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A Multilevel Approach to Explain Child Mortality and Undernutrition in South Asia and Sub-Saharan Africa

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While undernutrition among children is very pervasive both in Sub- Saharan Africa and South Asia, child mortality is rather low in South Asia. In contrast to that Sub-Saharan African countries suer by far the worst from high rates of child mortality. This dierent pattern of child mortality and undernutrition in both regions is well known, but approaches using aggregated macro data have not been able to explain it appropriately. In this paper we analyze the determinants of child mortality as well as child undernutrition based on DHS data sets for a sample of ve developing countries in South Asia and Sub-Saharan Africa. We investigate the eects of individual, household and cluster socioeconomic characteristics using a multilevel model approach and examine their respective inuences on both phenomena. We nd that the determinants of child mortality and undernutrition dier signi cantly from each other. Access to health infrastructure is more important for child mortality, whereas the individual characteristics like wealth and educational and nutritional characteristics of mothers play a larger role for anthropometric shortfalls. Although very similar patterns in the determinants of each phenomenon are discernable between countries, there are large dierences in the magnitude of the coecients. Besides regressions using a combined data set of all six countries show, that there are still signicant dierences between the two regions although taking account of a large set of covariates.

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  • Kenneth Harttgen & Mark Misselhorn, 2006. "A Multilevel Approach to Explain Child Mortality and Undernutrition in South Asia and Sub-Saharan Africa," Ibero America Institute for Econ. Research (IAI) Discussion Papers 152, Ibero-America Institute for Economic Research.
  • Handle: RePEc:got:iaidps:152
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    1. Lant Pritchett & Lawrence H. Summers, 1996. "Wealthier is Healthier," Journal of Human Resources, University of Wisconsin Press, pages 841-868.
    2. David E. Sahn & David Stifel, 2003. "Exploring Alternative Measures of Welfare in the Absence of Expenditure Data," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 49(4), pages 463-489, December.
    3. Filmer, Deon*Pritchett, Lant, 1998. "Estimating wealth effects without expenditure data - or tears : with an application to educational enrollments in states of India," Policy Research Working Paper Series 1994, The World Bank.
    4. Svedberg, Peter, 2002. "Hunger in India - Facts and Challenges," Seminar Papers 699, Stockholm University, Institute for International Economic Studies.
    5. Sarah Ssewanyana & Stephen D. Younger, 2008. "Infant Mortality in Uganda: Determinants, Trends and the Millennium Development Goals," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 17(1), pages 34-61, January.
    6. Adebayo, Samson B. & Fahrmeir, Ludwig & Klasen, Stephan, 2004. "Analyzing infant mortality with geoadditive categorical regression models: a case study for Nigeria," Economics & Human Biology, Elsevier, pages 229-244.
    7. Anne Pebley & Noreen Goldman & Germán Rodríguez, 1996. "Prenatal and delivery care and childhood immunization in guatemala: Do family and community matter?," Demography, Springer;Population Association of America (PAA), vol. 33(2), pages 231-247, May.
    8. Svedberg, Peter, 2000. "Poverty and Undernutrition: Theory, Measurement, and Policy," OUP Catalogue, Oxford University Press, number 9780198292685.
    9. Cora J. M. Maas & Joop J. Hox, 2004. "Robustness issues in multilevel regression analysis," Statistica Neerlandica, Netherlands Society for Statistics and Operations Research, pages 127-137.
    10. Smith, Lisa C. & Haddad, Lawrence James, 2000. "Explaining child malnutrition in developing countries: a cross-country analysis," Research reports 111, International Food Policy Research Institute (IFPRI).
    11. Smith, Lisa C. & Haddad, Lawrence James, 1999. "Explaining child malnutrition in developing countries," FCND discussion papers 60, International Food Policy Research Institute (IFPRI).
    12. Subbarao, K & Raney, Laura, 1995. "Social Gains from Female Education: A Cross-National Study," Economic Development and Cultural Change, University of Chicago Press, vol. 44(1), pages 105-128, October.
    13. Lant Pritchett & Lawrence H. Summers, 1996. "Wealthier is Healthier," Journal of Human Resources, University of Wisconsin Press, pages 841-868.
    14. Alain Marcoux, 2002. "Sex Differentials in Undernutrition: A Look at Survey Evidence," Population and Development Review, The Population Council, Inc., vol. 28(2), pages 275-284.
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    Cited by:

    1. Kenneth Harttgen & Stephan Klasen & Sebastian Vollmer, 2012. "Economic Growth and Child Undernutrition in Africa," UNDP Africa Policy Notes 2012-013, United Nations Development Programme, Regional Bureau for Africa.
    2. Foraita, Ronja & Klasen, Stephan & Pigeot, Iris, 2008. "Using graphical chain models to analyze differences in structural correlates of undernutrition in Benin and Bangladesh," Economics & Human Biology, Elsevier, pages 398-419.
    3. Stephan Klasen, 2008. "Poverty, undernutrition, and child mortality: Some inter-regional puzzles and their implicationsfor research and policy," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, pages 89-115.
    4. ATAKE, Esso - Hanam, 2014. "Financement Public des dépenses de santé et survie infantile au Togo
      [Public funding of health expenditure and infant survival in Togo]
      ," MPRA Paper 59320, University Library of Munich, Germany, revised 26 Oct 2014.
    5. Johannes Gräb & Jan Priebe, 2009. "Low Malnutrition but High Mortality: Explaining the Paradox of the Lake Victoria Region," Ibero America Institute for Econ. Research (IAI) Discussion Papers 185, Ibero-America Institute for Economic Research.
    6. Harttgen, Kenneth & Klasen, Stephan, 2012. "A Household-Based Human Development Index," World Development, Elsevier, vol. 40(5), pages 878-899.
    7. Kenneth Harttgen, 2007. "The Impact of HIV on Children´s Welfare," Ibero America Institute for Econ. Research (IAI) Discussion Papers 157, Ibero-America Institute for Economic Research.
    8. AfDB AfDB, 2007. "Working Paper 91 - Health Expenditures and Health Outcomes in Africa," Working Paper Series 2224, African Development Bank.
    9. Maria Carmela Lo Bue, 2014. "What drives child health improvements in Indonesian households? A micro-level perspective on complementarities in MDG achievements," Courant Research Centre: Poverty, Equity and Growth - Discussion Papers 155, Courant Research Centre PEG.
    10. Kenneth Harttgen & Stefan Lang & Judith Santer, 2015. "Multilevel Modelling of Child Mortality in Africa," Working Papers 2015-03, Faculty of Economics and Statistics, University of Innsbruck.
    11. Furukawa, Mitsuaki & Takahata, Junichiro, 2013. "Is GBS Still a Preferable Aid Modality?," Working Papers 50, JICA Research Institute.
    12. AfDB AfDB, 2007. "Working Paper 91 - Health Expenditures and Health Outcomes in Africa," Working Paper Series 2304, African Development Bank.
    13. -, 2008. "Millennium development goals: progress towards the right to health in Latin america and the Caribbean," Libros y Documentos Institucionales, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), number 2919 edited by Eclac.
    14. Yoko Akachi & David Canning, 2008. "The Mortality and Morbidity Transitions in Sub-Saharan Africa: Evidence from Adult Heights," PGDA Working Papers 3308, Program on the Global Demography of Aging.
    15. Rabbani, Sarah & Qayyun, Abdul, 2015. "Comparative Analysis of Factor Affecting Child Mortality in Pakistan," MPRA Paper 66533, University Library of Munich, Germany.
    16. Van de Poel, Ellen & O'Donnell, Owen & Van Doorslaer, Eddy, 2007. "Are urban children really healthier? Evidence from 47 developing countries," Social Science & Medicine, Elsevier, pages 1986-2003.
    17. Eder, Christoph & Halla, Martin, 2017. "Economic Origins of Cultural Norms: The Case of Animal Husbandry and Bastardy," IZA Discussion Papers 10969, Institute for the Study of Labor (IZA).
    18. Marta Jankowska & Magdalena Benza & John R. Weeks, 2013. "Estimating spatial inequalities of urban child mortality," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 28(2), pages 33-62, January.
    19. Ellen van de Poel & Owen O'Donnell & Eddy van Doorslaer, 2007. "Are Urban Children really healthier?," Tinbergen Institute Discussion Papers 07-035/3, Tinbergen Institute.
    20. Harttgen, Kenneth & Vollmer, Sebastian, 2013. "Using an asset index to simulate household income," Economics Letters, Elsevier, vol. 121(2), pages 257-262.
    21. Lay, Jann & Robilliard, Anne-Sophie, 2009. "The complementarity of MDG achievements : the case of child mortality in Sub-Saharan Africa," Policy Research Working Paper Series 5062, The World Bank.

    More about this item

    Keywords

    Child mortality; child undernutrition; multilevel modelling;

    JEL classification:

    • C40 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods: Special Topics - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty
    • O57 - Economic Development, Innovation, Technological Change, and Growth - - Economywide Country Studies - - - Comparative Studies of Countries

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