The impact of adult deaths on children's health in Northwestern Tanzania
The AIDS epidemic is dramatically increasing mortality of adults in many Sub-Saharan African countries, with potentially severe consequences for surviving family members. Until now, most of these impacts had not been quantified. The authors examine the impact of adult mortality in Tanzania on three measures of health among children under five: morbidity, height for age, and weight for height. The children hit hardest by the death of a parent or other adult are those in the poorest households, those with uneducated parents, and those with the least access to health care. The authors also show how much three important health interventions-immunization against measles, and rehydration salts, and access to health care-can do to mitigate the impact of adult mortality. These programs disproportionately improve health outcomes among the poorest children and, within that group, among children affected by adult mortality. In Tanzania there is so much poverty, and child health indicators are so low that these interventions should be targeted as much as possible to the poorest households, where the children hit hardest by adult mortality are most likely to be found. (Conceivably, the targeting strategy for middle-income countries with severe AIDS epidemics, such as Thailand, or countries with less poverty and better child health indicators might be different.)
|Date of creation:||31 Jan 2000|
|Date of revision:|
|Contact details of provider:|| Postal: 1818 H Street, N.W., Washington, DC 20433|
Phone: (202) 477-1234
Web page: http://www.worldbank.org/
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.:
- Sindelar, J. & Thomas, D., 1991. "Measurement of Child Health: Maternal Response Bias," Papers 633, Yale - Economic Growth Center.
- Behrman, Jere R. & Deolalikar, Anil B., 1988. "Health and nutrition," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 1, chapter 14, pages 631-711 Elsevier.
- Ainsworth, M. & Koda, G. & Lwihula, G. & Mujinja, P. & Over, M. & Semali, I., 1992. "Measuring the Impact of Fatal Adult Illness in Sub-Saharan Africa; An Annotated Household Questionnaire.," Papers 90, World Bank - Living Standards Measurement.
- Thomas, Duncan & Lavy, Victor & Strauss, John, 1996.
"Public policy and anthropometric outcomes in the Cote d'Ivoire,"
Journal of Public Economics,
Elsevier, vol. 61(2), pages 155-192, August.
- Thomas, D. & Lavy, V. & Strauss, J., 1991. "Public Policy and Anthropometric Outcomes in the Cote d'Ivoire," Papers 643, Yale - Economic Growth Center.
- Thomas, D. & Lavy, V. & Strauss, J., 1995. "Public Policy and Anthropometric Outcomes in the Cote d'Ivoire," Papers 95-07, RAND - Labor and Population Program.
- Thomas, D & Lavy, V & Strauss, J, 1996. "Public Policy and Anthropometric Outcomes in the Cote d'Ivoire," Papers 96-19, RAND - Reprint Series.
- G. S. Maddala, 1987. "Limited Dependent Variable Models Using Panel Data," Journal of Human Resources, University of Wisconsin Press, vol. 22(3), pages 307-338.
- Guilkey, David K. & Murphy, James L., 1993. "Estimation and testing in the random effects probit model," Journal of Econometrics, Elsevier, vol. 59(3), pages 301-317, October.
- Strauss, J., 1988. "The Effects Of Household And Community Characteristics On The Nutrition Of Preschool Children," Papers 40, World Bank - Living Standards Measurement.
- Glewwe, Paul & Jocoby, Hanan & King, Elizabeth M., 1999. "Early childhood nutrition and academic achievement," FCND discussion papers 68, International Food Policy Research Institute (IFPRI).
- Strauss, J. & Thomas, D., 1995.
"Health, Nutrition and Economic development,"
95-23, RAND - Labor and Population Program.
- Glewwe, Paul & Jacoby, Hanan G. & King, Elizabeth M., 2001. "Early childhood nutrition and academic achievement: a longitudinal analysis," Journal of Public Economics, Elsevier, vol. 81(3), pages 345-368, September.
- Handa, Sudhanshu, 1999. "Maternal Education and Child Height," Economic Development and Cultural Change, University of Chicago Press, vol. 47(2), pages 421-39, January.
- Duncan Thomas & John Strauss & Maria-Helena Henriques, 1991. "How Does Mother's Education Affect Child Height?," Journal of Human Resources, University of Wisconsin Press, vol. 26(2), pages 183-211.
- Behrman, Jere R., 1993. "The economic rationale for investing in nutrition in developing countries," World Development, Elsevier, vol. 21(11), pages 1749-1771, November.
When requesting a correction, please mention this item's handle: RePEc:wbk:wbrwps:2266. 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: (Roula I. Yazigi)
If references are entirely missing, you can add them using this form.