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Low Malnutrition but High Mortality: Explaining the Paradox of the Lake Victoria Region

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  • Priebe, Jan
  • Gräb, Johannes

Abstract

Exploiting DHS data from 235 regions in 29 Sub-Saharan Africa countries, we find that the combination of low levels of malnutrition together with dramatically high rates of mortality, encountered in Kenya's Lake Victoria territory, is unique for Sub-Saharan Africa. This paper explores the causes of this paradox for the Kenyan context. Our identification strategy consists of two parts. First of all, we apply multilevel regression models to control simultaneously for family and community clustering of the observed malnutrition and mortality outcomes. Secondly, to address unobserved but correlated factors, we exploit information from GIS and malaria databases to construct variables that capture additional components of children's geographic, political and cultural environment. Our analysis reveals that beneficial agricultural conditions and feeding practices lead to the observed sound anthropometric outcomes around Lake Victoria. In contrast, high mortality rates rest upon an adverse disease environment (malaria prevalence, water pollution, HIV rates) and a policy neglect (underprovision of health care services). Nonetheless, a significant effect of the local ethnic group, the Luo, on mortality remains.

Suggested Citation

  • Priebe, Jan & Gräb, Johannes, 2009. "Low Malnutrition but High Mortality: Explaining the Paradox of the Lake Victoria Region," Proceedings of the German Development Economics Conference, Frankfurt a.M. 2009 26, Verein für Socialpolitik, Research Committee Development Economics.
  • Handle: RePEc:zbw:gdec09:26
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    1. Moradi, Alexander, 2009. "Towards an Objective Account of Nutrition and Health in Colonial Kenya: A Study of Stature in African Army Recruits and Civilians, 1880–1980," The Journal of Economic History, Cambridge University Press, vol. 69(3), pages 719-754, September.
    2. Carlos Bozzoli & Angus Deaton & Climent Quintana-Domeque, 2009. "Adult height and childhood disease," Demography, Springer;Population Association of America (PAA), vol. 46(4), pages 647-669, November.
    3. Emily Oster, 2012. "Routes Of Infection: Exports And Hiv Incidence In Sub-Saharan Africa," Journal of the European Economic Association, European Economic Association, vol. 10(5), pages 1025-1058, October.
    4. Oster, Emily, 2012. "HIV and sexual behavior change: Why not Africa?," Journal of Health Economics, Elsevier, vol. 31(1), pages 35-49.
    5. Bolstad W. M & Manda S. O, 2001. "Investigating Child Mortality in Malawi Using Family and Community Random Effects: A Bayesian Analysis," Journal of the American Statistical Association, American Statistical Association, vol. 96, pages 12-19, March.
    6. Kenneth Harttgen & Mark Misselhorn, 2006. "A Multilevel Approach to Explain Child Mortality and Undernutrition in South Asia and Sub-Saharan Africa," Ibero America Institute for Econ. Research (IAI) Discussion Papers 152, Ibero-America Institute for Economic Research.
    7. repec:pri:rpdevs:deaton_height_health_and_inequality_the_distribution_of_adult_heights_in_ is not listed on IDEAS
    8. D. Omariba & Roderic Beaujot & Fernando Rajulton, 2007. "Determinants of infant and child mortality in Kenya: an analysis controlling for frailty effects," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 26(3), pages 299-321, June.
    9. Fogel, Robert W, 1994. "Economic Growth, Population Theory, and Physiology: The Bearing of Long-Term Processes on the Making of Economic Policy," American Economic Review, American Economic Association, vol. 84(3), pages 369-395, June.
    10. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2006. "The Determinants of Mortality," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 97-120, Summer.
    11. Angus Deaton, 2008. "Height, Health, and Inequality: The Distribution of Adult Heights in India," American Economic Review, American Economic Association, vol. 98(2), pages 468-474, May.
    12. Smith, Lisa C & Haddad, Lawrence, 2002. "How Potent Is Economic Growth in Reducing Undernutrition? What Are the Pathways of Impact? New Cross-Country Evidence," Economic Development and Cultural Change, University of Chicago Press, vol. 51(1), pages 55-76, October.
    13. repec:pri:cheawb:deaton_height_health_inequality_revised_ack_jan08.pdf is not listed on IDEAS
    14. Cohen, J.M., 1995. "Ethnicity, Foreign Aid, and Economic Growth in Sub-Saharan Africa: The Case of Kenya," Papers 520, Harvard - Institute for International Development.
    15. Mark R. Rosenzweig & Kenneth I. Wolpin, 1988. "Heterogeneity, Intrafamily Distribution, and Child Health," Journal of Human Resources, University of Wisconsin Press, vol. 23(4), pages 437-461.
    16. Whitworth, Alison & Stephenson, Rob, 2002. "Birth spacing, sibling rivalry and child mortality in India," Social Science & Medicine, Elsevier, vol. 55(12), pages 2107-2119, December.
    17. 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.
    18. 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.
    19. Williamson,Jeffrey G., 1990. "Coping with City Growth during the British Industrial Revolution," Cambridge Books, Cambridge University Press, number 9780521364805.
    20. Miguel, Edward & Gugerty, Mary Kay, 2005. "Ethnic diversity, social sanctions, and public goods in Kenya," Journal of Public Economics, Elsevier, vol. 89(11-12), pages 2325-2368, December.
    21. Svedberg, Peter, 2000. "Poverty and Undernutrition: Theory, Measurement, and Policy," OUP Catalogue, Oxford University Press, number 9780198292685, November.
    22. Cebu Study Team, 1992. "A child health production function estimated from longitudinal data," Journal of Development Economics, Elsevier, vol. 38(2), pages 323-351, April.
    23. 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.
    24. Alexander A. Weinreb, 2001. "First Politics, Then Culture: Accounting for Ethnic Differences in Demographic Behavior in Kenya," Population and Development Review, The Population Council, Inc., vol. 27(3), pages 437-467, September.
    25. Jeffrey Sachs & Pia Malaney, 2002. "The economic and social burden of malaria," Nature, Nature, vol. 415(6872), pages 680-685, February.
    26. Richard H. Steckel, 1995. "Stature and the Standard of Living," Journal of Economic Literature, American Economic Association, vol. 33(4), pages 1903-1940, December.
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    More about this item

    Keywords

    Child mortality; undernutrition; poverty; multilevel modeling; Sub-Saharan Africa;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I30 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development
    • R12 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics - - - Size and Spatial Distributions of Regional Economic Activity; Interregional Trade (economic geography)

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