On Decomposing the Causes of Health Sector Inequalities with an Application to Malnutrition Inequalities in Vietnam
The authors propose a method for decomposing inequalities in the health sector into their causes, by coupling the concentration index with a regression framework. They also show how changes in inequality over time, and differences across countries,...
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2001/11/1637744/decomposing-causes-health-sector-inequalities-application-malnutrition-inequalities-vietnam http://hdl.handle.net/10986/19426 |
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okr-10986-194262021-04-23T14:03:43Z On Decomposing the Causes of Health Sector Inequalities with an Application to Malnutrition Inequalities in Vietnam Wagstaff, Adam Van Doorslaer, Eddy Watanabe, Naoko HEALTH SERVICES ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES REGRESSION ANALYSIS CHILDREN NUTRITION CHILD NUTRITION MALNUTRITION IN CHILDREN HOUSEHOLD CONSUMPTION INEQUITY DECOMPOSITION METHOD CHILD MALNUTRITION CHILD MORTALITY DECOMPOSITION RESULTS DECREASING FUNCTION DISTRIBUTIONAL DATA DRINKING WATER EDUCATIONAL ATTAINMENT ELASTICITIES ELASTICITY EMPIRICAL ANALYSIS EMPIRICAL MODEL EMPIRICAL RESULTS EQUAL INCREASE GINI COEFFICIENT GIRLS HEALTH OUTCOMES HEALTH SERVICES HOUSEHOLDS HUMAN DEVELOPMENT INCOME INCOME DISTRIBUTION INCOME GROUPS INCOME INEQUALITY INCOMES INCREASING FUNCTION INEQUALITY INTERNATIONAL ORGANIZATIONS LINEAR REGRESSION MALNUTRITION MEAN CONSUMPTION MEASUREMENT ERROR MODEL ESTIMATION MORTALITY MOTHERS NEGATIVE EFFECT NEGATIVE VALUE NET CHANGE NET EFFECT NUTRITIONAL STATUS OPPORTUNITY COSTS PARENTS POLICY RESEARCH POOR CHILDREN POOR PEOPLE PRODUCTION FUNCTION PROPORTIONAL INCREASE PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC HEALTH REGRESSION ANALYSIS REGRESSION RESULTS RELATIVE IMPORTANCE RELATIVE INCOME RELATIVE INCOME INEQUALITY RISING INEQUALITY RURAL AREAS SAFE DRINKING WATER SANITATION SIGNIFICANT NEGATIVE STUNTING VACCINATION DECOMPOSITION METHOD CHILD MALNUTRITION The authors propose a method for decomposing inequalities in the health sector into their causes, by coupling the concentration index with a regression framework. They also show how changes in inequality over time, and differences across countries, can be decomposed into the following: Changes due to changing inequalities in the determinants of the variable of interest. Changes in the means of the determinants. Changes in the effects of the determinants o the variable of interest. The authors illustrate the method using data on child malnutrition in Vietnam. They find that inequalities in height-for-age in 1993 and 1998 are accounted for largely by inequalities in household consumption and by unobserved influences at the commune level. And they find that an increase in such inequalities is accounted for largely by changes in these two influences. In the case of household consumption, rising inequalities play a part, but more important have been the inequality-increasing effects of rising average consumption and the increased protective effect of consumption on nutritional status. In the case of unobserved commune-level influences, rising inequality and general improvements seem to have been roughly equally important in accounting for rising inequality in malnutrition. 2014-08-19T17:03:57Z 2014-08-19T17:03:57Z 2001-11 http://documents.worldbank.org/curated/en/2001/11/1637744/decomposing-causes-health-sector-inequalities-application-malnutrition-inequalities-vietnam http://hdl.handle.net/10986/19426 English en_US Policy Research Working Paper;No. 2714 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research East Asia and Pacific Vietnam |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
HEALTH SERVICES ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES REGRESSION ANALYSIS CHILDREN NUTRITION CHILD NUTRITION MALNUTRITION IN CHILDREN HOUSEHOLD CONSUMPTION INEQUITY DECOMPOSITION METHOD CHILD MALNUTRITION CHILD MORTALITY DECOMPOSITION RESULTS DECREASING FUNCTION DISTRIBUTIONAL DATA DRINKING WATER EDUCATIONAL ATTAINMENT ELASTICITIES ELASTICITY EMPIRICAL ANALYSIS EMPIRICAL MODEL EMPIRICAL RESULTS EQUAL INCREASE GINI COEFFICIENT GIRLS HEALTH OUTCOMES HEALTH SERVICES HOUSEHOLDS HUMAN DEVELOPMENT INCOME INCOME DISTRIBUTION INCOME GROUPS INCOME INEQUALITY INCOMES INCREASING FUNCTION INEQUALITY INTERNATIONAL ORGANIZATIONS LINEAR REGRESSION MALNUTRITION MEAN CONSUMPTION MEASUREMENT ERROR MODEL ESTIMATION MORTALITY MOTHERS NEGATIVE EFFECT NEGATIVE VALUE NET CHANGE NET EFFECT NUTRITIONAL STATUS OPPORTUNITY COSTS PARENTS POLICY RESEARCH POOR CHILDREN POOR PEOPLE PRODUCTION FUNCTION PROPORTIONAL INCREASE PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC HEALTH REGRESSION ANALYSIS REGRESSION RESULTS RELATIVE IMPORTANCE RELATIVE INCOME RELATIVE INCOME INEQUALITY RISING INEQUALITY RURAL AREAS SAFE DRINKING WATER SANITATION SIGNIFICANT NEGATIVE STUNTING VACCINATION DECOMPOSITION METHOD CHILD MALNUTRITION |
| spellingShingle |
HEALTH SERVICES ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES REGRESSION ANALYSIS CHILDREN NUTRITION CHILD NUTRITION MALNUTRITION IN CHILDREN HOUSEHOLD CONSUMPTION INEQUITY DECOMPOSITION METHOD CHILD MALNUTRITION CHILD MORTALITY DECOMPOSITION RESULTS DECREASING FUNCTION DISTRIBUTIONAL DATA DRINKING WATER EDUCATIONAL ATTAINMENT ELASTICITIES ELASTICITY EMPIRICAL ANALYSIS EMPIRICAL MODEL EMPIRICAL RESULTS EQUAL INCREASE GINI COEFFICIENT GIRLS HEALTH OUTCOMES HEALTH SERVICES HOUSEHOLDS HUMAN DEVELOPMENT INCOME INCOME DISTRIBUTION INCOME GROUPS INCOME INEQUALITY INCOMES INCREASING FUNCTION INEQUALITY INTERNATIONAL ORGANIZATIONS LINEAR REGRESSION MALNUTRITION MEAN CONSUMPTION MEASUREMENT ERROR MODEL ESTIMATION MORTALITY MOTHERS NEGATIVE EFFECT NEGATIVE VALUE NET CHANGE NET EFFECT NUTRITIONAL STATUS OPPORTUNITY COSTS PARENTS POLICY RESEARCH POOR CHILDREN POOR PEOPLE PRODUCTION FUNCTION PROPORTIONAL INCREASE PUBLIC EXPENDITURE PUBLIC EXPENDITURES PUBLIC HEALTH REGRESSION ANALYSIS REGRESSION RESULTS RELATIVE IMPORTANCE RELATIVE INCOME RELATIVE INCOME INEQUALITY RISING INEQUALITY RURAL AREAS SAFE DRINKING WATER SANITATION SIGNIFICANT NEGATIVE STUNTING VACCINATION DECOMPOSITION METHOD CHILD MALNUTRITION Wagstaff, Adam Van Doorslaer, Eddy Watanabe, Naoko On Decomposing the Causes of Health Sector Inequalities with an Application to Malnutrition Inequalities in Vietnam |
| geographic_facet |
East Asia and Pacific Vietnam |
| relation |
Policy Research Working Paper;No. 2714 |
| description |
The authors propose a method for
decomposing inequalities in the health sector into their
causes, by coupling the concentration index with a
regression framework. They also show how changes in
inequality over time, and differences across countries, can
be decomposed into the following: Changes due to changing
inequalities in the determinants of the variable of
interest. Changes in the means of the determinants. Changes
in the effects of the determinants o the variable of
interest. The authors illustrate the method using data on
child malnutrition in Vietnam. They find that inequalities
in height-for-age in 1993 and 1998 are accounted for largely
by inequalities in household consumption and by unobserved
influences at the commune level. And they find that an
increase in such inequalities is accounted for largely by
changes in these two influences. In the case of household
consumption, rising inequalities play a part, but more
important have been the inequality-increasing effects of
rising average consumption and the increased protective
effect of consumption on nutritional status. In the case of
unobserved commune-level influences, rising inequality and
general improvements seem to have been roughly equally
important in accounting for rising inequality in malnutrition. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Wagstaff, Adam Van Doorslaer, Eddy Watanabe, Naoko |
| author_facet |
Wagstaff, Adam Van Doorslaer, Eddy Watanabe, Naoko |
| author_sort |
Wagstaff, Adam |
| title |
On Decomposing the Causes of Health Sector Inequalities with an Application to Malnutrition Inequalities in Vietnam |
| title_short |
On Decomposing the Causes of Health Sector Inequalities with an Application to Malnutrition Inequalities in Vietnam |
| title_full |
On Decomposing the Causes of Health Sector Inequalities with an Application to Malnutrition Inequalities in Vietnam |
| title_fullStr |
On Decomposing the Causes of Health Sector Inequalities with an Application to Malnutrition Inequalities in Vietnam |
| title_full_unstemmed |
On Decomposing the Causes of Health Sector Inequalities with an Application to Malnutrition Inequalities in Vietnam |
| title_sort |
on decomposing the causes of health sector inequalities with an application to malnutrition inequalities in vietnam |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2001/11/1637744/decomposing-causes-health-sector-inequalities-application-malnutrition-inequalities-vietnam http://hdl.handle.net/10986/19426 |
| _version_ |
1764439836009168896 |