A Multilevel Approach to Explain Child Mortality and Undernutrition in South Asia and Sub-Saharan Africa
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.
|Date of creation:||19 Oct 2006|
|Date of revision:|
|Contact details of provider:|| Postal: Platz des Göttinger Sieben 3, 37073 Göttingen|
Phone: 0049-551-39 81 72
Fax: 0049-551-39 81 73
Web page: http://www.iai.wiwi.uni-goettingen.de
More information through EDIRC
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Cora J. M. Maas & Joop J. Hox, 2004. "Robustness issues in multilevel regression analysis," Statistica Neerlandica, Netherlands Society for Statistics and Operations Research, vol. 58(2), pages 127-137.
- Smith, Lisa C. & Haddad, Lawrence James, 1999. "Explaining child malnutrition in developing countries," FCND discussion papers 60, International Food Policy Research Institute (IFPRI).
- Svedberg, Peter, 2000. "Poverty and Undernutrition: Theory, Measurement, and Policy," OUP Catalogue, Oxford University Press, number 9780198292685, December.
- Lant Pritchett & Lawrence H. Summers, 1996.
"Wealthier is Healthier,"
Journal of Human Resources,
University of Wisconsin Press, vol. 31(4), pages 841-868.
- 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.
- 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).
- 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.
- 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.
- 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.
- 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.
- Svedberg, Peter, 2002. "Hunger in India - Facts and Challenges," Seminar Papers 699, Stockholm University, Institute for International Economic Studies.
- 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, vol. 2(2), pages 229-244, June.
- 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 105-28, October.
When requesting a correction, please mention this item's handle: RePEc:got:iaidps:152. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Sabine Jaep)
If references are entirely missing, you can add them using this form.