes in Bangladesh," Papers 2108.00926, arXiv.org.

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