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Infant and Child Mortality in Andhra Pradesh: Analysing changes over time and between states


  • Masset, Edoardo
  • White, Howard


Most countries of the world are reducing infant and child mortality too slowly to meet the Millennium Development Goal of a two-thirds reduction by 2015. Yet, some countries and regions have achieved impressive reductions, Kerala in India being one example. This paper examines the determinants of infant and child mortality in Andhra Pradesh, where the Young Lives project is taking place, and Kerala and the factors explaining their differential performance. The determinants of mortality are estimated using a Cox proportional hazards model. Infant mortality is found to depend on biological factors, including mother’s age and birth order, and also factors related to health service provision such as tetanus injection and use of antenatal services. Economic well being is not significant once these other factors are taken into account. By contrast, economic well-being is a significant determinant of child mortality, but substantially outweighed in importance by other factors such as maternal education and knowledge of health practices (ORS) and access to safe water. The data also show gender discrimination in Andhra Pradesh, notably toward girls with only female siblings, which is absent from Kerala. We conclude that raising service levels across India toward the levels found in Kerala is a necessary step toward meeting the MDGs, and that the success of these efforts is reinforced by female empowerment.

Suggested Citation

  • Masset, Edoardo & White, Howard, 2003. "Infant and Child Mortality in Andhra Pradesh: Analysing changes over time and between states," MPRA Paper 11206, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:11206

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    References listed on IDEAS

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    Cited by:

    1. Operations Evaluation Department, 2005. "Maintaining Momentum to 2015 : An Impact Evaluation of Interventions to Improve Maternal and Child Health and Nutrition in Bangladesh," World Bank Publications, The World Bank, number 7372, March.
    2. Ali, Amjad & Bibi, Chan, 2016. "Determinants of Social Progress and its Scenarios under the role of Macroeconomic Instability: Empirics from Pakistan," MPRA Paper 72920, University Library of Munich, Germany.
    3. Sumarto, Sudarno & de Silva, Indunil, 2015. "Child Malnutrition in Indonesia: Can Education, Sanitation and Healthcare Augment the Role of Income?," MPRA Paper 66631, University Library of Munich, Germany, revised 09 Sep 2015.
    4. Howard White & Edoardo Masset & Nina Blondal & Hugh Waddington, 2005. "Maintaining Momentum to 2015? An impact evaluation of interventions to improve maternal and child health and nutrition in Bangladesh," Development and Comp Systems 0510004, EconWPA.

    More about this item


    infant mortality; child mortality; health; india; social development; andhra pradesh; kerela; hazards model; health production function;

    JEL classification:

    • O10 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - General
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration


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