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Regional Inequalities in Child Malnutrition in Egypt, Jordan, and Yemen: A Blinder-Oaxaca Decomposition Analysis

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  • Rashad, Ahmed

    () (Philipps University Marburg)

  • Sharaf, Mesbah

    () (University of Alberta, Department of Economics)

Abstract

There is substantial evidence that on average, urban children have better health outcomes than rural children. This paper investigates the underlying factors that account for the regional disparities in child malnutrition in three Arab countries, namely; Egypt, Jordan, and Yemen. We use data on a nationally representative sample from the most recent waves of the Demographic and Health Survey. A Blinder-Oaxaca decomposition analysis is conducted to decompose the rural-urban differences in child nutrition outcomes into two components; one that is explained by regional differences in the level of the determinants (co-variate effects), and another component that is explained by differences in the effect of the determinants on the child nutritional status (coefficient effects). Results show that the under-five stunting rates are 20% in Egypt, 46.5 % in Yemen, and 7.7% in Jordan. The rural- urban gap in child malnutrition was minor in the case of Egypt (2.3%) and Jordan (1.5%), while the regional gap was significant in the case of Yemen (17.7%). Results of the Blinder- Oaxaca decomposition show that the co-variate effect is dominant in the case of Yemen while the coefficients effect dominates in the case of Jordan. Income inequality between urban and rural households explains most of the malnutrition gap. Results were robust to the different decomposition weighting schemes. By identifying the underlying factors behind the rural-urban health disparities, the findings of this paper help in designing effective intervention measures aimed at reducing regional inequalities and improving population health outcomes.

Suggested Citation

  • Rashad, Ahmed & Sharaf, Mesbah, 2016. "Regional Inequalities in Child Malnutrition in Egypt, Jordan, and Yemen: A Blinder-Oaxaca Decomposition Analysis," Working Papers 2016-3, University of Alberta, Department of Economics.
  • Handle: RePEc:ris:albaec:2016_003
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    1. Jalan, Jyotsna & Ravallion, Martin, 2003. "Does piped water reduce diarrhea for children in rural India?," Journal of Econometrics, Elsevier, vol. 112(1), pages 153-173, January.
    2. Fortin, Nicole & Lemieux, Thomas & Firpo, Sergio, 2011. "Decomposition Methods in Economics," Handbook of Labor Economics, Elsevier.
    3. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications, The World Bank, number 6896, November.
    4. repec:spr:soinre:v:135:y:2018:i:2:d:10.1007_s11205-016-1515-y is not listed on IDEAS
    5. 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, vol. 65(10), pages 1986-2003, November.
    6. Menon, Purnima & Ruel, Marie T. & Morris, Saul Sutkover, 2000. "Socio-economic differentials in child stunting are consistently larger in urban than rural areas," FCND discussion papers 97, International Food Policy Research Institute (IFPRI).
    7. Cavatorta, Elisa & Shankar, Bhavani & Flores-Martinez, Artemisa, 2015. "Explaining Cross-State Disparities in Child Nutrition in Rural India," World Development, Elsevier, vol. 76(C), pages 216-237.
    8. Rashad, Ahmed & Sharaf, Mesbah, 2015. "Does Economic Growth Reduce Child Malnutrition in Egypt? New Evidence from National Demographic and Health Survey," Working Papers 2015-16, University of Alberta, Department of Economics.
    9. Garrett, James L. & Ruel, Marie T., 1999. "Are Determinants of Rural and Urban Food Security and Nutritional Status Different? Some Insights from Mozambique," World Development, Elsevier, vol. 27(11), pages 1955-1975, November.
    10. Mesbah Fathy Sharaf & Ahmed Shoukry Rashad, 2016. "Regional inequalities in child malnutrition in Egypt, Jordan, and Yemen: a Blinder-Oaxaca decomposition analysis," Health Economics Review, Springer, vol. 6(1), pages 1-11, December.
    11. Firestone, Rebecca & Punpuing, Sureeporn & Peterson, Karen E. & Acevedo-Garcia, Dolores & Gortmaker, Steven L., 2011. "Child overweight and undernutrition in Thailand: Is there an urban effect?," Social Science & Medicine, Elsevier, vol. 72(9), pages 1420-1428, May.
    12. Mesbah Fathy Sharaf & Ahmed Shoukry Rashad, 2018. "Socioeconomic Inequalities in Infant Mortality in Egypt: Analyzing Trends Between 1995 and 2014," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 137(3), pages 1185-1199, June.
    13. 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.
    14. Reimers, Cordelia W, 1983. "Labor Market Discrimination against Hispanic and Black Men," The Review of Economics and Statistics, MIT Press, vol. 65(4), pages 570-579, November.
    15. Haddad, Lawrence & Ruel, Marie T. & Garrett, James L., 1999. "Are Urban Poverty and Undernutrition Growing? Some Newly Assembled Evidence," World Development, Elsevier, vol. 27(11), pages 1891-1904, November.
    16. Smith, Lisa C. & Ruel, Marie T. & Ndiaye, Aida, 2005. "Why Is Child Malnutrition Lower in Urban Than in Rural Areas? Evidence from 36 Developing Countries," World Development, Elsevier, vol. 33(8), pages 1285-1305, August.
    17. David Neumark, 1988. "Employers' Discriminatory Behavior and the Estimation of Wage Discrimination," Journal of Human Resources, University of Wisconsin Press, vol. 23(3), pages 279-295.
    18. Larrea, Carlos & Kawachi, Ichiro, 2005. "Does economic inequality affect child malnutrition? The case of Ecuador," Social Science & Medicine, Elsevier, vol. 60(1), pages 165-178, January.
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    1. Mesbah Fathy Sharaf & Ahmed Shoukry Rashad, 2016. "Regional inequalities in child malnutrition in Egypt, Jordan, and Yemen: a Blinder-Oaxaca decomposition analysis," Health Economics Review, Springer, vol. 6(1), pages 1-11, December.
    2. repec:spr:soinre:v:137:y:2018:i:3:d:10.1007_s11205-017-1631-3 is not listed on IDEAS
    3. Mesbah Fathy Sharaf & Ahmed Shoukry Rashad, 2018. "Socioeconomic Inequalities in Infant Mortality in Egypt: Analyzing Trends Between 1995 and 2014," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 137(3), pages 1185-1199, June.

    More about this item

    Keywords

    Child Malnutrition; Rural-Urban Inequality; Blinder-Oaxaca Decomposition; Egypt; Jordan; Yemen;

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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