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1. Determinants of Child Malnutrition in Mauritania

Author:
Yahya Abou Ly
Publication Date:
01-2020
Content Type:
Research Paper
Institution:
African Economic Research Consortium (AERC)
Abstract:
The empirical context of this research is in an environment where malnutrition is a real public health concern. The objective of this study was to identify the determinants of the nutritional state of children under the age of five years in Mauritania. Using data obtained from multiple indicators cluster surveys (MICS) in Mauritania in 2007 and 2015, we undertook fixed-effects clusters techniques to control for unobserved heterogeneity. The empirical results demonstrate that the age and sex of a child, level of education of the mother, the standards of living of the household, the area of residence, the availability and use of health care services and access to drinking water are all important factors for the good health of children in Mauritania. These findings suggests improvements in nutritional health, for example, by education of girls until completion of secondary school; an improvement in the conditions of households that are headed by women and an expansion in the coverage rate of multi-purpose health centres.
Topic:
Health, Food, Children, Food Security, and Child Poverty
Political Geography:
Africa and Mauritania

2. Birth Order and Demand for Immunization for Children under the Age of Five in Cameroon

Author:
Negou Kamga Vincent de Paul and Nda’chi Deffo Rodrigue
Publication Date:
01-2020
Content Type:
Research Paper
Institution:
African Economic Research Consortium (AERC)
Abstract:
Despite free basic vaccines administered by the Expanded Programme on Immunization (EPI), there is still a fairly high death rate of children aged 0-5 worldwide due to vaccine-preventable diseases. Sub-Saharan Africa is the most affected region due to low levels of vaccination. This study analyses the effect of birth order on the immunization status of children in Cameroon, considering the contribution of cultural, economic and community factors. To do this, it uses data from the Demographic and Health Surveys of 1991, 1998, 2004 and 2011 produced by the National Institute of Statistics with the support of UNFPA, UNICEF, the World Bank and USAID. The EPI module was administered to 3,350, 2,317, 8,125 and 25,524 children under five in 1991, 1998, 2004 and 2011, respectively. The multinomial probit model makes it possible to find that birth order has a negative and highly significant effect on the full and timely immunization of children under five and the impact increases with birth order. Moreover, the impact of birth order increases after adjusting for cultural factors. This increase indicates that, beyond the effect of birth order, cultural factors are at the root of prejudices leading to the abandonment of children. Considering children under two years of age, and vaccines taken during the first four months, the corresponding birth order effect points to the benefits of routine immunization and response campaigns in promoting immunization of children under five.
Topic:
Economics, Health, Health Care Policy, and Children
Political Geography:
Africa and Cameroon

3. Predictors of school dropout across Ethiopia, India, Peru and Vietnam

Author:
Santiago Cueto, Claudia Felipe, and Juan Leon
Publication Date:
07-2020
Content Type:
Working Paper
Institution:
Group for the Analysis of Development (GRADE)
Abstract:
In this paper the authors utilize the five rounds of Young Lives household surveys across four countries (Ethiopia, India, Peru and Vietnam) to study the characteristics of children who had dropped out of school by 22 years of age. While most children in the longitudinal sample go to primary school, they tend to drop out more often and earlier in Ethiopia. In India most children complete the early grades of school but drop out later, particularly in grades 11 and 13. Researchers find that in all countries, except Vietnam, there is a considerable number of children who drop out of school but at some point return to it, either to complete secondary or drop out again. The reasons provided by children for dropping out across the countries are oftentimes related to poverty: for example, the need to work, or care or provide for family. The multivariate analysis shows that indeed in many cases the wealth level of the family at an early age predicts later dropout, as does maternal education level, students’ early skills and residence in certain regions of each country. There are also some variations across countries; for example, boys are more likely to drop out of school in Ethiopia and Vietnam, and children who have repeated a grade are more likely to drop out of school in Peru. However, having high educational aspirations at early ages seems to be a protective factor against dropping out. This suggests that the value that children place on education may be an important preventative factor against dropping out. Overall, these results suggest the need to act early through education and social protection interventions to target young children who are at risk of dropping out, and the follow their trajectories, providing support as needed to specific groups and even individuals, so that all children may fulfill their right to complete at least secondary education.
Topic:
Education and Children
Political Geography:
Africa, India, Asia, Vietnam, Ethiopia, and Peru

4. Household Economic Well-Being and Child Health in The Democratic Republic of Congo

Author:
Janvier Mwisha-Kasiwa
Publication Date:
11-2019
Content Type:
Policy Brief
Institution:
African Economic Research Consortium (AERC)
Abstract:
Health is both a direct component of human well-being and a form of human capital that increases an individual’s capabilities and opportunities to generate income and reduces vulnerability. It is argued that these two views are complementary, and both can be used to justify increased investment in health in developing countries. Therefore, investment in child health constitutes a potential mechanism to end the intergenerational transmission of poverty. This paper examines the empirical impact of household economic well-being on child health, and the gender differences in effects using the Demographic and Health Survey conducted in 2014. A series of econometric tools are used; the control function approach appears to be the most appropriate strategy as it simultaneously removes structural parameters from endogeneity, the sample selection and heterogeneity of the unobservable variables. Results suggest a significant positive effect of household economic well-being on child health. However, the magnitude of the effect varies by gender of household head; children from households headed by males appear healthier compared to those from female-headed households. In the context of DR Congo, female-headed households often have a single parent, therefore, the economic well-being effect on child health in the male sub-sample can be considered to include the unobserved contribution of women. These results have implications for public interventions that enable women to participate in paid labour market activities as a means of improving household economic well-being, which in turn could improve child health.
Topic:
Development, Economics, Gender Issues, Health, Health Care Policy, and Children
Political Geography:
Africa and Democratic Republic of Congo

5. Africa Lags in Protections against Human Trafficking

Author:
Africa Center for Strategic Studies
Publication Date:
07-2019
Content Type:
Working Paper
Institution:
Africa Center for Strategic Studies
Abstract:
Trafficking in persons has become a multibillion dollar business in Africa that African governments have been slow to address.
Topic:
Migration, United Nations, Children, Women, Slavery, and Human Trafficking
Political Geography:
Africa, Ethiopia, Egypt, Burundi, Eritrea, South Sudan, Central African Republic, and Mediterranean

6. Myths about Human Trafficking in Africa

Author:
Africa Center for Strategic Studies
Publication Date:
07-2019
Content Type:
Working Paper
Institution:
Africa Center for Strategic Studies
Abstract:
Human trafficking remains a significant problem in Africa, exploiting vulnerable individuals—children, women, and men—for forced labor as well as prostitution.
Topic:
United Nations, Labor Issues, Children, and Human Trafficking
Political Geography:
Africa, South Africa, North Africa, West Africa, and East Africa

7. Can Transparency and Accountability Programs Improve Health? Experimental Evidence from Indonesia and Tanzania

Author:
Jean Arkedis, Jessica Creighton, Archon Fung, Stephen Kosack, Dan Levy, and Courtney Tolmie
Publication Date:
05-2019
Content Type:
Working Paper
Institution:
The John F. Kennedy School of Government at Harvard University
Abstract:
We assess the impact of a transparency and accountability program designed to improve maternal and newborn health (MNH) outcomes in Indonesia and Tanzania. Co-designed with local partner organizations to be community-led and non-prescriptive, the program sought to encourage community participation to address local barriers in access to high quality care for pregnant women and infants. We evaluate the impact of this program through randomized controlled trials (RCTs), involving 100 treatment and 100 control communities in each country. We find that on average, this program did not have a statistically significant impact on the use or content of maternal and newborn health services, nor the sense of civic efficacy or civic participation among recent mothers in the communities who were offered it. These findings hold in both countries and in a set of prespecified subgroups. To identify reasons for the lack of impacts, we use a mixed-method approach combining interviews, observations, surveys, focus groups, and ethnographic studies that together provide an in-depth assessment of the complex causal paths linking participation in the program to improvements in MNH outcomes. Although participation in program meetings was substantial and sustained in most communities, and most attempted at least some of what they had planned, only a minority achieved tangible improvements and fewer still saw more than one such success. Our assessment is that the main explanation for the lack of impact is that few communities were able to traverse the complex causal paths from planning actions to accomplishing tangible improvements in their access to quality health care.
Topic:
Health, Health Care Policy, Children, and Randomized Controlled Trials
Political Geography:
Africa, Indonesia, Tanzania, and Southeast Asia

8. Twin peaks: the seasonality of acute malnutrition, conflict, and environmental factors

Author:
Helen Young, Anastasia Marshak, and Aishwarya Venkat
Publication Date:
11-2019
Content Type:
Special Report
Institution:
Feinstein International Center, Tufts University
Abstract:
This report highlights major new findings on the seasonal patterns of child malnutrition and their links to climate variability, conflict, and livelihood systems in Chad, Sudan, and South Sudan. Contrary to long-held assumptions about acute malnutrition escalating in the lean season, our data show that there are two peaks of acute malnutrition. The first and larger peak occurs at the end of the dry season, followed later by a second, smaller peak after the lean season. Our analysis demonstrates a significant relationship between acute malnutrition, conflict trends, and environmental factors. The findings underscore the importance of environmental variability and the persistence of climate, conflict, and other shocks in relation to livelihood resilience and transformation over time. The findings raise specific considerations for data collection, future research, programming, and policy, which are detailed in the report and briefing paper.
Topic:
Food, Children, Food Security, Youth, and Conflict
Political Geography:
Africa, Sudan, Chad, and South Sudan

9. Apolou Baseline Report: Household Wealth and Market Quality

Author:
Anastasia Marshak, Nate Ives, Elizabeth Stites, Kimberly Howe, and Barbara Athieno
Publication Date:
07-2019
Content Type:
Special Report
Institution:
Feinstein International Center, Tufts University
Abstract:
This report reflects findings from the baseline quantitative study of a four-year research project in the Karamoja sub-region of Uganda. We describe different aspects of wealth, such as animal-related wealth and farm-related wealth, and how they relate to two indices of wealth that we created as part of this study. We then examine how different wealth indices correlate with geographical and household characteristics, including food insecurity. We further explore market access and quality, and the relationship between these factors, Mercy Corps program layering, and wealth. The findings draw on survey research in a sample of Mercy Corps programming communities in Karamoja. A team from the Feinstein International Center, Friedman School of Nutrition Science and Policy at Tufts University in collaboration with Mercy Corps conducted this research between November 2018 and January 2019 as part of the USAID/FFP-funded Apolou Activity. Midline and endline data collection are expected to take place in 2019 and 2020. The overall study, which also consists of a qualitative component, explores how the recent transformations in the Karamoja sub-region, including expansion of markets, increase in trade, and monetization, are affecting households and communities.
Topic:
Gender Issues, Children, and Food Security
Political Geography:
Uganda and Africa

10. Examining Alternative Livelihoods for Improved Resilience and Transformation in Afar

Author:
Daniel Temesga, Amdissa Teshome, and Berhanu Admassu
Publication Date:
05-2019
Content Type:
Special Report
Institution:
Feinstein International Center, Tufts University
Abstract:
Traditional pastoral livelihoods have continued sustainably for generations using flexible adaptive responses to the climatic variability in Ethiopia’s Afar region. Recently, however, multifaceted driving forces such as demographic and policy changes, more extreme climate events, market changes have affected the capacity of the pastoral system to adapt. The study established that the traditional pastoral system has evolved into three major livelihood pathways, depending on the wealth status of the household: (1) pastoralism with commercialization of livestock; (2) livestock keeping along with income diversification; and (3) non-livestock alternative livelihoods. The report reviews the different types of alternative livelihoods in the region and makes recommendations for interventions.
Topic:
Climate Change, Gender Issues, Children, and Youth
Political Geography:
Africa and Ethiopia