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

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  • Masset, Edoardo
  • White, Howard

Abstract

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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    Cited by:

    1. 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.
    2. Vos, R.P. & Cuesta, J.D. & León, M. & Lucio, R. & Rosero, J., 2005. "Reaching the millennium development goal for child mortality : Improving equity and efficiency in Ecuador's health budget," ISS Working Papers - General Series 19169, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    3. Hati, Koushik Kumar & Majumder, Rajarshi, 2013. "Health Infrastructure, Health Outcome and Economic Wellbeing: A District Level Study in India," MPRA Paper 53363, University Library of Munich, Germany.
    4. 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.

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    More about this item

    Keywords

    infant mortality; child mortality; health; india; social development; andhra pradesh; kerela; hazards model; health production function;
    All these keywords.

    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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